Skip to main content

Claims

WellCare of New York wants to ensure that claims are handled as efficiently as possible. Providers can help facilitate timely payment by having an understanding of our processes and requirements.

Reimbursement Policies

From time to time, WellCare Health Plans reviews its reimbursement policies to maintain close alignment with industry standards and coding updates released by health care industry sources like the Centers for Medicare and Medicaid Services (CMS), and nationally recognized health and medical societies.

Institutional Claims/Encounter Guides

Explains rules and state, line of business and CMS-specific regulations regarding 837P EDI transactions.

Explains rules and state, line of business and CMS-specific regulations regarding 837I EDI transactions.

Professional Claims/Encounter Guides

Explains rules and state, line of business and CMS-specific regulations regarding 837P EDI transactions.

Explains rules and state, line of business and CMS-specific regulations regarding 837P EDI transactions.

Other Resources

We would like to help your billing department get your EDI (claims and real time) transactions processed as efficiently as possible.

Explains how to receive, load and send 834 EDI files for member information.

contact-us

Need help? We're here for you.

Contact Us
Last Updated On: 8/8/2019
Due to a technical issue, the Find a Provider Tool is not working at this time. We are working to fix the problem. We are sorry for any issues this may cause. Thank you for your patience. If you need assistance, please contact us. ×