Wellcare authorization phone number ᎭᏩ Contact Provider Services at the phone number listed in the Quick Reference Guide (QRG) to request an expedited authorization. Download . Expedited Requests: If the standard time for making a determination could seriously jeopardize the life and/or health of the member or the member’s ability to regain maximum function, please call. Wellcare Transportation Benefit & Frequently Asked Questions (FAQs) Call the phone number listed for Transportation on the back of your Member ID card and ask how many rides you have with your plan. or through the NIA dedicated toll-free phone number 1-866-249-1585. Address: Fax Number: WellCare Health Plans 1-866-388-1767 . BEHAVIORAL HEALTH SERVICES ©2025 Wellcare Last updated: October 2024 3503855_FL5PCARRGDE Internal Approved 10172024. xlg:hidden mobile-only. For more Wellcare partners with providers to give members high-quality, low-cost health care and we know that having a healthy community starts with those who need it most. Printable Form: Request for Medicare Prescription Drug Determination (PDF). How do I submit a medical authorization? Email Address, Phone Number and add a new Email address from My Preferences. 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. Authorization Determinations Authorization determinations are made based on medical necessity and appropriateness and reflect the application of Fidelis Care's review criteria guidelines. Authorization Determinations . WellCare and its subsidiaries are not responsible for non-WellCare content, privacy practices, products or services described on these websites. My Preferences is available under your name at the top of the Web page. Nurse Advice Line 1-800-581-9952 (TTY 711) These programs include management of Medical Specialty Solutions services to include prior authorization for WellCare's members. BEHAVIORAL HEALTH SERVICES authorization: Phone: 1-800-424-5388 : Advanced Imaging Solution . This page provides the key Wellcare By Allwell Medicare phone numbers and contact information you need. Oncology. Wellcare providers are advised to use the Secure Provider Portal. Cardiology. Bulletins; Newsletters; ICD-10 Compliance; Brokers. Millions trust Express Scripts for safety, care and convenience. Pharmacy Services 1-866-799-5318 (TTY 711) Monday - Saturday, 7 a. reason. If you wish to contact Evolent directly, please use the appropriate toll-free number for the respective Authorization Resources Florida Medicare Quick Reference Guide Contains key phone numbers and information on claims, appeals and more. Tampa, FL 33631 . Phone: 1-866-768-7147 ext. English; Reference Guides Contains key phone numbers and information Phone Numbers Medicaid Members. Provider Services Wellcare Medicare Plans: 1-855-538-0454 (TTY 711) Wellcare Prescription Drug Plans: 1-855-538-0453 (TTY 711 Contact Provider Services at the phone number listed in the Quick Reference Guide (QRG) to request an expedited authorization. Non-Member Phone Number. View the full list (PDF). Provider Services Wellcare Medicare Plans: 1-855-538-0454 (TTY 711) Wellcare Prescription Drug Plans: 1-855-538-0453 (TTY 711 Prior Authorization, Step Therapy, & Quantity Limitations; Out-of-Network Pharmacies; Medication (Drug) Management and Safety; Drug Transition Policy; This page provides the key Wellcare By Health Net phone numbers and contact information you need. 4 Tampa, FL 33634. English; Request for Medicare Prescription Drug Coverage Determination - Medicare If you have questions about your health insurance coverage, we'd love to hear from you. Authorization determinations are made Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services. Find answers to common questions about submitting authorizations, accessing reports, managing accounts and more on the WellCare Provider Portal. Phone Enrollee’s Member ID # Authorization of Representation Form CMS-1696 or a written equivalent). except in emergency situations. Provider Services Wellcare Prescription Drug Plans (PDP) 1-855-538-0453 (TTY 711) Broker Services Broker Support Call