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Provider : Resources

Authorization Look-Up Tool

Search quickly and easily by CPT code.


Provider Manualpdf 
Detailed health plan information on important topics such as coverage procedures and policies.  

Quick Reference Guidepdf
Contains key phone numbers and information on claims, appeals and more.


Find forms for appeals, authorizations, behavioral health and more.

Claims Updates

Get updates about our processes and ensure your claim is handled efficiently.


Clinical Coverage Guidelines 
Evidence-based guidelines detailing the medical necessity of procedures or technologies.


Clinical Practice Guidelines 
Best-practice recommendations based on available clinical outcome and scientific evidence. 


Coordination of Benefits
Coordination of Benefits (COB) claims are essential to adjudicating claims correctly. WellCare encourages providers to submit COB claims electronically

Job Aids

 Helpful documents to assist providers as they care for members.


Get recent information about pharmaceuticals, cost, quality of care and more.


Training and Education

Educational resources regarding initiatives that require specific actions by providers.  You must log in to access required training. Register now.

Last modified: 04/15/2014

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