Copyright© 2021 WellCare Health Plans, Inc. How to Update Your Provider Directory Information. You will then need to request affiliation to your WellCare contract(s) in order to get access to the new portal. Create an account in 2 steps. As a provider, you have access to a portal that streamlines your work, keeps you up-to-date more than ever before and provides critical information. Once your Contract Administrator approves your access request, you’ll receive an email and can then start using the new portal immediately. Once you register and have access to the provider portal, you will find a variety of video training available in the Resources section of the portal. Member Sign-In * Username Username * Password Log in First, let's find you in our records. If you are a Medicare or PDP member, please log in here . Please choose your state to use our Find a Provider search tool, which allows you to look up participating providers and pharmacies. How to quickly get in touch with WellCare to get your questions answered. This link will leave wellcare.com, opening in a new window. Notice of Non-Discrimination. This link will leave wellcare.com, opening in a new window. As of January 1, 2015, there is a new place for you to log-in to your secure information: www.wellcare.com . Please enter the information below and click the 'Next' button. Search for providers by name or specialty. Y0070_WCM_21424E. Secure Provider Portal. Provider Portal. Guide to using self-service features in the provider portal. New Provider Portal You spoke. The new Provider Portal can be accessed here: If you are a Medicare or PDP member, please log in here.. Register for an account in just a few easy steps: If you are a Medicare or PDP member, please log in here.. Overview and Resources. We listened. Until your request is approved by your Contract Administrator, please continue to use our existing portal by logging in below. Are you 18 years of age or older? A STAR score is a rating system used by Center for Medicare and Medicaid Services (CMS) to measure how well healthcare plans perform in categories such as quality of care and customer service. Already have an account? At WellCare Health Plans, we value everything you do to deliver quality care to our members – your patients – and to make sure they have a positive healthcare experience. Enter Provider ID, Zip Code, and Tax ID. If you are under 18 years old, please contact customer service. Thank you for using our Provider Portal. The all-new provider portal is available. The all new Provider Portal is now live! Thank you for playing a starring role! View plans, learn how to join our network, log in to the Meridian provider portal, and more on Meridian's For Providers page. The secure portal enables providers to check member eligibility, submit authorizations and claims, complete training, and more. Secure Provider Portal The secure portal enables providers to check member eligibility, submit authorizations and claims, complete training, and more. Medicare: WellCare Extends $0 Member Liability for Primary Care, Behavioral Health, and Telehealth Services for Remainder of 2020 We understand that maintaining a healthy community starts with providing care to those who need it most. Our all-new provider portal is here. 1 CONFIRM MEMBERSHIP; 2 CREATE ACCOUNT; Welcome! We understand that maintaining a healthy community starts with providing care to those who need it most. The latest updates and information for providers. Provider External Independent Third-Party Review In accordance with 907 KAR 17:035, if you receive an adverse final decision of a denial, in whole or in part, of a health service or claim for reimbursement related to this service, you may request an external independent third-party review. We understand that maintaining a healthy community starts with providing care to those who need it most. Over the Counter (OTC) Items - Disclaimer. Welcome, WellCare member! If you already have an account in the new portal and been affiliated to a contract, login and start using the new portal now. Details the various tools available to help providers do business with WellCare. NOTE: Authorizations may not be visible in the secure Provider Portal until a final disposition has been determined. That’s why we are offering a $50 bonus to providers who schedule exams with members between Oct. 1, 2018 and Dec. 31, 2018, and close care gaps to ensure our Medicare members receive important medical services by the end of 2018. * Required Find a Provider. Thank you! A message to Windsor Health Plan providers. Use the form below to reset your password. At WellCare Health Plans, we value everything you do to deliver quality care to our members – your patients – and to make sure they have a positive healthcare experience. Once you register and have access to the provider portal, you will find a variety of video training available in the Resources section of the portal. Take care of business on your schedule. It's an easy way for you to accomplish a number of tasks, including: Check member eligibility. Medicare is a federal health insurance program. Secure Provider Portal. Complete the appropriate WellCare notification or authorization form for Medicare. Register for an Account. As a result, you may receive our fax response before seeing the determination online. The portal is yours to use 24 hours a day, seven days a week. WellCare partners with providers to develop and deliver high-quality, cost-effective health care solutions. Please wait while your request is being processed. If you don’t yet have an account for the new portal, all you have to do is login with your existing username and password review your information, enter a phone number and select three new security questions. Register for an account in just a few easy steps: Go to Medicaid Provider Registration. You will then need to request affiliation to your WellCare contract(s) in order to get access to the new portal. Once you register and have access to the provider portal, you will find a variety of video training available in the Resources section of the portal. You may do so by logging into the secure member portal and clicking on Order Member Materials in the Member Toolbox section. Login / Register Contact Us By using our Provider Portal instead of calling to speak with a live agent, you are allowing our live customer service teams to prioritize services for providers who are actively assisting our most critical members during the pandemic. Member Sign-In * Username Username * Password If you don’t yet have an account for the new portal, all you have to do is login with your existing username and password review your information, enter a phone number and select three new security questions. Via Fax. As a provider, you have access to a portal that streamlines your work, keeps you up-to-date more than ever before and provides critical information. Overview & Resources. The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, requires the removal of Social Security Numbers (SSNs) from all Medicare cards by April 2019. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Please check back during normal business hours. We are committed to improving the quality of life of our millions of members, who often include some of our nation's most vulnerable populations. Date modified: 10/01/2018 Register for an account in just a few easy steps: UnitedHealthcare's home for Care Provider information with 24/7 access to Link self-service tools, medical policies, news bulletins, and great resources to support administrative tasks including eligibility, claims and prior authorizations. Get detailed health plan information on important topics such as coverage procedures and policies. The all-new provider portal is available. ... WellCare reminds providers of the importance of correct coding related to modifier 25 and place of service coding. Provider Bulletins. Contains key phone numbers and information on claims, appeals and more. Chat is currently unavailable. Go to Login. If you are looking for information, like claims and authorizations prior to May 1, please use your original Windsor Provider Portal. Go to Wellcare.com; Contact Us; Text Size. Secure Provider Portal. You'll have access to a new Portal that will streamline your work, keep you up-to-date more than ever before and provide critical information. You must be 18 years of age or older to order an Over the Counter (OTC) items. WellCare partners with providers to develop and deliver high-quality, cost-effective health care solutions. Welcome to the Provider Portal! Use the Find a Provider Tool to find providers located near you. Submit and check the status of your claims. You must correctly answer all questions. You will receive an email notification once the administrator has taken action on your request. Learn More. Secure Provider Portal. You'll have access to a new Portal that will streamline your work, keep you up-to-date more than ever before and provide critical information. Download & Print ... needs to grant you permission to access information about patients and submit transactions on behalf of the provider you represent. Medicaid: New Coding Integrity Guidelines. You have access to a portal that streamlines your work, keeps you up-to-date more than ever before and provides critical information. Select your state to find details about your particular WellCare program. Want to request a provider directory be mailed to you? Complete a brief profile and accept HIPAA Terms and Conditions. Submit and check the status of your service or request authorizations Member Sign-In * Username Username * Password The all new Provider Portal is now live! Find a Provider. At WellCare, we value everything you do to deliver quality care to our members – your patients – to make sure they have a positive health care experience. Dental Plans: 1000, 1500, 2000, 2500, 3000 and 5000. If you forgot your username, please call Customer Service for assistance. Hearing Supplemental Codes Quick Reference Guide, Vision Supplemental Codes Quick Reference Guide. Quality care is a team effort. Ratings range from 1 STAR (poorest quality) to 5 STARS (highest quality). 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