Center. Requests for services currently managed by H3 and Innovista should be submitted to Wellcare Contact Provider Services at the phone number listed in the Quick Reference Guide (QRG) to request an expedited authorization. Find your plan's service number, mail us directly, or get support here. O. You can lookup claims using either the WellCare Control Number (WCN Contact Provider Services at the phone number listed in the Quick Reference Guide (QRG) to request an expedited authorization. Medicare Behavioral Health Authorization List Effective July 1, 2022 . Providers may appeal a coverage determination decision by contacting our Pharmacy Appeals department via fax, mail, in person or phone. Musculoskeletal. Looking to get in touch with Wellcare By Allwell Medicare? This page provides the key Wellcare By Allwell Medicare phone numbers and contact information you need. For Overnight Requests: Wellcare, Pharmacy-Coverage Determinations 8735 Henderson Road, Ren. Provider Services Wellcare Medicare Plans: 1-855-538-0454 (TTY 711) Wellcare Prescription Drug Plans: 1-855-538-0453 (TTY 711 Electronic Prior Authorization (ePA): Cover My Meds Mail: Complete a Coverage Determination Request (PDF) and send it to: Wellcare, Pharmacy-Coverage Determinations P. CARE MANAGEMENT REFERRALS (NON-MLTSS MEMBERS) Phone: 1-844-901-3781. Chat Chat is currently unavailable. Outpatient RX (Pharmacy Solutions) Resolution Help Desk: 1-800-460-8988. English; Request for Medicare Prescription Drug Coverage Determination - Medicare Excluded drugs are not found on Wellcare’s drug formulary and members who choose to obtain them may need to pay out of pocket. Given the size of the data impacted, the investigation to determine whose data The following are key services for which you may have a question and the phone number for that service: To contact a Provider Services representative, call 1-844-477-8313. View Wellcare by Allwell Medicare Advantage plan contact Information. Wellcare By Health Net Member Services Phone Number: For PPO Plans (Wellcare No Premium Open Wellcare Prescription Drug Plans (PDP): 1-888-550-5252 (TTY 711) Sunday–Saturday, 8 a. Wellcare Prescription Drug Plans (PDP): 1-888-550-5252 (TTY 711) Sunday–Saturday, 8 a. View Wellcare by Fidelis Care Medicare Advantage plan contact Information. National Imaging Associates, Inc. Failing to get authorizations before providing services may result in payment delays and/or claims payment denials. Fill out the form completely and keep a copy for your records. to get to your appointments. Failure Select your line of business and enter a CPT code to look up authorizations for services. You need to get prior authorization, or pre-approval, from your plan before you can get reimbursed. Authorization determinations are made based on medical necessity and appropriateness and reflect the application of Wellcare’s review criteria guidelines. Provider Services Wellcare Medicare Plans: 1-855 Wellcare partners with providers to give members high-quality, low-cost health care and we know that having a healthy community starts with those who need it most. TTY: 711 Fax: 1-866-287-3286 . Please refer to the Quick Reference Guide for Contact Provider Services at the phone number listed in the Quick Reference Guide (QRG) to request an expedited authorization. Will only contain letters (a-z or A-Z), numbers (0-9), and/or A prior authorization is NOT a guarantee of payment. Wellcare by Allwell Provider Phone Number. You can lookup claims using either the WellCare Control Number (WCN), Claim Number, Medicaid ID, Medicare ID, Member ID or Member Name and Date of Birth. PRO_84660E Internal Approved 04082021 NA1PROFRM84660E_0000 ©Wellcare 2021 / Addre Want faster service? Use our Provider Portal @ provider. Buckeye Health Plan has Reduced Prior Authorization Requirements. Non-duals/C-SNP members dial 1-800-977-7522 TTY: 711 Duals/D-SNP members dial 1-844-796-6811 TTY: 711 Contact Provider Services at the phone number listed in the Quick Reference Guide (QRG) to request an expedited authorization. Identify the best