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Fraud Warning:

Watch out for Fake Medical Record Requests

Wellcare is warning providers to watch out for fake emails requesting member medical records from providers.

In a recent case, we discovered a fraudulent “Primary Care Provider Authorization Request” email seeking a member’s records. It appears similar to our Utilization Management requests. 

Be warned: This email is not from Wellcare and providers should not respond to it.

A good way to determine if an email is fake to look at the email address that it wants you to respond to. In this case, the email asked providers to send medical records to a gmail.com domain. That email domain is not used by Wellcare or any of the health plans under Sunshine Health or Centene.

We will never communicate with you, your staff and your practice via personal email domains such as aol.com, gmail.com, icloud.com, outlook.com, yahoo.com, etc.

If you have concerns about any Wellcare or Sunshine Health communications you receive, please reach out immediately to your Provider Engagement Administrator or call Wellcare Provider Services at 1-855-538-0454. Before you delete any fraudulent communications, please send us a copy so we can warn other providers.

Together, we can protect the private medical information of your patients, our members.

Questions?

If you have questions, please contact your Provider Engagement Administrator, call Wellcare Provider Services at 1-855-538-0454 or visit Wellcare.com/Florida.
Stay up to date on Wellcare provider notices by reviewing and bookmarking Provider Bulletins.

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On Feb. 21, 2024, Change Healthcare experienced a cyber security incident. Any individuals impacted by this incident will receive a letter in the mail. Learn more about this from Change Healthcare, or reach out to the contact center at 1-866-262-5342. ×