Provider

Thank you for your interest in our plan.  Harmony understands that maintaining a healthy community starts with providing care to those who need it most.  As the largest Medicaid- and Medicare-only contractor in the nation, the WellCare group of companies offers affordable health care plans to individuals eligible for government-sponsored programs. 

For more information or to  learn how to become a Harmony provider, complete our online form. 

Latest News
5010 Compliance
The federally  mandated compliance date to replace the current X12 Version 4010/4010A1 and NCPDP 5.1 to version 5010 and Version D.0, respectively, is January 1, 2012.  Click for more information.   

Important Changes in Electronic Data Interchange (EDI) Process  –  effective July 18, 2011
Harmony accepts electronic claims only through RelayHealth, a division of McKesson.  If your vendor (i.e., practice management system, billing service or clearinghouse) is not connected to RelayHealth, we strongly encourage you to contact them directly and request that they establish this FREE connection.  Upon confirmation from your vendor of continued electronic claims submission to Harmony via RelayHealth, no further action is necessary.  If you have questions regarding submission of EDI transactions directly through RelayHealth, please see the provider notice and FAQs for more information, or refer to your Quick Reference Guides for contact infromation for providers and vendors. 

Easy Access to Important Information
Click on the Resources tab above to access the wealth of information this website has available for our physician and provider partners, or use the other tabs to access useful resources like claims, authorizations and eligibility information from the secure provider-only portion of this site. 

The key to using our system is knowing your Provider ID number, located on your provider welcome letter and on every Explanation of Payment (EOP) you receive from us.  Be sure to have your Provider ID handy when calling or when accessing our secure online provider portal.  If you don't know your Provider ID number, contact your local Provider Relations Representative. 

Not Registered?
As part of Harmony's network of providers, you can take advantage of a variety of services available on this site to manage your Harmony online account.  Your user name and password are required to access our secure provider only portal.

Register Today!  Sign Up Here