Coverage profile
How Substrate can help you with Wellcare
Substrate can help practices and billers with the following claims tasks for Wellcare.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Wellcare.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Wellcare.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Wellcare.
Appeals agent
AI appeals workflowThe Substrate Appeals Agent can submit appeals for RFIs, medical record requests, downcoding reconsiderations, and more via the payer portal for Wellcare.
Frequently asked questions
Wellcare payer FAQs
How do I check claim status with Wellcare?
Providers check Wellcare via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate 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 Wellcare?
The primary payer ID for Wellcare is 14163. 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 Wellcare?
The provider portal for Wellcare is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Wellcare?
The 837P and 837I payer ID for Wellcare is 14163 via Stedi.
What is the 835 payer ID for Wellcare?
The 835 payer ID for Wellcare is 14163 via Stedi.
What is the 270 payer ID for Wellcare?
The 270 payer IDs for Wellcare are 14163 via Stedi and 14163 via Availity.
What is the 276 payer ID for Wellcare?
The 276 payer IDs for Wellcare are 14163 via Stedi and 14163 via Availity.
Routing reference
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 | Wellcare |
|---|---|
| 837P professional claims payer IDStedi | 14163 |
| 837I institutional claims payer IDStedi | 14163 |
| 835 ERA payer IDStedi | 14163Enrollment required |
| 270 eligibility payer IDStedi | 14163 |
| 270 eligibility payer IDAvaility | 14163 |
| 276 claim status payer IDStedi | 14163 |
| 276 claim status payer IDAvaility | 14163 |
Other aliases
Also known as
- 100842
- 10488
- 10510
- 10511
- 10512
- 10513
- 10515
- 10576
- 10921
- 10944
- 1119
- 11216
- 14163
- 14163MA
- 14164
- 16559
- 1844
- 48055
- 57116
- 59608
- 62153
- 8041
- 8551
- 9529
- 9759
- 9762
- RFVSD
- SNICI
- TH118
- TX1ST
