Centene / WellCare
Also covers / subsidiaries: WellCare, Ambetter, Fidelis Care, Health Net, Sunshine Health, Peach State
Core Payer & Clearinghouse Profile
Electronic Payer ID
68069
Varies by state plan and product (Ambetter, WellCare, state Medicaid brands).
Timely Filing Limit (TFL)
Varies by plan — commonly 90 to 180 days from the date of service
Appeal Window
Varies by plan
Clearinghouse Gateway
Availity and major clearinghouses (by plan)
Provider Services
Varies — confirm via portal / clearinghouse
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
Varies — confirm via portal / clearinghouse
Largest Medicaid managed-care organization in the U.S., operating under many state brand names.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Centene / WellCare.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Centene / WellCare.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Ambetter | 14329 | Non-Par | None | 276/277 |
| Peach State | 68069 | Non-Par | Required | 837P837I835 ERA |
| Wellcare | 14163 | Non-Par | Required | 837P837I835 ERA |
Resolution Tools for Centene / WellCare Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims. Last verified 2026-06-24.
Tired of Chasing Centene / WellCare Denials & Delayed Payments?
Aethera's billing specialists work Centene / WellCare every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.