March 7, 2022
As a valued Wellcare By ‘Ohana Health Plan provider partner, we want to share some important tips for submitting transplant service claims to adhere to guidance from the Centers for Medicare & Medicaid Services (CMS).
In order for Wellcare to properly identify a transplant claim and validate a member’s eligibility, the following data must be correctly filled in on the UB04 claim form/boxes. To ensure accurate and timely claims processing and payment, the data you provide must correspond with the outlined fields in the attached UB04 claim form.
Thank you for continuing to provide our Medicare members with high quality and compassionate care. If you have questions about any of this information, please contact Provider Services.
