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Payment Policy | WellCare
24 rowsThis notice is to clarify a segment of WellCare's payment policy language applicable to all WellCare Medicare markets. WellCare's payment policies are based on publicly distributed guidelines from established industry sources such as the Centers for Medicare and Medicaid Services (CMS), the American Medical Association (AMA), state health care agencies and medical specialty professional POLICYDESCRIPTIONCLAIM TYPEClaims & Payment PolicyEmergency Department Radiology UtilizationFacility and ProfessionalClaims & Payment PolicyEmergency Department Facility CodingFacility and ProfessionalClaims & Payment PolicyScreening for Cervical Cancer with Human PapillLabClaims & Payment PolicyInpatient NotificationFacilitySee all 24 rows on wwwcare[PDF]
Online Payment Policies FINAL - Georgia | WellCare
WellCare’s claim payment policies are based on publicly distributed guidelines from established industry sources such as An add-on code billed with a -51 modifier will be denied as the allowance for these procedures already reflects the reduced service associated to it.[PDF]
Provider Billing Communication - Georgia | WellCare
©WellCare 2012 GA_06_12 47075 Providers who send Blood Lead Levels to an outside laboratory should bill HIPAA Procedure Code 83655 with modifiers EP, 90 or EP, 91 and diagnosis code V82.5 on the same claim with the appropriate CPT codes 36415 or 36416.
Claims | WellCare
WellCare of Georgia wants to ensure that claims are handled as efficiently as possible. Providers can help facilitate timely claim payment by having an understanding of our processes and requirements.[PDF]
Provider Billing Communication - Georgia | WellCare
Provider Billing Communication Federally Qualified Health Center Services (FQHC)/Rural Health Clinic (RHC) WellCare of Georgia will be paying Federally Qualified Health Centers (FQHC) and Rural Health Centers (RHC) based on a Prospective Payment System
WellCare of Georgia, Inc : Unsecured Message : List All
Jun 15: WellCare of Georgia to Launch Provider Email Communications May 03: Medicaid Preferred Drug List Updates -- Effective June 1, 2011 Apr 11: WellCare Reimbursement Policies
Bilateral Procedure with Wellcare - AAPC
Apr 25, 2012Bilateral Procedure with Wellcare If this is your first visit, be sure to check out the FAQ & read the forum rules . To view all forums, post or create a new thread, you must be an AAPC Member .[PDF]
Georgia Medicaid Provider Handbook - WellCare
Georgia Medicaid Provider Handbook Provider Services: 1-866-231-1821 GA028177_PRO_MAN_ENG Page 5 of 134 ©WellCare 2014 GA_11_14 63606 Section 1: Overview About WellCare WellCare Health Plans, Inc., (WellCare), doing business as WellCare of Georgia, provides managed care services targeted exclusively to government-sponsored health[PDF]
BILLING RESOURCE MANUAL - Georgia Department of
Public Health Billing Resource Manual December 2013 Section 2 Insurance Eligibility & Verification ~ 5 ~ Provider Discretion: It is a Provider’s discretion to accept a Medicaid member as a client.
Provider Login - WellCare
Welcome to the new Provider Portal You asked for a simple and efficient way to interact with us. We delivered. The provider portal is packed with features to help you care for your patients – our members – to ensure they have a positive health care experience.
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