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Provider

Thank you for your interest in our plan. WellCare understands that maintaining a healthy community starts with providing care to those who need it most. As the largest Medicaid and Medicare-only contractor in the nation, we offer affordable health care plans to individuals eligible for government-sponsored programs.

Please visit our Provider Resources area for important information, materials and forms.
 
Please complete our Medicare provider form or contact us for more information on how to join our network. If you want to join our Medicaid provider network, please be sure to visit your state-specific Medicaid website to submit a request.
 
 
Provider Bulletin: Coding Reminders
WellCare reminds providers of the importance of correct coding related to modifier 25 and place of service coding.
 
 
WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. 
 

Sign Up For EFT/ERA
WellCare is pleased to offer providers electronic funds transfer (EFT) and electronic remittance advice (ERA) services at no charge. Find out why it pays to enroll in these beneficial programs.

 

Website Capabilitiespdf
Our secure Provider Portal offers a variety of ways to manage your account online, including:

  • Member eligibility and co-payment information.
  • Authorization requests and status inquires.
  • Claims submission and status inquires.
  • A personal inbox with direct messages WellCare.
  • Provider news.
  • Sign up today: Individual Provider | Large Group/IPApdf

Last modified: 02/24/2015
 

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