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Claims

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

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.

Dental Claims/Encounters Guides

Other Resource Guides

At WellCare, we value everything you do to deliver quality care to our members – your patients – and ensure they have a positive health care experience.

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

Instructions on how to submit a corrected or voided claim.

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Last Updated On: 6/5/2017
Welcome Prescription Drug Plan members! We have important information to share with you about your 2019 plan. Read More. ×