Wellcare appeal form 2025

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
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Use our Secure Provider Portal to check member eligibility and care gaps, submit authorizations and claims, access training and more. You can even live-chat with a WellCare agent for assistance!
MAIL, EMAIL OR FAX ALL MEMBER GRIEVANCES TO: Wellcare Attn: Grievance Department P.O. Box 31384 Tampa, FL 33631-3384 Fax: 1-866-388-1769 Email: Please visit the Contact Us page on the website. Plan websites can be accessed by visiting wellcare.com/providers and selecting your state.
You have 60 days to request a reconsideration in writing. If your Medicare Advantage plan does not reverse its denial, the appeal must be forwarded to an Independent Review Entity (IRE) within 24 hours by the MA plan.
How to make an appeal? To start your appeal, you, your doctor or your representative must contact our plan. If a representative is appealing on your behalf, you must provide your consent for us to review the appeal. If you are asking for a fast appeal, you may make your appeal in writing or you may call us.
Visit our Provider Portal provider.wellcare.com to submit your request electronically. Send this form with all pertinent medical documentation to support the request to Wellcare. Attn: Appeals Department at P.O. Box 31368 Tampa, FL 33631-3368. You may also fax the request to 1-866-201-0657.
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