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Payment Policy

This notice is to clarify a segment of WellCare's payment policy language applicable to all WellCare Medicaid markets. WellCare's payment policies are based on publicly distributed guidelines from established industry sources such as the Centers for Medicare and Medicaid Services (CMS), the American Medical Association (AMA), state health care agencies and medical specialty professional societies.

If you have questions about this information, please contact your Provider Relations representative.

Claim Type: Facility


Claim Type: Facility

Claim Type: Facility

Claim Type: Facility and Professional


Claim Type: Facility and Professional

Claim Type: Facility and Professional

Claim Type: Facility and Professional

Claim Type: Facility and Professional

Claim Type: Professional

Claim Type: Professional

Claim Type: Professional

Claim Type: Professional

Claim Type: Professional

Claim Type: Professional

Claim Type: Facility and Professional

Claim Type: Facility and Professional

Claim Type: Facility and Professional

Claim Type: Facility and Professional

Claim Type: Facility and Professional

Claim Type: Facility and Professional

Claim Type: Facility and Professional

Claim Type: Facility and Professional

Claim Type: Facility and Professional

Claim Type: Laboratory


Claim Type: Laboratory

Claim Type: Laboratory

Claim Type: Laboratory

Claim Type: Laboratory

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Last Updated On: 12/4/2020
Medicare Members: Your materials are on the way! We realize you may be waiting to receive some plan materials and we apologize for any delays. Did you know you can go online to our member portal to view Member materials, review your benefits, request or download an ID card, or choose a physician (when applicable)? Log in or register today!
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