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WellCare Writes Schedule Change
Our WellCare Writes Newsletter will be changing its weekly scheduled delivery after this week.
We will continue to send our newsletter monthly going forward until further notice is provided.
Please note: WellCare Writes newsletters that have gone out throughout the year will be posted on the new WellCare site shortly for your reference going forward.
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Understanding Enrollment Rejection Codes
The WellCare Secured Producer Portal is a great tool to track your commissions, applications & enrollments, marketing materials, etc.
The Applications & Enrollments tab lists rejection codes that are related to applications submitted.
Below are top rejection code acronyms and their meaning.
• IEUWG: Individual eligibility under writing guidelines not met; ineligible
• VEEF: Void enrollment as of effective date
• TMNVE: Termed as never enforced; early cancellation
• EIOP: Enrolled in other plan
• OOSA: Out of service area
• WAAR: Withdrawn at applicants request
• PNC: Plan name change
• CNGPC: The member requested to change the PCP (Primary Care Physician)
• PRMWH: Premium withhold (member requested change in how premiums are withheld or not withheld)
• EC: Early Cancellation
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Need Assistance?
Please contact your local District Sales Manager or WellCare Producer Services via message or phone at 866-822-1339 with further questions.
Producer Service Hours:
Mon-Fri 9am-6pm EST
For plan changes, please contact our Call Center at: 877-386-4048.
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Resolving Requests for Information (RFI)
It is important to login to the Secured Producer Portal and review the Applications & Enrollments tab during AEP. Any application showing a status of, “Need More Information” is a call to action for a RFI. • To satisfy the RFI, please call the RFI Remediation Line: 877-677-5609 as soon as possible to avoid further delay in processing the enrollment. • Please make sure to have member information ready so the representatives can better assist and provide immediate correction. Providing the best coverage to potential Members is our number one goal! Satisfying RFI’s will allow us to provide the coverage that beneficiaries deserve!
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Tip When Presenting the Enrollment Resource Guide
Giving the best service and providing the most accurate information to our Members is very important to WellCare.
Here is a helpful tip when presenting the Enrollment Resource Guide:
• When with the potential Member, reference the Summary of Benefits section within the guide, to show the breakdown of the plan/county information available.
• This will provide a better understanding of the benefits specifically available to them.
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Important Note!
The information contained within this communication supersedes all previous correspondence for the topics above.
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OEP SPOP Hours
The SPOP hours during AEP are as follows:
M-F 8am to 10pm Eastern
Sat 8am to 4pm Eastern
Sun 1pm to 4pm Eastern
NOTE: The SPOP Automated Voice Response system verification from the State Medicaid Line has a different number for each state. The number for your market can be found on the back of your Medicaid card.
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