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Good Morning
5:17:59 AM CDT
Saturday, May 30, 2015

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Provider Remittance Advice

WSI mails remittance advices weekly detailing the payment or denial of medical charges. The last page of the remittance advice has the full description of the WSI Explanation of Benefit Codes. Below are examples of the remittance advice.

Example 1: Remittance advice with payment and/or denial
Remittance Example 1

Example 2: Remittance advice with adjustment made to one (or more) lines previously processed
Remittance Example 2

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