North Carolina Medicaid Enrollment and Billing

Wellcare Claims

Overview and Informational Webinar

Instructions for Submitting Professional Medical Claims via Availity for Wellcare

1. Set Up an Availity User Account:
   • Refer to the Availity Essentials Registration Cheat Sheet for step-by-step guidance on creating your user account and accessing the Availity Essentials Multi-Payer Provider Portal.
2. Access Billing Guidance:
   • For detailed instructions on submitting medical claims through Availity, refer to the Healthy Blue Professional Claims Instruction Guide.
3. Submit Claims to Wellcare:
   • Follow the same method outlined in the Healthy Blue guide for submitting claims.
   • When prompted, select Wellcare as the payer.

Background and Protocols

Medicaid Enrollment Requirements

Navigating the Enrollment Process

Submitting a Medical Claim