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Electronic Claims

Wellcare encourages providers to submit claims electronically via electronic data interchange (EDI) or direct date entry (DDE). Both are less costly than billing with paper and enable quicker claims processing.

Wellcare’s preferred EDI gateway is Availity. If you need assistance in making a connection with Availity or have any questions, please contact Availity client services at 1-800-282-4548. Providers should submit Fee For Service claims to Wellcare Payer ID 14163. Providers can also use their own vendor/clearinghouse to submit electronically.

Availity Essentials offers providers a web browser for direct data entry (DDE) at no cost to you.

To register, submit the request to availity.com/essentials-portal-registration.


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ᎣᏂ ᎪᏢᎯᏌᏅᎢ ᎤᎾᎢ: 12/4/2020
Wellcare will be performing maintenance on Saturday, May 18, from 6 P.M. EDT to 8 A.M. EDT the next day. You might not be able to access systems or fax during this time. We are sorry for any issues this may cause. Thank you for your patience. If you need assistance, contact us.
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