August 25, 2026
Ancillary providers must promptly report information changes to help prevent claim denials and payment delays.
You are required to notify Wellcare in writing when changes occur that affect your provider records or contracting information.
Failure to notify us will result in claims being submitted under information that does not match our contracted provider records. Claims may be denied, processed as out of network or delayed until your records are updated.
Written Notification Is Required for These Changes
Under the terms of your provider agreement, you must notify us in writing when any of the following changes occur:
- Change of ownership
- Tax Identification Number (TIN) change
- National Provider Identifier (NPI) change
- Business name change
- Address or location change
- Site addition
- Site closure
- Phone number change
- Other changes that affect provider records or contracting information
Where to Send Notifications
- Changes Affecting Your Provider Contract
- If you are undergoing a change of ownership, you must notify the Contracting Department and provide any required regulatory approval documentation as part of the Change of Ownership process. Send written notification to: AncillaryContractNotices@healthnet.com.
- Changes Not Affecting Your Contract
- If the change is limited to your address, phone number or other demographic information, you must contact your Provider Engagement representative.
- If you do not know who your Provider Engagement representative is, contact Wellcare at 866-999-3945.
Who This Applies To
This requirement applies to ancillary providers. Ancillary providers include, but are not limited to:
|
|
Need Help? Contact Us
Relevant sections of the Wellcare Provider Manual have been revised to reflect the information contained in this update as applicable. The manual is available online at Wellcare California Medicare Providers.
If you have questions regarding the information contained in this update, contact 866-999-3945.
This information applies to Ancillary Providers.
