Coverage profile
How Substrate can help you with WellMed
Substrate can help practices and billers with the following claims tasks for WellMed.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with WellMed.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with WellMed.
Frequently asked questions
WellMed payer FAQs
How do I check claim status with WellMed?
Providers check WellMed via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
What is the payer ID for WellMed?
The primary payer ID for WellMed is TH023. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for WellMed?
The 837P and 837I payer ID for WellMed is TH023 via Stedi.
What is the 835 payer ID for WellMed?
The 835 payer ID for WellMed is TH023 via Stedi.
What is the 270 payer ID for WellMed?
The 270 payer IDs for WellMed are TH023 via Stedi and 87726 via Availity.
What is the 276 payer ID for WellMed?
The 276 payer IDs for WellMed are TH023 via Stedi and 87726 via Availity.
What states does WellMed operate in?
WellMed operates in FL and TX.
Routing reference
WellMed 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 | WellMed |
|---|---|
| Operating states | FL, TX |
| 837P professional claims payer IDStedi | TH023 |
| 837I institutional claims payer IDStedi | TH023 |
| 835 ERA payer IDStedi | TH023Enrollment required |
| 270 eligibility payer IDStedi | TH023 |
| 270 eligibility payer IDAvaility | 87726 |
| 276 claim status payer IDStedi | TH023 |
| 276 claim status payer IDAvaility | 87726 |
Payer contact directory
WellMed phone and fax numbers
Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.
- Other stated context phone
- (877) 299-7213WELLMED NETWORK OF FLORIDA
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(000) 000-0000 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(877) 299-7213 | Other stated contextBenefit context: Active - Pending Investigation; Benefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone(877) 757-4440 | Other stated contextBenefit context: Active - Pending Investigation; Benefit context: Active Coverage |
| Health Benefit Plan Coverage |
Phone and fax numbers sourced directly from the payer response
Other aliases
Also known as
- 00175
- 101366
- 16574
- 3201
- 7923
- PEGUN
- TH023
- TH023MA
- WELM2
- UnitedHealthcare
- WellMed Medical Management Inc.
- WELLMED (CLAIMS)
- WELLMEDMEDICAL
