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HealthCare Providers Area
Welcome to WellCare
Thank you for your interest in our plan. WellCare understands that maintaining a healthy community starts with providing care to those who need it most. As the largest Medicaid and Medicare only contractor in the nation, we offer affordable healthcare plans to individuals eligible for government-sponsored programs.

As the State of Georgia transitions from a fee-for-service arrangement to managed care, we know you may have some questions. Whether you are currently a participating provider or just seeking more information on the services we provide, we are here to help. 

 

We have provided some basic information on managed care as well as who we are to get you started.

 

          All About WellCare
          Medical Management Objectives
          PaySpan Health - EFT/ERA Services
          Provider Responsibilities
          What is Managed Care?
          WellCare Web Capabilities

 

         Georgia Families Program

 

Customer Service Representatives are available by calling (866) 231-1821.

 

WellCare Providers 

 

The key to using our system is knowing your Provider ID number. This number is issued to each provider and can be found on your provider agreement. It also appears on every Explanation of Payment (EOP) you receive from us. Be sure to have your Provider ID number handy when calling WellCare. It will allow you faster access to our Interactive Voice Response (IVR) system and will aid our customer service representatives in responding to your inquiries quickly.

 

If you don't know your Provider ID number, contact your local Provider Relations Representative.
 

H1N1 Flu Information

2009 H1N1 flu (sometimes called “swine flu”) is a new influenza virus that is spreading worldwide. Because this virus is very different from current seasonal influenza viruses, many people will not have protective immunity against it, and the seasonal flu vaccine will not protect against it.

Influenza is unpredictable, but this flu season could be worse than recent years because of the 2009 H1N1 virus. CDC is preparing for an early flu season and expects both 2009 H1N1 flu and seasonal flu to cause illness, hospital stays and deaths this season. Click here for more up-to-date information.

 

Are You NPI Compliant?
 
Compliance with the National Provider Identifier (NPI) mandate is critical. As of May 23, 2008, claims submitted to WellCare, and/or designees of WellCare, must comply with the requirement to use only the National Provider Identifier (NPI) on standard transactions.

Click Here to View WellCare's NPI Policy and for instructions for submitting your NPI to WellCare.

 
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