December 5, 2024
Get ready to use available self-service tools to make your provider portal operations easier
As a reminder, starting January 20, 2025, Wellcare will partner with Availity Essentials to offer the below select secure provider portal services:
- Verify member eligibility and benefits
- Submit and track claims
- Submit authorizations
- Access specific payer resources
If you are already using Availity Essentials for other health plans, we recommend you utilize it for your Wellcare transactions as well. Please note that some transactions will still be managed through the current Wellcare secure provider portal. You will receive additional information on these functions in future communications.
If you choose not to switch to Availity Essentials for the above-mentioned portal transactions, you can still access the existing Wellcare secure provider portal at wellcare.com/California/Providers/Medicare, just like you do today.
I am not registered with Availity Essentials
If you do not currently have an Availity Essentials account, you must create an account to access certain functions on the Availity Essentials provider portal. Your provider organization’s designated Availity administrator is the person responsible for registering your organization in Availity Essentials and managing user accounts. This person should have legal authority to sign agreements for your organization.
|
If you… |
Then… |
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Are the administrator |
Once you have registered for an account, you will receive email communications from Availity Essentials about upcoming training webinars |
|
Are not the administrator |
Your designated Availity administrator will determine who needs access to Availity Essentials on behalf of your organization and will add and manage user accounts. |
|
Are not sure who is the administrator |
Share this information with your manager to help determine who will be the designated Availity administrator for your organization |
I’m already registered with Availity Essentials
If you already have an Availity Essentials account, log in using your existing credentials at apps.availity.com/availity/web/public.elegant.login. Starting January 20, 2025, you can use the Availity Essentials provider portal to verify Wellcare member eligibility and benefits, submit and track claims, submit authorizations, and access specific payer resources.
Expect to receive future communications
We will notify you of updates about the Availity Essentials provider portal and provide additional details on portal functionalities, as needed.
To receive emails on webinar trainings, you will need to create an account with Availity Essentials first. If you already have an Availity Essentials account, you will receive email communications from Availity with instructions on how to register for webinar trainings.
Additional information
If you need assistance with your Availity Essentials registration, contact Availity Client Services at 1-800-282-4548, Monday through Friday, 5 a.m. – 5 p.m. PT.
If you have questions regarding the information contained in this update, contact 1-866-999-3945.
