Does WellCare follow Medicare guidelines?
WellCare’s payment policies are based on publicly distributed guidelines from established industry sources such as the Centers for Medicare and Medicaid Services (CMS), the American Medical Association (AMA), state health care agencies and medical specialty professional societies.
What clearinghouse does WellCare use?
WellCare has partnered with RelayHealth as our preferred EDI Clearinghouse. You may connect directly to RelayHealth, or in some cases your existing clearinghouse, billing service or trading partner may maintain existing reciprocal agreements with RelayHealth.
What is the payer ID for WellCare?
14163
Providers must use the WellCare payer id 14163 if choosing to use Connect Center free DDE or batch upload services. WellCare encourages electronic (EDI) claim submissions.
How do I submit a claim to WellCare?
Call 866-855-4723 and let the associate know you would like to enroll to submit WellCare claims electronically.
What is the claims address for WellCare Medicare?
As of January 1, 2019, only standard claim forms (red dropout ink) may be mailed to P.O. Box 31372, Tampa, FL 33631-3372.
Does WellCare cover over the counter drugs?
WellCare Dividend Prime (HMO) As a part of your plan, you have an Over-the-Counter (OTC) benefit. We give you a fixed dollar amount to buy the OTC medications and products you need to stay well. These are everyday things like bandages, pain relievers, cold remedies, toothpaste and much more.
Does WellCare have a deductible?
Stage 1: Deductible The amount you pay before a plan covers your prescription drugs costs, if applicable. Some Wellcare plans have no deductible.
What does WellCare cover for dental?
Members get up to two routine dental exams per year. This covers cleaning and restorative care, such as fillings and dentures. Members must see a dentist that is in the plan’s network. If a specific dental service is needed that requires prior authorization, the dentist must contact Healthplex.
What is the claims address for Wellcare Medicare?