Wellcare Appeal Form PDF
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People also ask
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What is PO box 31368 Tampa FL 33631?
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. -
What is the payer ID for WellCare Tampa?
Providers should submit Fee For Service claims to Wellcare Payer ID 14163. Providers can also use their own vendor/clearinghouse to submit electronically. -
What is the timely filing limit for WellCare Illinois appeal?
A. Appeals must be submitted in writing within ninety (90) calendar days of the service or claim denial date. The service denial date is the date of the notice of action/denial letter forwarded from the prior authorization department. -
How do I appeal my WellCare provider in Kentucky?
You can file by calling or writing to us. To file an appeal by phone, call 1-877-389-9457 (TTY 711 or 1-877-247-6272). IMPORTANT: If you call in your appeal, you must follow up with a written, signed request. Make sure to do this within 10 calendar days of calling in your appeal. -
What is the payer ID for WellCare of Florida?
Only WellCare submissions are free of charge, and please ensure you use vendor code 212750 when you register. -
What is the address for WellCare of Florida claims?
As of January 1, 2019, only standard claim forms (red dropout ink) may be mailed to P.O. Box 31372, Tampa, FL 33631-3372. -
What is pob 31224 tampa fl 33631?
Claims Department PO Box 31224 Tampa, FL 33631-3224 The Claim Payment Dispute process is designed to address claims when there is disagreement regarding reimbursement. -
What is the timely filing limit for WellCare Florida provider appeal?
To file an appeal, refer to the QRG for applicable addresses and fax numbers. WellCare will process and finalize an appealed claim to a paid or denied status within 60 calendar days of receipt of the appealed claim.
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