Provider manual
The provider manual includes details on working with WellSense, including:
- Appeals, inquiries, and grievances
- Behavioral Health management
- Billing and reimbursement
- Care Management services
- Consumer protections for Qualified Health Plan products
- Credentialing
- Member eligibility
- Member information
- Pharmacy services
- Provider responsibilities
- Provider resources
- Quality management
- Utilization management and prior authorization
- WellSense product information
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