Coverage profile
How Substrate can help you with CareCentrix Wellcare
Substrate can help practices and billers with the following claims tasks for CareCentrix Wellcare.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with CareCentrix Wellcare.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for CareCentrix Wellcare.
Frequently asked questions
CareCentrix Wellcare payer FAQs
Can I automate CareCentrix Wellcare portal follow-up?
Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.
What is the payer ID for CareCentrix Wellcare?
The primary payer ID for CareCentrix Wellcare is 11350. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What is the provider portal for CareCentrix Wellcare?
The provider portal for CareCentrix Wellcare is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for CareCentrix Wellcare?
The 837P and 837I payer ID for CareCentrix Wellcare is 11350 via Stedi.
What is the 835 payer ID for CareCentrix Wellcare?
The 835 payer ID for CareCentrix Wellcare is 11350 via Stedi.
What is the 270 payer ID for CareCentrix Wellcare?
The 270 payer IDs for CareCentrix Wellcare are 11350 via Stedi and 14163 via Availity.
What is the 276 payer ID for CareCentrix Wellcare?
The 276 payer ID for CareCentrix Wellcare is 14163 via Availity.
What states does CareCentrix Wellcare operate in?
CareCentrix Wellcare operates in AR, CA, FL, KY, MO, NC, and OH.
Routing reference
CareCentrix Wellcare payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | CareCentrix WellcareSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | AR, CA, FL, KY, MO, NC, OHSource: United Clearinghouse payer catalog · matched by payer name |
| 837P professional claims payer IDStedi | 11350Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 11350Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 11350Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 11350Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 14163Source: Availity payer catalog · catalog dated · matched by payer name |
| 276 claim status payer IDAvaility | 14163Source: Availity payer catalog · catalog dated · matched by payer name |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: CareCentrix Wellcare. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer name; matched record: WELLCARE. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Wellcare. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Other aliases
Also known as
- 11350
- CARECNTRIX
- WELLCARE