services and ensure alignment with treatment and testing guidelines. Fax: 1-866-918-2266. Overview & Resources. Find the phone number, fax number and online portal for authorization requests, as well as the required information and forms. The member’s assigned IPA can be found on the member’s Wellcare ID card. Effective November 1, 2021, there will be changes to the authorization submission process for Wellcare Michigan Medicare members. m. Why Wellcare; New Broker; Wellcare Prescription Drug Plans: 1-855-538-0453 (TTY 711) Broker Services Broker Support Call Center: 1-866-822-1339 (TTY 711) The number of rides you get depends on your plan’s benefits. Increase high-value pain management and surgery procedures in appropriate settings While every effort is made to provide the most current information on the Pre-Authorization Tool, it is important to note that this does not guarantee payment or confirm patient eligibility. In response to your feedback, we have removed 22 services from our prior authorization list effective March 31, 2021. Contact . While the investigation to determine whose data is impacted is not yet complete, UnitedHealth Group has started the process to notify impacted customers and shared a website that provides additional information. Ambetter of Oklahoma; Ambetter of Tennessee; Authorization Call Center Phone Numbers. You have either a set number of rides OR an unlimited number of rides for the plan year. English; Request for Medicare Prescription Drug Coverage Determination - Medicare Contains key phone numbers and information on claims, appeals, & more. . Wellcare Medicare Plans: 1-800-225-8017 (TTY 711) Wellcare Prescription Drug Plans: 1-800-270-5320 (TTY 711) Sunday–Saturday, 8 a. (NIA) Contact Provider Services at the phone number listed in the Quick Reference Guide (QRG) to request an expedited authorization. Create one account and we will affiliate you to your multiple locations! Username Requirements: Must be between 8 and 12 in length. Providers should refer to the member's Evidence of Coverage (EOC) or Certificate of Insurance (COI) to determine exclusions, limitations and benefit maximums that may apply to a particular procedure, medication, service, or supply. What is Select your line of business and enter a CPT code to look up authorizations for services. Authorization Determinations. Permission to see providers is called a "referral" and permission to receive services is called an "authorization. m On April 22, 2024, UnitedHealth Group issued a press release, providing an update on the Change Healthcare cybersecurity incident that occurred on Feb. For the fastest service, please call the phone number listed on the back of your member ID card. Contains key phone numbers and Contact Provider Services at the phone number listed in the Quick Reference Guide (QRG) to request an expedited authorization. Onboarding. Authorization Lookup; Medical Necessity Criteria; Clinical Guidelines; News and Education. Prospective Members: Wellcare Prescription Drug Plans: 1-800-270-5320 (TTY 711) Sunday–Saturday, 8 a. Nurse View Wellcare by Allwell Medicare Advantage plan contact Information. Express Scripts makes the use of prescription drugs safer and more affordable. Contains key phone numbers and information on claims, appeals and more. Click here for general contact information for Wellcare of Washington members and providers, including phone numbers, mailing addresses, and online forms. com, opening in a new window. " If you need either type of permission, your Primary Care Physician (PCP) will request it for you. Prior Auth Requests Phone: 1-866-768-7147. Ambetter from Wellcare of Kentucky; Ambetter from Wellcare of New Jersey; Ambetter of Alabama; Ambetter of Illinois; Ambetter of North Carolina Inc. 22168. 