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Medicaid Providers

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Claims

Missouri Care aims to ensure that claims are handled as efficiently as possible. Please check this page for news and updates on our claims processes.

Reimbursement Policies

From time to time, WellCare Health Plans reviews its reimbursement policies to maintain close alignment with industry standards and coding updates released by health care industry sources like the Centers for Medicare and Medicaid Services (CMS), and nationally recognized health and medical societies.

Institutional Claims/Encounter Guides

Explains rules and state, line of business and CMS-specific regulations regarding 837P EDI transactions.

Explains rules and state, line of business and CMS-specific regulations regarding 837I EDI transactions.

Professional Claims/Encounter Guides

Explains rules and state, line of business and CMS-specific regulations regarding 837P EDI transactions.

Explains rules and state, line of business and CMS-specific regulations regarding 837P EDI transactions.

Other Resources

Effective October 1, 2019

Explains how to receive, load and send 834 EDI files for member information.

Corrected and/or voided claims are subject to timely claims submission (i.e., timely filing) guidelines.

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Last Updated On: 2/4/2019
Keep you and your family healthy. Members can learn more about the 2019-nCoV (Novel Coronavirus) at https://www.cdc.gov/coronavirus/2019-ncov/index.html ×