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WISeR

Virtix Health is Partnering with CMS on a Pilot Program in Washington state.

Washington providers and suppliers may login or request access to the WISeR Provider Portal.

For any additional inquiries, please contact our support team directly.

Access the WISeR Provider Portal
Contact Washington WISeR Support

Virtix Health, the WISeR participant for the State of Washington.

Virtix Health partners with health plans across the country to drive clinical, financial and operational results and was selected for its expertise in clinical data acquisition, coding accuracy and compliance frameworks.

Our technology supports the Centers for Medicare and Medicaid Services (CMS) and their goals of timely, accurate determination grounded in high-quality data, with all operations meeting HITRUST security and privacy standards. Through the Wasteful and Inappropriate Service Reduction (WISeR) initiative, our program is designed to combine cutting-edge intelligent technology with a comprehensive team of highly experienced physicians to validate determinations and conduct complex medical reviews.

The WISeR Model pilot program will run for six years, beginning January 5, 2026 through December 31, 2031. Virtix Health will serve as the Noridian JF Part A and Part B MAC jurisdiction for the State of Washington.

 

How Virtix Health Can Help Washington Providers and Suppliers

Providers and suppliers may request prior authorization and pre-payment medical review by using the designated Virtix Health WISeR Provider Portal.

The 13 Specific Procedures

Virtix Health’s role is restricted to Washington State and limited to 13 specific procedures that have been pre-determined. These procedures have been identified as high risk for fraud, waste, and abuse. The list of services include: 

  • Percutaneous Image-Guided Lumbar Decompression for Spinal Stenosis 
  • Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee 
  • Induced Lesions of Nerve Tracts 
  • Vagus Nerve Stimulation  
  • Phrenic Nerve Stimulator 
  • Electrical Nerve Stimulators  
  • Incontinence Control Devices 
  • Sacral Nerve Stimulation for Urinary Incontinence  
  • Diagnosis and Treatment of Impotence  
  • Percutaneous Vertebral Augmentation for Vertebral Compression Fracture 
  • Epidural Steroid Injections for Pain Management 
  • Cervical Fusion 
  • Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea

For WISeR Select Items and Services, Please visit appendix A and C of the CMS WISeR Provider Supplier Guide 

How to Access the WISeR Portal

Send an email to: wiser.support@virtixhealth.com

Subject Line: Requesting Portal Access

Include:

  • Name
  • Email
  • Phone Number
  • Facility Name and Address
  • Facility PTAN
  • Facility NPI
  • Tax ID

Once processed, you will receive a welcome email with login credentials.

Additional WISeR Resources

Introducing the WISeR Gold Carding Program

Mar 27, 2026 |

Introducing the WISeR Gold Carding ProgramIn coordination with CMS, Virtix Health is pleased to announce the upcoming launch of the WISeR Gold Card Exemption Program, set to debut on July 6. Under the initiative, as outlined on CMS.gov, providers and suppliers who...

WISeR Provider FAQs & Resources

Mar 16, 2026 |

March 16, 2026 Virtix Health WISeR Provider Resources Newly Updated FAQs & Resources—Designed With You in Mind Learn More Thank you for your valuable feedback on the Virtix Health WISeR Provider Portal. At Virtix Health, we’re committed to supporting you every...

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Stay Connected with Virtix Health

For more information about Virtix Health and how to participate in the WISeR program in Washington, you can sign up for important updates by filling out this form.

Additionally, should you have a media inquiry about Virtix Health or our participation in the WISeR program, please email our media relations team at mediarelations@virtixhealth.com