Access NGSMedicare Log into NGSConnex NGSConnex, is your free, secure self-service portal to obtain beneficiary eligibility, claim status & more.saving you time and money! Better Health. If you are unsuccessful in getting the MBI from the NGSMedicare Beneficiary, you can use the MBI Lookup tool available only from NGSConnex. Connex. Process claims for primary or secondary payment. To continue, please select your Jurisdiction and Medicare type, and click 'Accept & Go'. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. }); Products and Services Void Where Prohibited. Any non-WPS website is independent from WPS and WPS has no control over its content or privacy practices. WPS may also make improvements and/or changes in the services described in this information at any time without notice. When you use NGSConnex to respond to ADRs, you can also generate an electronic record of the documentation presented and when the response was sent. The BCRC will only provide answers to general COB or MSP questions. Please check here to learn how to update to a secure, supported browser. Our Medicare Administrative Contractors (MACs) mailed letters (heres a sample (PDF)) to all Medicare Fee-For-Service providers totell you how to use your MACs secure portal. Returning User Login. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. The views and opinions of third-party authors published on this Website do not necessarily reflect those of WPS. The WPS GHA Portal Website is composed of various web pages operated by Wisconsin Physicians Service Insurance Corporation (WPS). If you retire, surrender your license, or no longer want to participate in the Medicare program, you must officially withdraw within 90 days. ( Registration Verifying all active user accounts listed for each of the NPIs they administers have appropriate Portal role access (Standard or Eligibility Only) and correcting if necessary. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Medicare Enrollment Assistance & Contacts, Contact your Medicare Administrative Contractor (MAC) (PDF), Enroll as a Medicare provider or supplier, Electronically sign and submit your information, End a reassignment to an organization but maintain another reassignment to the same organization, End reassignment to one organization but maintain reassignment to a different organization, Completely withdraw from the Medicare program, Switch from reassigning benefits to becoming the sole owner of your corporation, May not pay (directly or indirectly) on any basis, for basic benefits furnished to a Medicare enrollee by a physician or other practitioner (as noted below) who has filed a valid opt-out affidavit with Medicare, and. Using a shared or public computer? Users of the Transactional Areas must exercise caution to ensure that accurate information is entered into the Transactional Areas in order to prevent user suspension. An official website of the United States government THE SOLE RESPONSIBILITY FOR THE SOFTWARE, INCLUDING ANY CDT AND OTHER CONTENT CONTAINED THEREIN, IS WITH (INSERT NAME OF APPLICABLE ENTITY) OR THE CMS; AND NO ENDORSEMENT BY THE ADA IS INTENDED OR IMPLIED. Only one user ID is allowed per person. If you have an account with us and it's your first time visiting our new portal, please click here to continue. Your Healthfirst Provider Portal account will be deactivated after 90 days of inactivity. Select Enrollment from the top menu bar. A claim is a request for payment submitted by the health care provider to the health plan when services are rendered. Use PHI only for the purposes for which it was collected; This system is provided for Government authorized use only. Please enable JavaScript to continue. Secure .gov websites use HTTPSA In order to remain compliant with federal regulations, please read the attestation below regarding the license for use of Physicians' Current Procedural Terminology, Fourth Edition (CPT) codes and Healthcare Common Procedure Coding system (HCPCS) codes. means youve safely connected to the .gov website. Verifying all active user accounts are current employees or members of the NPI organization and that the user should still have access to the WPS GHA Portal. This contract will reflect the agreement between you and your patients that they will pay out of pocket for services, and that nobody will submit the bill to Medicare for reimbursement. You can Query for the status of your claims. Click the pop-up menu and choose a folder to add the page to . Because the Transactional Areas rely on third party (external) data sources, the availability and outages of some Transactional Area functions, such as eligibility and claim status, are not controlled by WPS. Do not lend, share, or "hand off" your user ID and/or disclose your password. Portal should also work with other Internet browsers (, does not guarantee their compatibility with the, By registering for and accessing the transactional areas of the WPS GHA Portal Website (the Transactional Areas), you agree to be bound by the following terms and conditions. Quick Links Coronavirus Appeals EDI Fee Schedules Forms IVR Conversion Tools Portal User Manual LCD Lookup Modifiers Policies EASI Web Help CAAP Repayments Live Events By continuing, you agree to follow our policies to protect your identity. Whether you need a question answered or assistance completing a questionnaire, the Customer Service Representatives are available to provide you with quality service. The PECOS system has print and video tutorials to walk you through different scenarios of withdrawing from Medicare: Failing to withdraw could result in fraudulent billing or having your Medicare billing privileges revoked. You agree to the use of your data in accordance with the WPS Privacy Policy. or If you dont submit your cancellation request before the 30-day period, your opt-out status will automatically renew for another two-year cycle. This investigation will be performed with the provider or supplier that submitted the claim. Read the standard disclaimer and click I Agree to continue. .gov Medicare coverage would apply when you order or certify items and services. Answer your questions concerning how to bill for payment. Follow this link to register. If you are unable to provide the correct information, the BCRC cannot release any beneficiary specific information. NGSConnex is a free, secure, web-based application developed by National Government Services just for you! Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). In general, the Transactional Areas are available 24 hours a day, 7 days a week. ) WPS supports the Transactional Areas on Microsoft Edge and Google Chrome. The BCRC does not process claims or claim-specific inquiries. