Dear Provider,
Thank you for your continued partnership with Wellcare. As you know, we are committed to continuously evaluating and improving overall Payment Integrity solutions as required by State and Federal governing entities. We are writing today to inform you of new policies Wellcare will be implementing effective on or after 10/21/2024.
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Edit Name |
Description |
Lines of Business |
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NCD Non-Covered Lab Diagnosis |
Enforcement of National Coverage Determination (NCD) guidelines when diagnostic lab testing services are billed only with a diagnosis that is not covered per the NCD. |
Medicare Marketplace Commercial |
Thank you for your continued participation and cooperation in our ongoing efforts to render quality health care to our members. We look forward to helping you provide the highest quality of care for our members.
Sincerely
Wellcare
