Provider : Resources

 

WellCare Advocate Complete FIDA will no longer be part of the FIDA program effective January 1, 2017.


Providers should continue to bill for covered services rendered for eligible dates of service. The secure provider portal will continue to be available for WellCare Advocate Complete FIDA providers.


Authorization Look-Up

Search quickly and easily by CPT code.

 

Provider Manual
The Provider Manualpdf has detailed health plan information on important topics such as coverage procedures and policies.

Quick Reference Guide
The QRGpdf contains important phone numbers and information on authorizations, claims, appeals and more.

 

Provider Resource Guide

The Resource Guidepdf explains services offered by WellCare to assist providers with day-to-day administrative tasks.

 

Forms and Documents
Find forms for appeals, grievances, behavioral health and more.

Claims Updates
Get updates about processes and ensure your claim is handled efficiently.

Clinical Coverage Guidelines
Evidence-based guidelines detailing the medical necessity of procedures or technologies. Note: Please check the Position Statement in each CCG to determine coverage determination for your state/market.

Clinical Practice Guidelines
Best-practice recommendations based on available clinical outcome and scientific evidence.

 

Coordination of Benefits
Coordination of Benefits (COB) claims are essential to adjudicating claims correctly. WellCare encourages providers to submit COB claims electronically
 

EFT/ERA
WellCare offers providers electronic funds transfer (EFT) and electronic remittance advice (ERA) services at no charge.

 

 

 

 

 

Last modified: 01/12/2017
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