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Wellcare Transitions to Availity Essentials

September 19, 2024

Wellcare has chosen Availity Essentials as its new, secure provider portal. Effective November 18, 2024, you can validate eligibility and benefits, submit claims, check claim status, submit authorizations, and access Wellcare’s payer resources via Availity Essentials.

GETTING STARTED

If you are already working in Essentials, you can log in to your existing Essentials account through the Availity Essentials portal, to enjoy these benefits for Wellcare’s members beginning November 18, 2024:

  • Use Availity Essentials to verify member eligibility and benefits, submit claims, check claim status, submit authorizations, and more.
  • Receive Additional Functionality in Wellcare’s payer space on Essentials and use the heart icon to add apps to My Favorites in the top navigation bar. Wellcare’s Secure Provider Portal will still be available for other functions you may use today.
  • Access Manage My Organization Providers to save provider information. You can then auto-populate that information to eliminate repetitive data entry and reduce errors.

If you are new to Availity Essentials, getting your Essentials account is the first step toward working with Wellcare on Availity. Providers can get started prior to November 18, 2024 by:

  • Designating an Availity administrator for your provider organization. Your provider organization’s designated Availity administrator is the person responsible for registering your organization in Essentials and managing user accounts. This person should have legal authority to sign agreements for your organization.
  • Visiting the Register and Get Started with Availity Essentials webpage for training and access other helpful resources.
  • Noting: Availity is not replacing Wellcare’s Secure Provider PortalThe Availity Essentials capabilities are being expanded from what is currently offered. Providers who prefer to use Wellcare’s Secure Provider Portal may continue to do so at their convenience.

NEXT STEPS

HOW DOES THIS IMPACT ME?

WHAT IS MY NEXT STEP?

My organization currently uses Availity today, and I am the designated Availity administrator.

Wellcare is enabling additional features in Availity for your convenience. Please visit the Register and Get Started with Availity Essentials webpage for training and access other helpful resources.

My organization currently uses Availity today, and I am NOT the designated Availity administrator.

Your designated Availity administrator will determine who needs access to Availity Essentials on behalf of your organization and will add user accounts in Essentials. Please contact your administrator for assistance.

My organization does not use Availity today or I am not sure who will be the designated Availity administrator for my organization.

Share this information with your manager to help determine who will be the designated Availity administrator for your organization.

Please visit the Register and Get Started with Availity Essentials webpage for training and access other helpful resources.

ADDITIONAL INFORMATION & RESOURCES

Availity will be hosting webinars for you to learn additional tips for streamlining your workflow. You will learn how to verify eligibility and benefits, submit claims, check claim status, submit authorizations, and more. Please be on the lookout for these trainings once they are scheduled.

We're excited to welcome you to Availity Essentials, helping you transform the way you impact patient care with Wellcare. If you need additional assistance with your registration, please call Availity Client Services at 1-800-AVAILITY (282-4548). Assistance is available Monday through Friday, 8 a.m. – 8 p.m. ET. For general questions, please reach out to your local Account Manager. To access their contact information visit Find My Account Manager.

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Last Updated On: 9/19/2024
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