Wellcare (Centene) Medicare
Also covers / subsidiaries: Wellcare, Centene, WellCare Health Plans
Core Payer & Clearinghouse Profile
Electronic Payer ID
14163
14163 is a commonly used WellCare claims payer ID; Centene/Wellcare MA products vary widely by state and legacy plan.
Timely Filing Limit (TFL)
Per provider contract; commonly up to 180–365 days from DOS. Verify against your contract
Appeal Window
Medicare Advantage appeals follow CMS Part C rules (commonly 60 days from the denial/organization determination)
Clearinghouse Gateway
National Clearinghouse / EDI Gateway
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.wellcare.com/
Wellcare is Centene's Medicare Advantage / Part D brand, operating across many states under multiple legacy plan names.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Wellcare (Centene) Medicare.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Wellcare (Centene) Medicare.
| 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) Medicare 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) Medicare Denials & Delayed Payments?
Aethera's billing specialists work Wellcare (Centene) Medicare every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.