Provider : Claimsupdates

Please refer to the links below to access important WellCare claims guides and updates.

• Reimbursement Policies

  From time to time, WellCare Health Plans, Inc. (the Plan), 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.

  
  

  Click the link below to access our current reimbursement policies.

  
  Current WellCare Reimbursement Policies

Claims/Encounter Companion Guides

• Institutional Claims / Encounter Guide
• Professional Claims / Encounter Guide
• Dental Claims / Encounter Guide
• Outbound Benefit Enrollment Companion Guide

HIPAA Adjustment Reason Code Changes

Explanation of Payment Enhancements