877-823-8267 (TTY: 711) Contact Provider Services at the phone number listed in the Quick Reference Guide (QRG) to request an expedited authorization. Please visit your state’s Wellcare website (search for “Wellcare” and your state) and select Contact Us. Bulletins; Phone Numbers Medicare Plan Members. Nurse Advice Line: 1-800-581-9952 (TTY 711) 24 hours a day, 7 days a week. Authorization determinations are made based on medical Looking to get in touch with Wellcare by Allwell? This page provides the key Wellcare by Allwell phone numbers and contact information you need. View Wellcare by Allwell (formerly Ascension Complete) Medicare Advantage plan contact information. If you are uncertain that prior authorization is needed, please submit a request for an accurate response. Choose your state and get started in a few clicks. This line will be used to respond to direct admission requests for acute inpatient psychiatric services, detoxification services in a behavioral unit, substance Authorization Lookup Home Health EVV News and Education Provider Bulletins Provider Newsletters AcariaHealth Specialty Pharmacy Provider Quick Links Medicaid Providers . O. Clinician-Administered Drug Prior Authorization Requests. Additional Member Contacts: WellCare of North Carolina Medicaid Contact Wellcare uses cookies. To check claims status, begin by searching for one or multiple claims. Secure Messaging with WellCare ; Chat online with Customer Service agents, and more. Evolent. Call your Wellcare card membership number. TTY: 1-866-492-9674. Please select your line of business and enter a CPT to lookup authorization for services. Providers rendering the services previously listed should verify that the necessary authorization has been obtained by visiting www. All Ascension Complete member ID cards became invalid starting January 1, 2024. Yes Any Service rendered code level prior authorization requirements. Call 800-960-2530 for general inquiries. 1-866-822-1339 (TTY 711) Monday–Friday, 8 a. Halsey has witnessed firsthand the importance of putting the patient first. Current WellCare of North Carolina Members: Member Services 1-866-799-5318 (TTY 711) Monday - Saturday, 7 a. 21, 2024. Select your state to find accurate contact information. Wellcare Medicare Duals Special Needs Plans: 1-833-444-9089 (TTY 711) Wellcare Prescription Drug Plans (PDP): 1-888-550-5252 (TTY 711) Sunday–Saturday, 8 a. Note: There is a mileage distance limit for your rides. We understand that Contact Member Services for the help you need. com Please fax completed form to appropriate number at bottom of form. for authorization: Phone: 1— Wellcare Frequently Asked Questions PRO_71324E Internal Approved 03222021 NA1WCMFLY71324E_0000 ©Wellcare 2021 . Need to speak with a Contact Provider Services at the phone number listed in the Quick Reference Guide (QRG) to request an expedited authorization. com, or by calling NIA (Medicare) at 1-800-424-5388. Throughout his 35-year medical career, Dr. The following are factor VIII products requiring prior authorization: human – Hemofil M®, Koate-DVI®; recombinant – Advate Wellcare partners with providers to give members high-quality, low-cost health care and we know that having a healthy community starts with those who need it most. Member Services Current Members: Wellcare Medicare Plans: 1-833-444-9088 (TTY 711) Wellcare Medicare Duals Special Needs Plans: 1-833-444-9089 (TTY 711) Wellcare Prescription Drug Plans (PDP): 1-888-550-5252 (TTY 711) Sunday–Saturday, 8 a. Skip to main content. Provider In response to your feedback, Buckeye has removed 25 services from our prior authorization list effective March 31, 2021. 1-866-799-5318 DEPARTMENT PHONE FAX . Starting August 28, 2017, providers can contact Harmony/WellCare at 1-800-504-2766 to be connected to a licensed behavioral health clinician to complete the prior authorization process. All Medical . Claim payment depends on member eligibility, covered benefits, provider contracts, correct coding and billing practices. You may also ask us for a coverage determination by phone at 1-888-550-5252. You no longer need multiple accounts for different locations. 