Wellcare

Summary

Wellcare is a Medicaid managed care organization, part of Centene Corporation, offering dental, medical, and vision coverage operating in Florida. Claims route under payer ID 14163, with 37 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through WellCare FL Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

14163Also seen as 100842, 10488, 10510, 10511, 10512, 10513 and 31 more

Also known as

American Progressive, Central Senior Care, Easy Choice Health Plan California, Fidelis Care New Jersey, First Choice Health Plans of Connecticut

Uses CAQH

YesApplication route: Payer portal application

Service area

FL

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for Wellcare?

The payer ID for Wellcare is 14163. Alternate IDs seen across clearinghouses include 100842, 10488, 10510, 10511.

How long does Wellcare provider enrollment take?

Wellcare provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Wellcare require CAQH?

Yes. Wellcare uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does Wellcare require ERA enrollment?

Yes. Wellcare requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Wellcare cover?

Wellcare operates in FL. Coverage can differ by plan and product line, so confirm the specific plan before you file.

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