WellCare Plans: Administep
Please follow the instructions below to submit your WellCare Health Plan claims through Administep
To add a mailbox for the Administep Clearinghouse please send an email to firstname.lastname@example.org
Include the following in your message:
To EDI Team,
Please add a mailbox to my account for the Administep Clearinghouse:
Billing Professional or Institutional claims?:
Name of Software creating my EDI files:
We will contact you once we are ready to set up your mailbox in ClaimShuttle.
Please Note: if you are using ClaimShuttle as your NSV for file exchanges with Administep you must have your own software that can create your 837s according to Administep’s 837 requirements.
If you are using PC-Ace Pro32, Medicare's free software, you may upgrade your subscription to add-on our SolAce software so you can create 837 files for all of our available receivers. If you are interested in using our software and need further information please feel free to call our sales team at 602-439-2525 option 2.
(Administep’s 837 Requirements: ISA05 & ISA07 = ZZ, ISA06, GS02, & 1000A NM109=Submitter TAX ID, ISA08, GS03, & 1000B NM109 = 752777124, Carriage Return = ~, Element Delimiter = *, Sub-element Delimiter = > )
The following are WellCare plans you can submit claims to electronically via Administep:
Harmony Health Plan of IL
Harmony Health Plan of IN
Ohana Health Plan
Staywell Health Plan
WellCare of Georgia
and WellCare CT
We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.