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Provider Manual
We recognize that, at times, the administrative requirements of managing your patients' health care can be complex. The Provider Manual is a source of answers to questions you may have about health plan coverage procedures, policies and other facts related to your provision of health care services to our members.

 

Welcome Letter

 

Table of Contents

Section 1

All About WellCare

Section 2

Physician Responsibilities

Section 3

Member Services

Section 4

Utilization Management

Section 5

Pharmacy

Section 6

Claims

Section 7

Appeals & Grievances

Section 8

Credentialing

Section 9

Quality Improvement

Section 10

Medical Records

Section 11

Care Management

Section 12

Cultural Competency

Section 13

Behavioral Health

Section 14

Quick Reference Guide

Section 15

Provider Education Materials

Section 16

Forms

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