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Fraud Warning:

Watch out for Fake Medical Record Requests

Wellcare is warning providers to watch out for fake emails requesting member medical records from providers.

In a recent case, we discovered a fraudulent “Primary Care Provider Authorization Request” email seeking a member’s records. It appears similar to our Utilization Management requests. 

Be warned: This email is not from Wellcare and providers should not respond to it.

A good way to determine if an email is fake to look at the email address that it wants you to respond to. In this case, the email asked providers to send medical records to a gmail.com domain. That email domain is not used by Wellcare or any of the health plans under Sunshine Health or Centene.

We will never communicate with you, your staff and your practice via personal email domains such as aol.com, gmail.com, icloud.com, outlook.com, yahoo.com, etc.

If you have concerns about any Wellcare or Sunshine Health communications you receive, please reach out immediately to your Provider Engagement Administrator or call Wellcare Provider Services at 1-855-538-0454. Before you delete any fraudulent communications, please send us a copy so we can warn other providers.

Together, we can protect the private medical information of your patients, our members.

¿Tiene alguna pregunta?

If you have questions, please contact your Provider Engagement Administrator, call Wellcare Provider Services at 1-855-538-0454 or visit Wellcare.com/Florida.
Stay up to date on Wellcare provider notices by reviewing and bookmarking Provider Bulletins.

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On April 22, 2024, UnitedHealth Group issued a press release, providing an update on the Change Healthcare cybersecurity incident that occurred on Feb. 21, 2024. Given the size of the data impacted, the investigation to determine whose data is impacted is expected to take several months. UnitedHealth Group believes this situation will impact “a substantial proportion of people in America” and is offering immediate credit monitoring and identity protection services, as well as a dedicated contact center to address questions. Visit Change Healthcare Cyberattack Support and/or reach out to the contact center at 1-866-262-5342 regarding any questions.

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