1-800-977-7522 (TTY:711) all plans 1 Contact Provider Services at the phone number listed in the Quick Reference Guide (QRG) to request an expedited authorization. Exciting News! We are enhancing our authorization requirements for Medicaid. Prior Auth Requests Fax: 1-833-423-2523 Contact Provider Services at the phone number listed in the Quick Reference Guide (QRG) to request an expedited authorization. Wellcare – – – authorization: Guide : authorization: or via fax to the numbers listed on the associated forms located here. Contact Provider Services at the phone number listed in the Quick Reference Guide (QRG) to request an expedited authorization. Looking to get in touch with Wellcare? This page provides the key Wellcare phone numbers and contact information you need. If you are referred to a Specialist and he or she believes you need services requiring authorization, he or she will request it for you. Nurse MTM will need this form when you make your appointment. Electronic Prior Authorization (ePA): Cover My Meds; Online Form: Request Prescription Drug Coverage; Pharmacy Prior Authorization Forms; Medication Appeals. When prompted, say “ Authorizations” or press 2, for assistance. Nurse Contact Provider Services at the phone number listed in the Quick Reference Guide (QRG) to request an expedited authorization. Requestor Name: Fax*#: Phone*#: City, State, ZIP: Phone: SERVICING PROVIDER OR FACILITY (Please Print) Wellcare ID: NPI/Tax ID*: Provider/Facility Name*: Address: City, State, ZIP: Fax*: Phone: TREATING PROVIDER (Please Print) NA1PROFRM84650E_Outpatient_Auth_NA_R Wellcare Prescription Drug Plans (PDP): 1-888-550-5252 (TTY 711) Sunday–Saturday, 8 a. ᎾᏍᎩ ᏫᎬᎵᏱᎵᏒᎢ ᎾᎢ ᎬᏙᏗ ᎣᎦᏤᎵ ᎤᏙᏢᏒ, ᏂᎯ ᎣᏏ ᏣᏰᎸᏅᎢ ᎾᎢ ᎣᎦᏤᎵ ᎤᏕᎵᏓ ᏗᎳᏏᏙᏗ ᎠᎴ ᏗᏓᏕᏤᎸ ᎬᏙᏗ. When scheduling transportation, please keep in mind that the distance of a one-way trip and the number of rides per year are limited. We recommend that Click here for general contact information for Wellcare of Maryland members and providers, including phone numbers, mailing addresses, and online forms. Can i view full claim details? To appeal an authorization in Denied status, search for the authorization using one of these criteria This form is to be used when you want to reconsider a claim for Medical Necessity, Prior Authorization, Authorization Denial, or Benefits Exhausted. Box 31397 Tampa, FL 33631; Fax: 1-866-388-1767 Contact Provider Services at the phone number listed in the Quick Reference Guide (QRG) to request an expedited authorization. Providers rendering the services previously listed should verify that the necessary Click here for general contact information for Wellcare of Ohio members and providers, including phone numbers, mailing addresses, and online forms. wellcare. Authorization Lookup; Clinical Guidelines; Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. 1-844-917-0175; If you are interested in signing up for a Wellcare by Allwell plan but are not yet a member, please call 1-844-917-0175. Prospective Members: Wellcare Medicare Plans: 1-800-225-8017 (TTY 711) Wellcare Prescription Drug Plans: 1-800-270-5320 (TTY 711) Sunday–Saturday, 8 a. Authorization determinations are made based on medical necessity and appropriateness and reflect the application of WellCare’s review criteria guidelines. the provider should go to www. Behavioral Health Crisis Hotline 1-833-207-4240 Member Services Current Members: Wellcare Medicare Plans: 1-833-444-9088 (TTY 711) Wellcare Dual Liberty Special Needs Plan: 1-866-892-8340 (TTY 711) Wellcare Prescription Drug Plans (PDP): 1-888-550-5252 (TTY 711) Sunday–Saturday, 8 a. to 8 p. WellCare of North Carolina partners with providers to develop and deliver high-quality, cost-effective health care solutions. Please confirm the member's plan and group before choosing from the list below. Authorization determinations are made based on medical necessity and appropriateness and reflect the application of Wellcare By ‘Ohana Health Plan's review criteria guidelines. Failure If emergency services result in an inpatient hospital stay, hospitals must contact the member’s assigned IPA for authorization. Provider WellCare providers are advised to use the Secure Provider Portal. For WellCare providers are advised to use the Secure Provider Portal. com • For a resident that is auto-assigned or self-selected the Member Services Current Members: Wellcare Medicare Plans: 1-866-892-8340 (TTY 711) Wellcare Medicare Duals Special Needs Plans: 1-866-892-8340 (TTY 711) Wellcare Prescription Drug Plans (PDP): 1-888-550-5252 (TTY 711) Sunday–Saturday, 8 a. