WellCare of Florida
Also covers / subsidiaries: WellCare, Wellcare By Allwell, Centene
Core Payer & Clearinghouse Profile
Electronic Payer ID
14163
14163 = Wellcare fee-for-service / Medicare claims (Claim.MD).
Timely Filing Limit (TFL)
180 days from date of service, or as specified in provider contract
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse Gateway
Availity (preferred EDI clearinghouse)
Provider Services
Varies — confirm via portal / clearinghouse
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
WellCare Claims, PO Box 31372, Tampa, FL 33631-3372
Provider Portal
https://www.wellcare.com/en/florida
After Centene's 2021 acquisition, WellCare's FLORIDA Medicaid business moved to Sunshine Health — in Florida 'WellCare' now means Medicare Advantage / Part D only.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for WellCare of Florida.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under WellCare of Florida.
| 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 of Florida 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 of Florida Denials & Delayed Payments?
Aethera's billing specialists work WellCare of Florida every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.