Wellpoint provider portal, phone and payer ID quick facts
| Provider resource entry point | https://www.wellpoint.com/provider |
|---|---|
| Payer contact reference | 1-800-454-3730 |
| Claims payer ID | Select the state, product, transaction and clearinghouse. Maryland Individual and Commercial Availity documentation gives WLPNT; neither it nor the seed 27514 is established as universal. |
| Eligibility payer ID | 27514 — registry reference; verify the member product, transaction and clearinghouse |
| ERA payer ID | 27514 — registry reference; verify the member product, transaction and clearinghouse |
| Timely filing | 180 days (verify applicability) |
| Prior auth route | Verify the current product policy and delegated reviewer; X12 278 support is not established by a portal link |
| Last reviewed | 2026-04-23 |
- This registry has not established a payer-specific appeal ladder for Wellpoint. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Wellpoint at a glance
| Legal name | Wellpoint Health Plan |
|---|---|
| Also known as | Wellpoint (Amerigroup rebrand), Amerigroup/Wellpoint |
| Category | Medicaid MCO |
| Parent organization | Elevance Health |
| Claims payer ID | Select the state, product, transaction and clearinghouse. Maryland Individual and Commercial Availity documentation gives WLPNT; neither it nor the seed 27514 is established as universal. |
| Eligibility (270/271) payer ID | 27514 — registry reference; verify the member product, transaction and clearinghouse |
| ERA (835) payer ID | 27514 — registry reference; verify the member product, transaction and clearinghouse |
| NAIC company code | Not established in this registry |
| States covered | Arizona, Iowa, Maryland, New Jersey, Tennessee, Texas, Washington |
| Members covered | ~2.5 million members |
| Provider resource entry point | https://www.wellpoint.com/provider |
| Provider phone | 1-800-454-3730 |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for Wellpoint
This registry lists 180 days as an initial-claim reference for Wellpoint. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.
| Submission type | Window |
|---|---|
| Initial claim reference | 180 days (verify applicability) |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for Wellpoint. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Source: Wellpoint provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with Wellpoint
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
CMS-0057-F decision-timeframe requirements and exclusions
Verify Wellpoint electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable. Authorization requirements and submission channels depend on the product, service and delegated reviewer. Verify the applicable policy before scheduling; a portal listing is not proof of X12 278 connectivity.
This registry does not provide a current prior-authorization code list for Wellpoint. Start with the provider resources or the policy documents below, then confirm the applicable product, service and effective date. A resource link does not establish that a live code-lookup tool is available.
Top denial reasons for Wellpoint
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient Wellpoint volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| 837P / 837I claims | Listed in registry; verify current scope | Select the state, product, transaction and clearinghouse. Maryland Individual and Commercial Availity documentation gives WLPNT; neither it nor the seed 27514 is established as universal. |
| 270 / 271 eligibility | Listed in registry; verify current scope | 27514 — registry reference; verify the member product, transaction and clearinghouse |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | 27514 — registry reference; verify the member product, transaction and clearinghouse |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
What revenue cycle teams should verify before submitting claims
- Claims routing evidence does not independently verify eligibility, ERA enrollment, or X12 278 support. Confirm each transaction separately.
- The reviewed 837, 270/271 and 278 evidence is scoped to Maryland Individual and Commercial Availity transactions. It does not certify every Wellpoint product nationally.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
portal_url
Source comparison: 2026-09-26
Current official provider gateway selects state and program and links Availity. Prefer this explicit routing resource over the legacy providers hostname.
Primary source for portal_urlpayer_ids / era_payer_id
Source comparison: 2026-09-26
Maryland Individual and Commercial EDI specifies WLPNT in Availity and warns clearinghouse IDs may differ. Neither that product-specific ID nor baseline 27514 is established as universal across Medicaid, Medicare and commercial records.
Primary source for payer_ids / era_payer_idelectronic_claims_supported / supports_279_271 / supports_278
Source comparison: 2026-09-26
Maryland Individual and Commercial EDI explicitly lists 837, 270/271 and 278 through Availity; the broader gateway supports claims, eligibility and authorization functions. This does not prove national transaction support for every product.
Primary source for electronic_claims_supported / supports_279_271 / supports_278
Not checked in this pass: Whole-record approval, legal identity, ownership and complete product coverage; Authenticated transactions and QuickIntell integrations; provider_phone / timely_filing_days: State/program routing is required; retrieved pages do not substantiate baseline 800-454-3730 or universal 180-day initial filing..
Sources used for this guide
State coverage
Wellpoint operates in the following states. Each link opens state-level Medicaid program details, dominant commercial payers, and state-specific RCM regulations.
Evaluate QuickIntell workflow fit for Wellpoint
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for Wellpoint; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for Wellpoint; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for Wellpoint before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about Wellpoint
Where is the Wellpoint provider portal?
Use https://www.wellpoint.com/provider as a starting point for Wellpoint provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for Wellpoint?
This registry lists 180 days as an initial-claim reference for Wellpoint. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.
What is the Wellpoint payer ID?
Claims: Select the state, product, transaction and clearinghouse. Maryland Individual and Commercial Availity documentation gives WLPNT; neither it nor the seed 27514 is established as universal.. Eligibility (270/271): 27514 — registry reference; verify the member product, transaction and clearinghouse. ERA (835): 27514 — registry reference; verify the member product, transaction and clearinghouse. Do not substitute a claims ID for an unverified transaction ID. Check current source findings and the member ID card before submitting.
Does Wellpoint accept electronic claims?
Verify Wellpoint electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable.
How do I appeal a Wellpoint denial?
This registry has not established a payer-specific appeal ladder for Wellpoint. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
How long do Wellpoint prior authorization approvals take?
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
What is the Wellpoint provider phone number?
This registry lists 1-800-454-3730 as a contact reference for Wellpoint. Confirm the number and service scope against the member ID card and current product-specific directory; claims, eligibility and authorization inquiries may use different teams.
Automate workflows around Wellpoint requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against Wellpoint's current published documents before submission. CPT® is a registered trademark of the American Medical Association.