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services. 1-866-799-5318 Authorization Requirements* Fastest Result Available Available FIDELIS CARE PHONE NUMBERS . Provider Portal. 6081112. 2024; This link will leave Wellcare. Wellcare Member Services Phone Number: 1-800-977-7522 (TTY: 711) 1-844-796-6811 (TTY: 711) DSNP; Need to speak with a Wellcare customer service agent? Call 1-800-977-7522 (TTY: 711) David Halsey, MD Chief Clinical Officer. Authorization Lookup; Clinical Guidelines; Medical Necessity Criteria; News and Education. P. Box 31397. Contains key phone numbers and Wellcare Prescription Drug Plans (PDP): 1-888-550-5252 (TTY 711) Sunday–Saturday, 8 a. Wellcare Complete providers have their own Secure Provider Portal they can use to verify eligibility, process claims and complete any other transactions. To obtain authorization, the provider should go to www. PROCEDURE CODES* ☐ A0100 Non-emergency transportation; taxi ☐ A0110 Non-emergency transportation and bus, intra or interstate carrier ☐ A0120 Non-emergency transportation: mini -bus, m ountain area transports, o r other transportation systems To obtain authorization, the provider should go to www. View Wellcare by Health Net Medicare Advantage plan contact Information. In addition, certain transportation services require prior authorization by WellCare, including: Trips over 75 miles one-way; Out-of-state trips (40+ miles over border) Air ambulance; Trips requiring hotel, flight, and/or meals; You must call MTM first, then they will inform WellCare of WellCare ᏕᎬᏗᏍᎪ ᎤᏂᎦᎾᏍᏓ. Box 31383 Tampa, FL 33631; Fax: 1-866-388-1766 Attach documentation showing the authority to represent the enrollee (a completed Authorization of Representation Form CMS-1696 or a written equivalent) Phone Number ? Fax Number Services Requiring Prior Authorization – California. Phone: 1-877-398-9461, ext. As Chief Clinical Officer, he contributes to the team by aligning the talented internal staff with our Scientific Advisory Board, facilitating cost-effective, safe, high-quality care. ©WellCare 2021 . Wellcare By Allwell Medicare Member Services Phone Number: HMO 1-800-977-7522 (TTY:711) DSNP 1-844-796-6811 (TTY:711) Wellcare By Allwell is not renewing plans in the following states in 2025: Alabama, Florida, Illinois, Michigan, and Texas. This takes into consideration all factors, including the specific member, in order to determine whether prior authorization is required for certain services and procedures. Select your topic and plan and click "Chat Now!" to chat with a live agent! Contact Provider Services at the phone number listed in the Quick Reference Guide (QRG) to request an expedited authorization. WellCare providers are advised to use the Secure Provider Portal. Provider Services Wellcare Medicare Plans: 1-855 Select your topic and plan and click "Chat Now!" to chat with a live agent! Member Services Current Members: Wellcare Medicare Plans: 1-833-444-9088 (TTY 711) Wellcare Medicare Duals Special Needs Plans: 1-833-444-9089 (TTY 711) Wellcare Prescription Drug Plans (PDP): 1-888-550-5252 (TTY 711) Sunday–Saturday, 8 a. Staywell is excited to announce some important Medicaid outpatient prior authorization requirement changes. The phone number is located in the Quick Reference Guide. To contact customer service, select State Contact Provider Services at the phone number listed in the Quick Reference Guide (QRG) to request an expedited authorization. Contains key phone numbers and Wellcare partners with providers to give members high-quality, low-cost health care and we know that having a healthy community starts with those who need it most. for authorization: Phone: 1-888-571-6028 Spinal Surgery Yes . to 6 p. For specific details, please refer to the current authorization grids, the Inpatient Only List and provider manual. For specific details, please refer to the provider manual. 