Get Fcwps Wpsic

The Fcwps Wpsic is an essential form used for submitting claims electronically in the Family Care program. This guide provides clear, step-by-step instructions to help users fill out the form accurately and efficiently.

Follow the steps to complete the Fcwps Wpsic form online.

1. Press the ‘Get Form’ button to access the form needed for claim submission.
2. Fill in the provider information, including the Provider Tax ID, NPI number, and Servicing Provider details. Ensure that all information is taken from the Authorization form and formatted correctly.
3. Provide the member information, including member number, first name, last name, middle name or initial, and date of birth, formatted as MMDDYYYY.
4. Complete the claim information section with the authorization number and date of service. Ensure not to submit claims for future dates.
5. Input additional data, such as the service codes, diagnosis codes, total units, and total charges ensuring each data piece adheres to the prescribed formats.
6. Verify all entries against the Authorization form to ensure accuracy before submission.
7. Save the document with an appropriate filename that includes your business name and submission date. If submitting multiple files, label them numerically.
8. Submit the completed form via the designated secure electronic system. Confirm that the file has been uploaded successfully by checking for an upload notification in your account.

Start filling out your Fcwps Wpsic online today to ensure timely processing of your claims.