Get Wellcare Ohio Provider Appeals And Billing Disputes Ohio Form

Providers must use the WellCare payer id 14163 if choosing to use Connect Center free DDE or batch upload services. WellCare encourages electronic (EDI) claim submissions.

Expediting Clinical Appeals Call us at 1-855-852-7005 to expedite a clinical appeal.

The following Wellcare plans offer Medicare Advantage Prescription Drug plan coverage to Kentucky residents. Medicare Advantage plus Prescription Drug plans are an alternative way to get your Original Medicare.

You have 60 calendar days from the date of the Initial Benefit Determination notice to file an appeal. You can call Customer Service at 1-800-288-5441 (TTY 711) for help filing a Plan Appeal.

Attn: Appeals Department, P.O. Box 31368 Tampa, FL 33631-3368. This form is to be used when you want to appeal a claim or authorization denial. Fill out the form completely and keep a copy for your records. Send this form with all pertinent medical documentation to support the request to WellCare Health Plans, Inc.

You or your provider must call or fax us to ask for a Expedited Appeal. Call us at 1-877-389-9457 (TTY 711 or 1-877-247-6272). Or fax it to 1-866-201-0657. If you file your Expedited Appeal by phone, written notice is not needed.

Claim payment appeals must be submitted in writing to WellCare within 24 months of the date on the EOP. All supporting documentation must be submitted along with the claim payment appeal request.