6/1/2023
Dear Provider,
Thank you for your continued partnership with Wellcare. As you know, we are committed to continuously evaluating and improving overall Payment Integrity solutions as required by State and Federal governing entities. We are writing today to inform you of new policies Wellcare will be implementing effective on or after 8/1/2023.
| Edit Name | Description | Lines of Business |
| Interim Claims | Based on CMS guidelines, bill type ending in XX2 or XX3 will be denied when discharge status 30 is not present on the claim. | Medicare |
Thank you for your continued partnership, participation, and cooperation in our ongoing efforts to render the highest quality healthcare to our members, together.
Sincerely,
Wellcare
