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Provider Relations
Increased quality of care and lower medical costs for Wellfleet Workplace health plan members: That’s what our Provider Relations Team delivers.
Wellfleet has direct relationships with multiple PPO networks at both the national and state levels and utilizes these relationships to ensure plan members receive the most appropriate and comprehensive healthcare services available to them.
To submit a PPO Pricing Inquiry or Appeal, scan and submit all appeal documentation, including a copy of the claim and EOB, to our Provider Relations team.
For a copy of the IRS W9 form and provider sheet, click here.
• Assistant Surgeons Not Applicable – Effective 6/1/2021
• Wellfleet Assistant Surgeon List
• Drug Screen – Effective 9/1/2020
• Experimental and Investigational – Effective 9/1/2020
• Experimental and Investigational – Wellfleet E-I Code
• Experimental and Investigational – Wellfleet Unlisted Code
• Never Events/Healthcare Acquired Conditions – Effective 5/1/2021
• Platelet-Rich Plasma Injections – Effective 6/1/2021
• Robotic Surgery – Effective 9/1/2020
• Assistant Surgeons Not Applicable – Effective through 5/31/2021
• Drug Screen – Effective through 8/31/2020
• Experimental and Investigational – Effective through 8/31/20
• Never Events/Healthcare Acquired Conditions – Effective through 4/30/2020
• Platelet-Rich Plasma Injections – Effective through 5/31/2021
For questions that cannot be resolved by the network, to submit changes to your IRS W9 form, or to update your provider demographic information, email our Provider Relations team.
Provider Search
To find providers in one of our partner networks, visit the link that corresponds with the logo on your ID card.
1500 Main Street, Suite 1000, Springfield, MA 01115-5369
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Wellfleet is the marketing name used to refer to the insurance and administrative operations of Wellfleet Insurance Company, Wellfleet New York Insurance Company, and Wellfleet Group, LLC. All insurance products are administered or managed by Wellfleet Group, LLC. Product availability is based upon business and/or regulatory approval and may differ among companies.