Medicare Provider Materials
Wellcare By Allwell
As a valued Allwell provider, we want to share some exciting changes to our Medicare plans. We’ve combined multiple brands under the Wellcare name to offer a better range of plans that provide members with affordable access to doctors, nurses and specialists.
Provider Forms
- Inpatient Authorization Form (PDF)
- Outpatient Authorization Form (PDF)
- Electroconvulsive Therapy (ECT) Authorization Request Form (PDF)
- Inpatient Neuropsychological Testing Authorization Request Form (PDF)
- Outpatient Psychological Testing Authorization Request Form (PDF)
- Outpatient Treatment Request Form (PDF)
- SSBCI Attestations for Chronically Ill Members
- Non-Par Provider Appeal Form (PDF)
- Par Provider Payment Reconsideration Form (PDF)
Other Resources
- QMB Balance Billing FAQs - information about balance billing qualified medicare beneficiaries
- Sunflower Member ID Card Reference Sheet (PDF)
Training Resources
Orientation Resources
- Wellcare By Allwell Orientation Presentation
- Wellcare By Allwell Booklet Provider Guide (PDF)
- Wellcare By Allwell Payspan (Electronic Funds Transfer) (PDF)
- Wellcare By Allwell Prior Authorization Guide (PDF)
- Wellcare By Allwell Risk Adjustment Tips (PDF)
- Wellcare By Allwell Secure Provider Portal (PDF)
- Wellcare By Allwell Quick Reference Guide (PDF)
- Wellcare By Allwell Claim Reconsideration and Dispute Reference Guide (PDF)
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Medicare Provider News
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