WellCare (Centene) Medicaid
Also covers / subsidiaries: WellCare Health Plans, Centene, Wellcare Complete
Core Payer & Clearinghouse Profile
Electronic 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 Gateway
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.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for WellCare (Centene) Medicaid.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under WellCare (Centene) Medicaid.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Care1st Health Plan Arizona Medicare | 14163 | Non-Par | None | 837P837I835 ERA |
| Cms Title 21 | 14163 | Non-Par | None | 837P837I835 ERA |
| First Choice Healthplans Of Connecticut | 14163 | Non-Par | None | 837P837I835 ERA |
| Harmony Health Plan Of Illinois | 14163 | Non-Par | None | 837P837I835 ERA |
| Harmony Health Plan Of Indiana | 14163 | Non-Par | None | 837P837I835 ERA |
| Staywell Health Plan | 14163 | Non-Par | None | 837P837I835 ERA |
Resolution Tools for WellCare (Centene) Medicaid 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.
Tired of Chasing WellCare (Centene) Medicaid Denials & Delayed Payments?
Aethera's billing specialists work WellCare (Centene) Medicaid every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.