Claims

Submit Claims

To expedite payments, we suggest you submit claims electronically, and only submit paper claims when necessary. You can now submit claims through our online portal.

Send claims within 90 days for Well Sense Health Plan.

In order to pay your claims quickly and accurately, we must receive them within 90 days of the date of service.

Please submit a:

  • Single claim for each patient
  • Separate claim form for each provider who saw a patient
  • Separate claim form for each site where a patient received services

Submitted claims must:

  • Meet all prior authorization requirements and include the prior authorization number
  • Include both your National Provider Identifier (NPI) and tax ID numbers

For more information, please see the Provider Manual, Section 9, Billing and Reimbursement.

Contact Us

Provider Services:
877-957-1300 option 3
Email us

Do we have your email address? Email us with your contact information to ensure you receive our communications.

Non-Participating Providers

If you are a non-participating provider and have received prior approval to provide service to a member, you must complete paperwork to become active in our system prior to providing a service.

Complete paperwork here.

Important Forms and Documents

important docs

Access important forms and documents to submit prior authorizations, claims, appeals and more.

Get important forms now.