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Claims

Missouri Care aims to ensure that claims are handled as efficiently as possible. Please check this page for news and updates on our claims processes.

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

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

Corrected and/or voided claims are subject to timely claims submission (i.e., timely filing) guidelines.

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Last Updated On: 2/4/2019
Welcome Prescription Drug Plan members! We have important information to share with you about your 2019 plan. Read More. ×
On April 1, 2019, Missouri Care will transition to LIBERTY Dental Plan for all of your dental services. Your dental benefits will not change with the switch to LIBERTY Dental. If you have any questions, contact Missouri Care Member Services at 1-800-322-6027. ×