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Overview & Resources

Harmony Health Plan partners with providers to develop and deliver high-quality, cost-effective health care solutions. We understand that maintaining a healthy community starts with providing care to those who need it most. We are committed to improving the quality of life of our millions of members, who often include some of our nation’s most vulnerable populations.

Medical Expense Initiative

In 2016, edits will be derived directly from the state and national Medicaid editing guidelines. This will save money on vendor fees and additional costs each year. To learn more, please review the National and State-level Medicaid rules.

Resources


Get detailed health plan information on important topics such as coverage procedures and policies.

Contains key phone numbers and information on claims, appeals and more.

Details the various tools available to help providers do business with Staywell.

How to quickly get in touch with WellCare to get your questions answered.

Learn about the tools available in our secure provider portal.

Instructions for large groups and IPAs with five or more providers on how to register for the secure provider portal.

News & Events

Healthy Eating
March 21, 2016

Issue I 2016 Provider Newsletter

Welcome to the first provider newsletter for 2016. Harmony-WellCare continues to focus on issues that are important to our members and providers. Some of the current focus items include enhancing provider services, claims processing and issue resolution.

Female doctor with child image
December 30, 2015

Issue IV 2015 Provider Newsletter

Influenza seasons are unpredictable and can begin earlier or last longer than expected, so plan ahead in order to protect your patients and employees.

Doctors
September 29, 2015

Issue III 2015 Provider Newsletter

Harmony-WellCare has partnered with Allied Health to offer the new Compassionate Care Program, a palliative care case management service available to Medicare Advantage members.

Insurance claim
June 05, 2015

Issue II 2015 Newsletter

Harmony-WellCare requires providers to submit claims that include Drug Charge with the correct Revenue, HCPCS and NDC codes for claims and encounters for the State of Illinois.

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Last Updated On: 3/23/2016