Proveedores

Tamaño

Primeros pasos

You have or will receive a Welcome letter with your Provider ID or Network Identification number. The welcome letter includes the line(s) of business you are contracted with and effective dates.

Note: Keep your Provider ID handy. You will need it when registering for the secure Provider portal and for managing your business with WellCare.

When partnering with WellCare, you get:

Local market focus - We have dedicated staff to serve you in the communities you serve.
Prompt payments - Receive claims electronically and get quick payment of processed claims.
Quality improvement programs - The emphasis is on patient care.

Secure Provider Portal

The secure portal enables providers to check member eligibility, submit authorizations and claims, complete training, and more. Register for an account in just a few easy steps:

Go to Medicaid Provider Registration.
Enter Provider ID, Zip Code, and Tax ID.
Complete a brief profile and accept HIPAA Terms and Conditions.
Choose a username and select a security question.
You will receive an email with a temporary password.
Upon initial login, you will be prompted to reset your password.

Enjoy Faster Payments with Electronic Deposit

We encourage providers to enroll in PaySpan Health's EFT/ERA service to ensure faster payments.

Overview and Resources

We have assembled a set of resources to assist providers. View documents such as the Provider Manual, Quick Reference Guide and newsletters.

Lineamientos clínicos

Clinical Coverage Guidelines
The Clinical Coverage Guidelines (CCG) are evidence-based documents detailing the medical necessity of given procedures or technologies. The guidelines set consistent criteria for the coverage of a procedure or technology, leading to greater consistency and efficiency in clinical decision making. This consistency and efficiency results in better provider/company interactions and increases the quality of our members' health

Clinical Practice Guidelines: Best-practice recommendations based on available clinical outcome and scientific evidence.

Register for Self-Service
Secure Provider Portal

The secure portal enables providers to check member eligibility, submit authorizations and claims, complete training, and more. Register for an account in just a few easy steps:
1. Go to Medicaid Provider Registration.
2. Enter Provider ID, Zip Code, and Tax ID.
3. Complete a brief profile and accept HIPAA Terms and Conditions.
4. Choose a username and select a security question.
5. You will receive an email with a temporary password.
6. Upon initial login, you will be prompted to reset your password.
Enroll in EFT/ERA

Enjoy Faster Payments with Electronic Deposit

We encourage providers to enroll in PaySpan Health's EFT/ERA service to ensure faster payments.
Access Key Resources

Overview and Resources

We have assembled a set of resources to assist providers. View documents such as the Provider Manual, Quick Reference Guide and newsletters.
View Clinical Guidelines

Lineamientos clínicos

Clinical Coverage Guidelines
The Clinical Coverage Guidelines (CCG) are evidence-based documents detailing the medical necessity of given procedures or technologies. The guidelines set consistent criteria for the coverage of a procedure or technology, leading to greater consistency and efficiency in clinical decision making. This consistency and efficiency results in better provider/company interactions and increases the quality of our members' health

Clinical Practice Guidelines: Best-practice recommendations based on available clinical outcome and scientific evidence.

Acerca de Medicare

Medicare Advantage

Elegibilidad

Acerca de Medicare

Medicare

Planes de medicamentos recetados

Recursos

Formularios de farmacia

Primeros pasos

Medicare

Herramientas

Noticias y educación

Incorporación

Herramientas

Ventas y Marketing

Inscripciones

Proveedores

Primeros pasos