Wellcare Attestation Form
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You can also download it, export it or print it out. Web navigator attestation form part 1: Web effective january 1, 2023, fax attestations are no longer accepted. Web submit an attestation form through ssbci.rrd.com indicating your patient meets the eligibility requirements.
You Can Find These Forms By Selecting “Providers” From The Navigation Bar On.
Web send wellcare attestation form via email, link, or fax. Licensed sales agents available to help you find a plan in missouri Provider resources, forms and manuals can be found here. Submit a claim with the appropriate diagnosis codes.