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Electronic Claims

Wellcare encourages providers to submit claims electronically via electronic data interchange (EDI) or direct date entry (DDE). Both are less costly than billing with paper and enable quicker claims processing.

Wellcare’s preferred EDI gateway is Availity. If you need assistance in making a connection with Availity or have any questions, please contact Availity client services at 1-800-282-4548. Providers should submit Fee For Service claims to Wellcare Payer ID 14163. Providers can also use their own vendor/clearinghouse to submit electronically.

Availity Essentials offers providers a web browser for direct data entry (DDE) at no cost to you.

To register, submit the request to availity.com/essentials-portal-registration.


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Last Updated On: 4/18/2023
On April 22, 2024, UnitedHealth Group issued a press release, providing an update on the Change Healthcare cybersecurity incident that occurred on Feb. 21, 2024. Given the size of the data impacted, the investigation to determine whose data is impacted is expected to take several months. UnitedHealth Group believes this situation will impact “a substantial proportion of people in America” and is offering immediate credit monitoring and identity protection services, as well as a dedicated contact center to address questions. Visit Change Healthcare Cyberattack Support and/or reach out to the contact center at 1-866-262-5342 regarding any questions.

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