TTY/TDD (Harmony) Call: 1-877-650-0952
Authorization Look-Up Tool
Search quickly and easily by CPT code.
Detailed health plan information on important topics such as coverage procedures and policies.
Quick Reference Guide
Contains key phone numbers and information on claims, appeals and more.
Find forms for appeals, authorizations, behavioral health and more.
Behavioral health services transitioned from Magellan to the Harmony Behavioral Health Integrated Program.
Harmony currently collaborates with CareCore National to provide prior authorization for advanced radiology, cardiology, sleep management and pain management requests. On August 18, 2014, our partnership expanded to include certain Molecular and Genetic Laboratory Tests, Radiation Therapy, and Outpatient Occupational and Physical Therapy.
Get updates about our processes and ensure your claim is handled efficiently.
Clinical Coverage Guidelines
Evidence-based guidelines detailing the medical necessity of procedures or technologies. Note: Please check the Position Statement in each CCG to determine coverage determination for your state/market.
Clinical Practice Guidelines
Best-practice recommendations based on available clinical outcome and scientific evidence.
WellCare is pleased to offer providers electronic funds transfer (EFT) and electronic remittance advice (ERA) services at no charge. Find out why it pays to enroll in these beneficial programs.
Harmony will be compliant with the Centers for Medicare & Medicaid Services (CMS) rule for ICD-10 readiness beginning Oct. 1, 2015. We have compiled important information and Frequently Asked Questions for providers.
Helpful documents to assist providers as they care for members.
Get recent information about pharmaceuticals, cost, quality of care and more.
Educational resources regarding initiatives that require specific actions by providers. You must log in to access required training. Register now.