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Wellcare (MM) - JVHL

Payer IDs
Stedi’s Payer Network includes three types of Payer IDs. You can use any of these IDs to send transactions through Stedi’s APIs. Learn more
Primary payer ID
4032
Stedi payer ID
KFNLV
Aliases
4032, 8760, MM
Use Stedi’s APIs to get fast and reliable connectivity to Wellcare (MM) - JVHL and start sending transactions within minutes.
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Transactions

Transact with Wellcare (MM) - JVHL using Stedi’s modern, JSON-based APIs
Not supported

Eligibility checks (270/271)

Verify member coverage and benefits by sending real-time and batch eligibility checks to Wellcare (MM) - JVHL.
Not supported

Real-time claim status (276/277)

Check on the status of a claim previously submitted to Wellcare (MM) - JVHL in real-time by sending a claim status check (276/277).
Supported, enrollment required

Claim payments (835 ERA)

Receive electronic remittance advice (ERAs) from Wellcare (MM) - JVHL to review full payment details.
Enrollment process type
-
Not supported

Dental claims (837D)

Submit dental claims to Wellcare (MM) - JVHL and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Professional claims (837P)

Submit professional claims to Wellcare (MM) - JVHL and receive 277 claim acknowledgments asynchronously.
Enrollment process type
-
Supported, enrollment required

Institutional claims (837I)

Submit institutional claims to Wellcare (MM) - JVHL and receive 277 claim acknowledgments asynchronously.
Enrollment process type
-
Not supported

Coordination of benefits checks (COB)

Submit coordination of benefit checks to Wellcare (MM) - JVHL to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Not supported

Unsolicited claim attachments (275)

Receive unsolicited attachments for claims submitted to Wellcare (MM) - JVHL.

What is transaction enrollment?

Transaction enrollment is an administrative process that providers must complete before they can exchange a particular transaction type with a payer. Every payer requires transaction enrollment for electronic claim remittances (ERAs). Many payers also require enrollment for other transaction types, such as claims and eligibility checks. The Stedi customer success team handles the entire transaction enrollment process for you, including submitting the required information to the payer and monitoring the status.

Learn more

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

  • Wellcare (MM) - Joint Venture Hospital Laboratory
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