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Authorization Lookup

Please select your line of business and enter a CPT to lookup authorization for services. This tool is for general information only. It does not take into consideration a specific member or contract agreement.

Wellcare providers are advised to use the Secure Provider Portal. This takes into consideration all factors, including the specific member, in order to determine whether prior authorization is required for certain services and procedures.

To get started, log in to your Secure Provider Portal below and select “Create New Authorization” from the Care Management tab.

Please find additional guides on submitting and checking authorization requirements in the resources section below.

Authorization Resources

New Jersey Medicare Quick Reference Guide

WellCare of New Jersey Medicaid Quick Reference Guide

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Last Updated On: 8/1/2023
Wellcare will be performing maintenance on Saturday, December 21, from 6 P.M. EDT to 8 A.M. EDT the next day. You might not be able to access systems or fax during this time. We are sorry for any issues this may cause. Thank you for your patience. If you need assistance, contact us. ×