WellCare encourages providers to submit claims electronically via electronic data interchange (EDI) or direct data entry (DDE). Both are less costly than billing with paper and often enable quicker claims processing.
- Connect Center ™ for physicians offers a web browser for direct data entry (DDE) at no cost to you. To sign up go to: https://connect.relayhealth.com. For registry questions submitter/clients may contact Provider Connectivity Services at 1-877-411-7271. Any questions regarding functionality of Connect Center should be directed to the Clearinghouse at 1-800-527-8133, option 2.
Change Healthcare, formerly known as RelayHealth, manages all EDI claims between WellCare and providers. If you need assistance making a connection with Change Healthcare or have any questions, please contact Change Healthcare directly at 1-877-411-7271, or your vendor may call 1-800-527-8133.
- For EDI submissions, providers should follow the HIPAA transaction and code set requirements. More information can be found on the Washington Publishing Company website.
- All Fee-For-Service (FFS) providers and vendors must send claims through a clearinghouse.
- New EDI Submission Information for providers billing 2018 or 2019 services for Today’s Options (New York or Maine Medicare) members