Wellpoint

Summary

Wellpoint is a Medicaid managed care organization, part of Elevance Health, offering dental, medical, and vision coverage operating in 22 states. Claims route under payer ID WLPNT, with 5 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-120 days, with applications through Wellpoint 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 a few days.

At a glance

Payer ID

WLPNTAlso seen as 14427, 1775, 2448, 2560, WLPNTMA

Also known as

Amerigroup, Amerigroup Iowa, Commonwealth of Massachusetts - GIC, UniCare, Wellpoint Insurance Company

Uses CAQH

YesApplication route: Payer portal application

Service area

22 states

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 Wellpoint?

The payer ID for Wellpoint is WLPNT. Alternate IDs seen across clearinghouses include 14427, 1775, 2448, 2560.

How long does Wellpoint provider enrollment take?

Wellpoint provider enrollment typically takes 60-120 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Wellpoint require CAQH?

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

Does Wellpoint require ERA enrollment?

Yes. Wellpoint requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.

What states does Wellpoint cover?

Wellpoint operates in 22 states. Coverage can differ by plan and product line, so confirm the specific plan before you file.

Related payers