Wellcare Prior Authorization Phone Number and Support Services

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If you're a Wellcare member, you can reach out to their Prior Authorization phone number to get help with your medical treatment.

Wellcare offers a Prior Authorization phone number for members to call and discuss their treatment plans.

You can also contact Wellcare's customer service department for additional support.

To get started, simply dial the Wellcare Prior Authorization phone number, which is 1-866-344-3746.

Getting Help with Prior Authorization

You can get prior authorization by calling Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan) or by sending a request through their web portal, by phone, or by fax.

If you ask for a "fast decision", you will get a response within 72 hours after they receive your request, or within 24 hours for Part B drug requests.

You can also reach out to Member Services at 1-855-735-4398 (TTY: 711) for any questions you may have about prior authorization.

To ask for an appeal, you'll need to provide your name, address, Wellcare Prime ID number, reasons for appealing, and medical records or a doctor's letter.

For your interest: Hipaa Records Request

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You can mail, fax, or hand-deliver your appeal, or call Wellcare Prime.

For a standard appeal, you'll get a written answer within 30 calendar days for items and services, or 7 calendar days for Part B drug appeals.

If your appeal is for payment of a service you've already received, you'll get a written answer within 30 calendar days.

Here are the contact numbers for Pharmacy Help Desk:

  • AmeriHealth Caritas: 866-885-1406
  • Carolina Complete Health: 833-992-2785
  • Healthy Blue: 833-434-1212
  • United Healthcare: 855-258-1593
  • WellCare: 866-799-5318, option 3
  • NCTracks: 800-688-6696

Contacting Wellcare Support

To reach Wellcare support, you can call their dedicated phone line at 866-799-5318.

You'll need to press option 3 to speak with a representative.

This will connect you with someone who can assist with your questions or concerns about Wellcare services.

Pharmacy Help Desk

If you need help with a pharmacy-related issue, there are several options available to you.

You can contact AmeriHealth Caritas at 866-885-1406 for assistance.

AmeriHealth Caritas is just one of the many pharmacy help desks you can reach out to.

Credit: youtube.com, Step-by-Step How-To Provider Search: WellCare Medicare Advantage

For Carolina Complete Health, you can call 833-992-2785 for pharmacy support.

United Healthcare's pharmacy help desk can be reached at 855-258-1593.

WellCare's pharmacy help desk is available at 866-799-5318, option 3.

NCTracks also offers pharmacy support, and you can reach them at 800-688-6696.

Here's a list of the pharmacy help desks you can contact:

  • AmeriHealth Caritas: 866-885-1406
  • Carolina Complete Health: 833-992-2785
  • Healthy Blue is not listed, but you can try contacting the other options
  • United Healthcare: 855-258-1593
  • WellCare: 866-799-5318, option 3
  • NCTracks: 800-688-6696

Wellcare Health Net Provider Phone Number

If you're a healthcare provider looking to get in touch with Wellcare By Health Net, you can call 1-800-275-4737 for PPO plans. This number connects you with a representative who can assist with provider-specific questions.

For HMO DSNP and CSNP plans, such as Wellcare Dual Liberty, Wellcare Dual Align, and Wellcare Specialty No Premium, you'll need to call 1-800-431-9007. You can also use this number for TTY services by dialing 711.

If you're a provider in Fresno, Kings, and Madera Counties, you can call 1-833-236-2366 to reach the Wellcare By Health Net provider services line, which is specifically for Wellcare CalViva Health Dual Align.

Frequently Asked Questions

How to check wellcare authorization?

To check Wellcare authorization, select your line of business and enter a CPT code in our lookup tool. Please note that this is for general information only and may not reflect specific member or contract agreements.

Sean Dooley

Lead Writer

Sean Dooley is a seasoned writer with a passion for crafting engaging content. With a strong background in research and analysis, Sean has developed a keen eye for detail and a talent for distilling complex information into clear, concise language. Sean's portfolio includes a wide range of articles on topics such as accounting services, where he has demonstrated a deep understanding of financial concepts and a ability to communicate them effectively to diverse audiences.

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