What resources does WellCare offer for providers?


Quick Answer

Some resources that WellCare offers providers are an authorization look-up tool that allows providers to search using CPT codes, manuals and handbooks with up-to-date information about health plan coverage procedures and policies, quick reference guides that contain important phone numbers and authorization guidelines broken down by state and key forms and documents relating to Medicare and Medicaid. The Medicare document resource includes appeals and grievances, authorizations, behavioral health, claims, medical records, incident reports, adult preventative health guidelines, domestic violence screening guidelines, PCP request for transfer of member, diabetes fax alert, substance abuse, smoking cessation, care of older adult assessment forms and more, as stated by WellCare. Medicaid forms are available by state.

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Full Answer

Other resources offered to providers are behavioral health service tools, claims updates for reliable and efficient claims processing, clinical coverage guidelines, clinical practice guidelines, coordination of benefits, electronic funds transfer, electronic remittance advice, ICD-10 compliance, job aids, job resource guides and training education, as noted by WellCare. The training resource includes several different elements that providers must create an account through a secure provider portal to access. Once signed in, providers can use WellCare's D-SNP model of care training materials as well as self-study guides and frequently asked questions.

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