Wellcare
Medicare providers serving Wellcare By Allwell and Wellcare By Superior HealthPlan members can find the information and resources they need on our website. Below are sections to review and reference as you work with Medicare patients. If you have any questions or need additional information or assistance, please reach out to your local Provider Representative or contact Provider Services.
Please note: If you’re a provider serving Wellcare members, provider information and resources can be found on the Wellcare website.
If you’d like to join the Wellcare network, or need to add a product to your existing contract, you can visit our Network Request or Update webpage.
Credentialing forms can be found on Superior's Provider Forms webpage, under the Credentialing section.
Providers can login to Availity Essentials to manage claims and other tasks quickly and easily, including:
- Submitting claims
- Checking claims status
- Submitting authorizations
- Checking eligibility and benefits
If your organization is new to Availity, start by registering with Availity today through the Availity Multi-Payer Portal Registration webpage.
Additional options and information on claims processes and procedures are outlined in your Provider Manual.
Providers can register for the provider portal by visiting our Secure Provider Portal.
Wellcare By Allwell (HMO and HMO SNP)
To check if a service requires prior authorization, reference the online Medicare Prior Authorization tool.
Wellcare By Superior HealthPlan (D-SNP)
To check if a service requires prior authorization, reference the online D-SNP Prior Authorization tool – coming soon.
- Inpatient D-SNP Authorization Form (PDF) – coming soon
- Outpatient D-SNP Authorization Form (PDF) – coming soon
Additional forms can be found on Superior's Provider Forms webpage, under the Wellcare By Allwell (HMO and HMO SNP) and Wellcare By Superior HealthPlan (D-SNP) sections.
Wellcare By Allwell (HMO and HMO SNP)
Wellcare By Superior HealthPlan (D-SNP)
- Wellcare By Superior HealthPlan Quick Reference Guide (PDF) – coming soon
- Wellcare vs. Wellcare By Allwell vs. Wellcare By Superior HealthPlan Guide (PDF) – coming soon
Wellcare By Allwell (HMO and HMO SNP)
Wellcare By Superior HealthPlan (D-SNP)
- Wellcare By Superior HealthPlan Provider Training (PDF) – coming soon
To view upcoming live webinar trainings and RSVP, please visit our Provider Training Calendar.
Wellcare By Allwell (HMO and HMO SNP)
- Wellcare By Allwell (Medicare) Provider Manual (PDF)
- Wellcare By Allwell Appeals and Grievances QRG (PDF)
- Wellcare By Allwell Claims, Disputes & Recovery QRG (PDF)
- Wellcare By Allwell Medicare QRG (PDF)
- Wellcare By Allwell Pharmacy QRG (PDF)
- Wellcare By Allwell Prior Authorization QRG (PDF)
Wellcare By Superior HealthPlan (D-SNP)
- Wellcare By Superior HealthPlan Provider Manual (PDF) – coming soon
- Wellcare By Superior HealthPlan Appeals and Grievances QRG (PDF) – coming soon
- Wellcare By Superior HealthPlan Claims, Disputes & Recovery QRG (PDF) – coming soon
- Wellcare By Superior HealthPlan QRG (PDF) – coming soon
- Wellcare By Superior HealthPlan Pharmacy QRG (PDF) – coming soon
- Wellcare By Superior HealthPlan Prior Authorization QRG (PDF) – coming soon
Stay updated on all Wellcare news and information by signing up for our Provider Newsflash (e-newsletter) and review all provider notices through our Provider News & Information webpage.