Provider Handbook
We recognize that, at times, the administrative requirements of managing your patients' health care can be complex. The Provider Handbook is a source of answers to questions you may have about health plan coverage procedures, policies and other facts related to your provision of health care services to our members.
Physician Handbook Preface
Table of contents
Section 1: All About WellCare
Section 2: Georgia Families
Section 3: Provider Responsibilities
Section 4: Member Services
Section 5: Credentialing
Section 6: Claims
Section 7: Utilization Management and Care Coordination
Section 8: Case Management
Section 9: Pharmacy
Section 10: Administrative Review and Grievances
Section 11: Risk Management
Section 12: Quality Improvement
Section 13: Medical Records
Section 14: Cultural Competency
Section 15: Quick Reference Guide
No Authorization Required CPT Code List
Section 16: Provider Education Materials
Section 17: Member Education Materials
Section 18: EPSDT Guidelines
Section 19: Medical Record Tools
Section 20: Forms
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