Contact Provider Relations

This updated workflow enhances coordination between Provider Relations and Data Management, focusing on:

• Timely Issue Resolution: Ensuring concerns are addressed more efficiently.
• Improved Inventory Management: Allowing for more accurate tracking and resolution of disputes.

We aim to provide prompt and effective support. When you submit a request:

• You'll receive a response within 10 business days for D-SNP/Medicaid items and 30 business days for Wellcare/Ambetter 
• Our response will include a detailed tracking ticket, clear next steps, and an expected timeline for resolution.
• Once the issue is resolved, we'll provide a root cause analysis to ensure transparency. If you have further concerns, you can request a virtual meeting with our team to discuss the resolution.

To make the process seamless:

1. Submit one issue per intake form.
2. Select the appropriate line of business (Medicaid, Wellcare By Meridian [D-SNP], Ambetter, or Wellcare).
3. Include all requested details and relevant information in your submission to avoid delays or having to resubmit.