From time to time, WellCare Health Plans, Inc. (the Plan), 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.
Important Information for New York Providers
WellCare uses McKesson claims editing software and follows very specific editing rules in order to process claims.
Claims/Encounter Companion Guides
NDC Verification Tool
Before sending a claim, use this tool to help confirm that the National Drug Code (NDC) you are about to submit is valid for the patient’s date of service, state and the line of business.
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