Updated September 1, 2026
Verify WPS Health Plan eligibility in real time.
WPS Health Plan supports electronic real-time eligibility. Send the check to payer ID 39185 and the full benefits picture comes back in seconds, before the patient sits down.
Also billed as: Arise Health Plan · WPS Optum Health · Wisconsin Physicians Service Health Plan
Seconds
The same WPS Health Plan check that takes 15 to 25 minutes on the phone. Ten patients tomorrow: ten checks, or three hours on hold.
4 billing names
WPS Health Plan shows up on cards under 4 names. Every one routes to payer ID 39185, and so do 5 older payer IDs still printed on cards. No guessing which card this is.
2 programs
WPS Health Plan runs Commercial and Medicare plans. Sign in and check any patient in one click before they arrive.
From $39/mo
Per location, billed yearly. Found checks are billed once a month, $2.50 each and less as you run more. No seat fees, no processing fees.
The phone way
Call, hold, transcribe, repeat.
Verifying WPS Health Plan by phone means a menu, a hold queue, and 15 to 25 minutes per patient while someone at the desk reads benefits back by hand. Ten patients on tomorrow's schedule is half a workday on hold.
The real-time way
Payer ID 39185, in seconds.
The same check, sent electronically. Sign in and run it for any patient in one click, and Valian flags the ones that need a human look.
| By phone | In Valian | |
|---|---|---|
| Time per patient | 15 to 25 minutes on hold | Seconds |
| When it happens | Day of, squeezed between patients | Any time before the visit, in one click |
| What you get | Notes scribbled while someone reads benefits aloud | The full breakdown, saved to the patient |
What a WPS Health Plan eligibility check returns
- Whether coverage is active, with plan and group details
- Deductible, and how much of it is already met this year
- Annual maximum, and how much of it is left to work with
- Coverage percentages by category: preventive, basic, major
- Frequency limits on cleanings, exams, and X-rays
- Waiting periods, where WPS Health Plan reports them electronically
Eligibility result
Sample data- Status
- Active
- Plan
- PPO · Group 8823
- Deductible
- $50 · $0 met
- Annual max
- $1,500 remaining
- Preventive
- 100%
- Basic
- 80%
- Major
- 50%
- Cleanings
- 2 / year
Returned in seconds · payer ID 39185
How practices handle this today, in their own words
Verbatim from recorded calls to dental offices. Names withheld.
We call the insurance, or I go on their website and do it. Yeah, we manually do it.
We have a third party insurance verification team that does it for us. I’m not too sure, maybe like seven, ten minutes.
Our system does it, and the ones that are not set up for electronic, we do ourselves.
How getting set up works
Book a discovery call
A 15-minute call with our team: we show you a check and size your plan. Then you sign up from the link we send you: create the account, sign the agreement, and put a card on file.
Save your carriers and codes
Pick the insurance carriers you take and the codes you check.
Run a check in one click
Sign in, pick a patient and see their coverage in seconds before the visit, WPS Health Plan included. No hold music, no portal logins.
Under half an hour of your time all in. See how the software compares, how a real-time check works, or what outsourcing costs.
What WPS Health Plan supports through our network
- Real-time eligibility (270/271)
- Yes, in seconds
- Enrollment for eligibility
- None, checks work day one
- Dental claims (837D)
- Not through our network
- Claim status (276/277)
- Yes
- Electronic remittance (835)
- Not through our network
- Electronic funds transfer
- Not through our network
- Claim attachments
- Not through our network
Names and IDs this payer goes by
WPS Health Plan · Arise Health Plan · WPS Optum Health · Wisconsin Physicians Service Health Plan. Older cards may show payer ID 10868, 11181, 95937, ARISE and WPS. All of them route to payer ID 39185.
Payer site: www.wpshealth.com
How to verify WPS Health Plan, step by step
Get the member ID and date of birth from the card or the patient.
Send the electronic eligibility request (a 270) to payer ID 39185.
Read the response (the 271): status, deductible, max, percentages, frequencies.
Save the breakdown to the patient. With Valian, all four take one click and a few seconds.
WPS Health Plan runs Commercial and Medicare plans across 2 states. Medicare dental benefits live in the specific Advantage plan, not in Medicare itself, so the plan on the card decides.
WPS Health Plan, quick answers
Does WPS Health Plan support real-time eligibility?
Yes. Eligibility checks to WPS Health Plan clear electronically in seconds through payer ID 39185.
What payer ID do I use for WPS Health Plan?
39185 for eligibility transactions. The same payer also appears on cards as Arise Health Plan, WPS Optum Health, Wisconsin Physicians Service Health Plan.
What does a check cost with Valian?
Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees. Sign in and run each check in one click before the visit.
Does WPS Health Plan require enrollment before I can check eligibility?
No. Eligibility checks work from day one, with no payer enrollment paperwork.
Which WPS Health Plan plans does this cover?
WPS Health Plan runs Commercial and Medicare plans in Illinois and Wisconsin. The eligibility check reads the specific plan on the patient's card, whichever program it belongs to.
Can I get WPS Health Plan remittances electronically?
Electronic remittance advice (835) from WPS Health Plan is not available through our network today, so check the payer's own portal or paper remittance for payment details.
What if the patient's card shows a different WPS name?
Alternate billing names route to the same payer ID, 39185. The same check covers them.
More questions about verifying WPS Health Plan? Schedule 15 minutes with us and bring your toughest plan.
Check any WPS Health Plan patient in one click, before they walk in.
Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees.
Book 15 minutes, demo or onboarding
Pick a time, then tell us on the form whether it is a demo or an onboarding call.
Other Illinois dental payers
25 other payers operating in Illinois also verify in real time, 8 of them with Medicaid plans.
- Aetna Better Health of Illinois68024
- Allegiance Benefit Plan Management Incorporated81040
- Blue Cross and Blue Shield of IllinoisG00621
- Blue Cross and Blue Shield of Texas84980
- Blue Cross Community MMAIMCDIL
- CompBenefits DentalCX021
- Delta Dental Illinois05030
- Devoted HealthDEVOT
- Essence Healthcare20818
Medicaid plans in Illinois: Aetna Better Health of Illinois, Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Texas, Blue Cross Community MMAI, Liberty Dental Plan, Medicaid Illinois, and 2 more.
Other Wisconsin dental payers
23 other payers operating in Wisconsin also verify in real time, 3 of them with Medicaid plans.
- Allegiance Benefit Plan Management Incorporated81040
- Anthem Blue Cross and Blue Shield Wisconsin450
- Anthem Blue Cross and Blue Shield Wisconsin - DentalAD450
- Dean Health Plan41822
- Delta Dental of Wisconsin39069
- Medica94265
- Medica Individual and Family12422
- Medicaid Wisconsin100306
- Medical Associates Health PlansMAHC1
Medicaid plans in Wisconsin: Anthem Blue Cross and Blue Shield Wisconsin, Medicaid Wisconsin, Security Health Plan.
Related payers
- Verify WPS Health Insurance eligibility
- Verify Aetna Better Health of Illinois eligibility
- Verify Allegiance Benefit Plan Management Incorporated eligibility
- Verify Blue Cross and Blue Shield of Illinois eligibility
- Verify Blue Cross and Blue Shield of Texas eligibility
- Verify Blue Cross Community MMAI eligibility
More payers operating in Illinois · More payers operating in Wisconsin
Payer names and marks belong to their owners and identify the insurance company a practice can verify. Sample result shown for illustration; real results reflect the patient's actual plan. Payer capabilities can change between network updates.