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. Do you want to terminate your existing login or cancel this new login request? For more information on the BCRC, click the. Nothing in this Website implies that WPS provides, or intends to provide, such services in your area, jurisdiction, state or country. All WPS trademarks are strictly owned by WPS, and nothing in these General Terms of Use can be construed to transfer ownership rights or grant any permission, license or other rights to any WPS trademark without written authorization from WPS. The Government may monitor, record, and audit your system usage, including usage of personal devices and email systems for official duties or to conduct HHS business. Access the Medicare tools online at NGSMedicare.com. The Medicare Learning Network (MLN) is a CMS initiative to ensure Medicare physicians, providers and supplies have immediate access to Medicare coverage and reimbursement rules in a brief, accurate, and easy to understand format. Click the New User Link on the User Login screen. You will be advised that the beneficiary's information is protected under the Privacy Act, and the BCRC will not release the information. Unauthorized access to the Transactional Areas and information contained within the Transactional Areas is prohibited and is a punishable offense subject to fines and imprisonment. One can Initiate and check the status of redetermination and reopening requests. WPSs inclusion of such links and frames in this Website is for your convenience only and does not imply WPS's endorsement or recommendation of the linked or framed websites or their content or privacy practices. The National Government Services Connector (NGSConnex) is a free and secure web application designed especially for the people. Logging into the Transactional Areas establishes your consent to any and all monitoring and recording of your activities and information. If you become aware of any unauthorized use of your password or of your account, you must notify WPS immediately by calling our J5 or J8 Customer Service number. In the fifth step, all of the above information is provided. A/B . For a larger weekend window, the system will be unavailable from Saturday 12:00 PM to Sunday 10:00 AM. Users cannot create and/or host local Medicare eligibility and claim status databases that replicate functionality of the Transactional Areas. Current regulations do not allow the BCRC to provide entitlement data to the provider. Information received because of MSP data gathering and investigation is stored on the CWF. The capitalized term Website shall be defined herein to include wpsgha.com and all other web pages operated or hosted exclusively by WPS for health care providers in Medicare Jurisdiction 5 (J5) and Jurisdiction 8 (J8), including the transactional areas of the WPS GHA Portal that require user registration to access. Have all documents for this request been uploaded? NPI Administrator Search, LearningCenter CMS.gov/Providers - Section of the CMS.gov website that is designed to provide Medicare enrollment information for providers, physicians, non-physician practitioners, and other suppliers. However, WPS will provide advance notice to users when practicable. CPT codes, descriptions and other data only are copyright 2022American Medical Association. If you cannot furnish a provider number that matches the BCRCs database, you will be asked to submit your request in writing. Login Forgot your User ID or your Password? Log into NGSConnex MU offers teleconferences, webinars, CBT courses and live seminars to provide education on Medicare-related topics including rules, regulations and training. You can be held responsible for the consequences of unauthorized or illegal transactions performed with your user ID or password. Please log in again. Please save and/or print a copy of these Terms of Use for Transactional Areas. Misuse of this system is subject to civil and criminal penalties for falsifying information, wrongfully obtaining information, and wrongful disclosure of information obtained in the Transactional Areas. Some jurisdictions do not allow the exclusion of implied warranties, so the above exclusion may not apply to you. Prior to releasing any Private Health Information about a beneficiary, you will need the beneficiary's last name and first initial, date of birth, Medicare Number, and gender. Users shall have access to the Transactional Areas based upon the roles established during the registration process or by the NPI Administrator. An official website of the United States government * Password Forgot/Unlock Password? While WPS tries to include only links to or frames of websites that are of good quality, WPS cannot guarantee that those websites will not change without WPS's knowledge. The upload was not successful, please try again or submit the documentation by mail/fax. The NPI Administrator is also responsible for completing thorough user review every 90 days to assure all active accounts are in compliance. The contents of this Website's pages, including, but not limited to, text, graphics, logos, button icons, images, audio and video clips, and software, are copyrighted materials owned and/or controlled by WPS and contain WPS's trademarks, service marks, and trade names. NGSConnex provides users with self-service functionality that saves time and money for them. Login Enter your Username and Password created during the registration process. End Users do not act for or on behalf of the CMS. In such situations, the other health plan may have the legal obligation to meet the beneficiary's health care expenses first before Medicare. All NGSConnex users are required to complete this one-time verification. Medicare.gov It is your responsibility to check the Website periodically for changes to these Terms of Use. The Medicare Rules of Behavior outline your responsibility in obtaining, disseminating, and using beneficiary's Medicare eligibility data. MyMedicare.gov isn't available at this time. Medicare Part A is administered by NGS Medicare in Connecticut, Illinois, Maine, Massachusetts, Minnesota, New Hampshire, New York, Rhode Island, Vermont, and Wisconsin. Click the share button in the toolbar, then choose Add Bookmark. This is a security measure to protect your account information. Read the Online Services & Web Confidentiality Agreements and click on the check box at the end that reads, I have read and understood the above statements. then click I Agree to continue. Medicare-enrolled providers can submit claims, check their status and receive RA through the National Government Services (NGS) Connex, its . Connex.ngsmedicare.com (3 days ago) Connex.ngsmedicare.com (9 days ago) connex.ngsmedicare.com (2 days ago) connex.ngsmedicare.com (2 months ago) connex.ngsmedicare.com go url ngsmedicare.com - ngsconnex user guide (26 days ago) email verification. The Terms of Use for Transactional Areas apply in addition to the General Terms of Use. Sign In Welcome to the place on our site that is all about you Your session has expired due to inactivity. Enter into a private contract with each of your Medicare patients. All Rights Reserved. Any offer for any service made in the materials on this Website is void where prohibited and/or WPS is not licensed or admitted to do business. End User Point and Click Agreement: Did you know your enrollment contractor can answer questions you may have about your application?