Stedi
Payer Network
Contact usSign up free
All payers
PAYER

WellCare Health Plan Incorporated (Encounters Only)

This page contains information you can use to exchange healthcare transactions with WellCare Health Plan Incorporated (Encounters Only) using Stedi.
Use any of the following payer IDs to send transactions to WellCare Health Plan Incorporated (Encounters Only) using Stedi APIs or SFTP. Read the docs
Primary Payer ID
59354
Stedi Payer ID
CHWDE
Payer ID aliases
3211, 4949, 59354
Coverage types
Medical, Vision

Supported transactions

Use Stedi to exchange the following transactions with WellCare Health Plan Incorporated (Encounters Only) using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to WellCare Health Plan Incorporated (Encounters Only).
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to WellCare Health Plan Incorporated (Encounters Only) to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Not supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to WellCare Health Plan Incorporated (Encounters Only) in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to WellCare Health Plan Incorporated (Encounters Only) and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to WellCare Health Plan Incorporated (Encounters Only) and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from WellCare Health Plan Incorporated (Encounters Only) to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to WellCare Health Plan Incorporated (Encounters Only) and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to WellCare Health Plan Incorporated (Encounters Only).
Get started
Use Stedi's APIs to get fast and reliable connectivity to WellCare Health Plan Incorporated (Encounters Only) and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and WellCare Health Plan Incorporated (Encounters Only) today.
Contact us
Stedi Product
  • Pricing
  • Eligibility checks
  • Claims
  • Payers
  • Transaction enrollment
  • EDI Platform
  • Switch to Stedi
Developers
  • Dev docs
  • API Reference
  • Changelog
  • Status
Resources
  • Payer Network
  • Platform Partners
  • Provider docs
  • HIPAA guides
  • EDI reference
  • EDI inspector
  • EDI network
  • EDI platform docs
Stedi
  • Blog
  • Careers
  • Customers
  • Trust Center
  • Contact
  • Privacy settings