WellCare (Centene) Medicaid

Medicaid

Also covers: WellCare Health Plans, Centene, Wellcare Complete

Payer ID

14163

14163 widely used for WellCare 837 claims, but payer IDs frequently differ by state, product, and clearinghouse. (Multi-state)

Timely Filing Limit (TFL)

180 days from DOS (unless the provider contract specifies otherwise)

Appeal Window

Varies — confirm via portal / clearinghouse

Clearinghouse

Availity (preferred); also Ability, eSolutions, Experian, Smart Data Solutions

Provider Services

Varies — confirm via portal / clearinghouse

Claims Fax

Varies — confirm via portal / clearinghouse

Claims Address

Varies — confirm via portal / clearinghouse

Provider Portal

https://www.availity.com

Multi-state Medicaid/Medicare brand owned by Centene. Provider phone, address, and appeal deadlines vary by state/plan.

Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.

Stop chasing WellCare (Centene) Medicaid denials and TFLs

Aethera's AR team works WellCare (Centene) Medicaid every day — payer rules, appeals, and clean-claim submission, handled.