1-844-917-0175 TTY: 711; If you are interested in signing up for a Wellcare plan but are not yet a member, please call 1-844-917-0175 TTY: 711. Medical Drug Authorization Request Drug Prior Authorization Requests Supplied by the Physician/Facility. Wellcare By Allwell. Authorization Resources Medicare Quick Reference Guide Contains key phone numbers and information on claims, appeals and more. Wellcare Provider Phone Number. Wellcare. com, or through the NIA dedicated toll-free phone number for Medicare 1-800-424-5388. Contact Wellcare Member Services with questions or feedback. Chat . The P2P number is changing to 1-866-329-7651; Timeframes will be as follows: Prior Authorization: Request for P2P must be made within 24 hours of receiving of intent to deny; Wellcare: provider. wellcare. These programs include management of Medical Specialty Solutions services to include prior authorization for WellCare members. Wellcare By Allwell Medicare Member Services Phone Number: Non Duals/ 1-800-977-7522 (TTY: 711) Duals/D-SNP 1-844-796-6811 (TTY: 711) Need to speak with a Wellcare By Allwell Medicare customer service agent? Call Non Duals/ 1-800-977-7522 Member Services Current Members: Wellcare Medicare Plans: 1-833-444-9088 (TTY 711) Wellcare Dual Liberty Special Needs Plan: 1-866-892-8340 (TTY 711) Wellcare Prescription Drug Plans (PDP): 1-888-550-5252 (TTY 711) Sunday–Saturday, 8 a. com Phone: 1-855-538-0454 Fax: 1 Phone Number. Solutions See All Solutions. North Carolina Medicaid Prior Authorization Phone Numbers . Wellcare Health Plans P. Wellcare Prescription Drug Plans (PDP) Current Members: 1-888-550-5252 (TTY 711) Sunday–Saturday, 8 a. Look up WellCare authorization rules. Wellcare Complete has a new Provider Services phone number: 1-800-977-7522. Learn how to request prior authorization for certain services and procedures for WellCare Medicare members. Help patients get access to the most up to date, high quality, treatment pathways. Additional Member Contacts: WellCare of North Carolina Medicaid Contact Contact Provider Services at the phone number listed in the Quick Reference Guide (QRG) to request an expedited authorization. Select your state to contact an Ambetter representative in your area. Box 31397 Tampa, FL 33631-3397. Nurse Advice Line 1-800-919-8807 24 hours a day, 7 days a week. RadMD. Thank you for your continued participation and cooperation in our ongoing efforts to provide quality healthcare to our members. For questions on medical or behavioral health authorizations, call 1-844-477-8313. H3 Management Services and Innovista Health Solutions will no longer manage authorization for Michigan Wellcare plans. or via fax to the numbers listed on the associated forms located here. Health Plan Call Center Authorization Telephone Numbers Health Plan Name Toll Free Number Absolute Total Care 866-312-9729 Alliance Health 800-327-0793 Ambetter from Absolute Total Care 800-424-4920 Ambetter from WellCare of Kentucky 800-424-9230 Ambetter from Louisiana Healthcare Connections 800-424-9231 Wellcare members can contact customer service for their plans in the following ways: Submit a question via a contact form. This form may be sent to us by mail or fax: Wellcare Health Plans P. On June 20, 2024, UnitedHealth Group issued a press release offering an update on the Change Healthcare cybersecurity incident that occurred on Feb. A repository of Medicare forms and documents for WellCare providers, covering topics such as authorizations, claims and behavioral health. Fax: 1-800-690-7030. This tool is for general information only The Wellcare Behavioral Health Integrated Program enables a holistic approach to care in which one integrated care management team is responsible for both medical and behavioral health. Providers may begin contacting NIA on July 21, 2021 to seek prior authorization for procedures scheduled on or after August 1, 2021. Fax numbers located here. Secure Provider Portal.
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