To submit a PPO Pricing Inquiry or Appeal, scan and email all appeal documentation including copy of claim and EOB, to the Provider Relations email box at:
For provider questions that cannot be resolved by the network, to submit changes to your IRS W9 form, or to update your provider demographic information, email the Provider Relations team at:
[email protected] or fax to 413-781-1958.
Click here for a copy of the IRS W9 form and provider sheet.
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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.