Wellcare wants to ensure that claims are handled as efficiently as possible. Providers can help facilitate timely claim payment by having an understanding of our processes and requirements.
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.
- Reimbursement Policies
- Clinical Laboratory Improvement Amendments (CLIA)
- Medicare Claim Payment Policies
Institutional Claims/Encounter Guides
Professional Claims/Encounter Guides
