Incorrect Claim Rejections Identified for Wellcare By Meridian

We have identified an EDI claim rejection related to provider taxonomy and NPI requirements that was incorrectly applied to some incoming claims for Wellcare By Meridian members. These fields are not required for Dual-eligible claims.

The rejection affected claims received on or after January 1, 2026, for dates of service on or after January 1, 2026. We are actively working to remediate this issue, and the correction is expected to be completed by January 15, 2026.

What providers need to do

• No action is required at this time.
• Providers do not need to resubmit claims that were rejected due to this issue.

What happens next

• Once the issue is corrected, we will reprocess all claims that were inappropriately rejected.
• Providers should begin to see claim status updates showing receipt of their claims approximately one week after the correction date.

We appreciate your patience while we resolve this issue.

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