Question 1

What is the Stedi payer ID for Wellcare?

Accepted Answer

The Stedi payer ID for Wellcare is EGASA.

Question 2

What is the primary payer ID for Wellcare?

Accepted Answer

The primary payer ID for Wellcare is 14163.

Question 3

What payer IDs does Wellcare use?

Accepted Answer

In addition to its primary payer ID 14163, Wellcare uses several other payer IDs, including 100842, 10488, 10510, 10511, 10512, 10513, 10515, 10576, 10921, 10944, 1119, 11216, 14163, 14163MA, 14164, 16559, 1844, 48055, 57116, 59608, 62153, 8041, 8551, 9529, 9759, 9762, RFVSD, SNICI, TH118, TX1ST, WCHEK, WCHHP, WCOHP, WCSWA, WCSWK, WELLCR, WLLCR, Z95605, and ZP4011.

Question 4

What transactions does Wellcare support?

Accepted Answer

Wellcare supports the following transactions: 270/271 eligibility checks, 270/271 coordination of benefit (COB) checks, 837P professional claims, 837I institutional claims, 835 Electronic Remittance Advices (ERAs), 835 Electronic Remittance Advices (ERAs) with EFT, and 276/277 real-time claim status.

Question 5

What transaction types require transaction enrollment with Wellcare?

Accepted Answer

Wellcare requires transaction enrollment for 835 Electronic Remittance Advices (ERAs) and 835 Electronic Remittance Advices (ERAs) with EFT. Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

Question 6

What is transaction enrollment?

Accepted Answer

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

Question 7

What is a coordination of benefits (COB) check?

Accepted Answer

A COB checks determines if a member has coverage from more than one payer. Wellcare supports COB checks through Stedi.

Question 8

What is Wellcare's parent group?

Accepted Answer

Wellcare is part of Centene Corporation Group.

Question 9

What other names does Wellcare go by?

Accepted Answer

Wellcare is also known as American Progressive, Central Senior Care, Easy Choice Health Plan California, Fidelis Care New Jersey, First Choice Health Plans of Connecticut, Fresenius Medical Care, Generations, Golden Triangle Physician Alliance SelectCare Texas, Harmony Health Plan, HealthEase, HealthEase Kids, Heritage Physician Network (Houston), Island Home Insurance Company, Katy Medical Claims, Katy Medical Group, MED3000 Centers for Medicare & Medicaid Services Title 19 Reform, MED3000 Centers for Medicare & Medicaid Services Title 21, Memorial Clinical Associates SelectCare Texas, Missouri Care Managed Care, Northwest Diagnostic Clinic SelectCare Texas, Ohana Health Plan, Pinnacle Physician Management, Select Senior Clinic, SelectCare Health Plan Health Maintenance Organization (North Texas), SelectCare Health Plan Health Maintenance Organization (Texas and Oklahoma Panhandle), SelectCare Texas (Heritage Physicians Network), SelectCare Texas Alliance (Kelsey-Seybold Greater Texas Physicians Alliance), SelectCare of Texas (Beaumont), SelectCare of Texas (Houston), SelectCare of Texas (Kelsey-Seybold), Staywell, Staywell Kids, Texan Plus (Beaumont), Texan Plus (Houston), Texan Plus (Kelsey-Seybold), Texan Plus (Southeast Texas Area), Texan Plus-SelectCare of Texas (Kelsey-Seybold), Texas First Health Plan (North Texas), Texas First Health Plan North Texas, Texas First Health Plan North Texas (SelectCare Health Plan Health Maintenance Organization (Topa)), Texas First Health Plans (Tiopa), Texas First Health Plans (Topa), TexasPlus Southeast, Today's Health, Today's Options (American Progressive and Pyramid Health), Today's Options (American Progressive and Pyramid Life), Tribute (SelectCare Oklahoma), Universal American, Village Family Physician, WellCare Health Maintenance Organization, WellCare Health Plans, WellCare Illinois, WellCare Michigan, WellCare by Ohana, WellCare of California, WellCare of Connecticut, WellCare of Florida, WellCare of Georgia, WellCare of Kentucky, WellCare of Michigan & WellCare of Illinois, WellCare of Nebraska, WellCare of New York, WellCare of North Carolina, Windsor Health Plan, and Windsor medicare extra.

Question 10

What is the official website for Wellcare?

Accepted Answer

The official website for Wellcare is https://www.wellcare.com.

Question 11

What types of benefits does Wellcare return in eligibility checks?

Accepted Answer

Eligibility checks with Wellcare can return dental, medical, and vision benefits.

Question 12

What U.S. states does Wellcare operate in?

Accepted Answer

Wellcare operates nationally in all U.S. states.

Wellcare

Supported transactions

Eligibility checks

Coordination of benefits checks

Real-time claim status

Professional claims

Institutional claims

Electronic remittance

Dental claims

Unsolicited claim attachments

Funds transfer

Electronic remittance + EFT