Login or create your account to obtain eligibility and claim status information for your patients. On the claim status page, by example, you will see the date a claim was received by Wellfleet, the status of the claim as paid or suspended, the explanation for any suspended claim, or the amount of patient responsibility for any paid claim.
If you have questions please Contact Us.
Massachusetts Bulletin 2024-02 – Annual Mental Health Wellness Exams Applicable to Wellfleet Massachusetts SHIP Plan Members:
Wellfleet provides coverage for an annual mental health wellness examination that is performed by a licensed mental health professional or primary care provider, which may be provided by the primary care provider as part of an annual preventive visit. This benefit will be provided once every 12 months at no cost to the member. Wellfleet partners with the Cigna Network for provider network services. Cigna notified their contracted providers about this requirement. If Providers have questions regarding this requirement, please contact the Wellfleet Provider Relations Team at [email protected].
For additional information regarding this requirement, please refer to MA DOI Bulletin 2024-02 which can be found here.
Wellfleet operates a comprehensive PPO offering of student health insurance plans to colleges and universities throughout the country. Our provider efforts help increase quality of care and lower medical costs for Wellfleet Student members.
Wellfleet has direct relationships with multiple PPO networks at both the national and state levels and utilizes these relationships to ensure plan members receive adequate and appropriate healthcare services.
Our Provider Relations Staff works diligently to assure that our customers receive the most comprehensive service.
Wellfleet & State Specific PA Forms (non-electronic submission)
Cigna & State Specific PA Forms (non-electronic submission)
Hines & State Specific PA Forms (non-electronic submission)
For questions that cannot be resolved by the network, to submit changes to your IRS W9 form, or to update your provider demographic information, email our Provider Relations team.
Whether you’re a current Wellfleet Student member, administrator, or partner — or would like to become one — contact us with any questions you have. We’ll look forward to hearing from you.
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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.