Payer ID 59354: WellCare (Encounters)

59354 is the electronic payer ID for WellCare (Encounters), according to the Stedi payer network directory. Enter 59354 in loop 2010BB of an 837 claim - the payer name segment, with qualifier PI in NM108 and the ID in NM109 - to route the claim to WellCare (Encounters). Payer IDs are assigned per clearinghouse, so confirm 59354 on your own clearinghouse's payer list before you submit.

Payer ID 59354 at a glance

Electronic payer ID
59354
Payer
WellCare (Encounters)
Claim location
837 loop 2010BB, NM109
Source
Stedi payer network directory

Where payer ID 59354 goes on a claim

On an electronic professional (837P) or institutional (837I) claim, the payer is identified in loop 2010BB, the payer name loop. The NM1 segment there carries entity identifier code PR (payer), the payer's name, the qualifier PI in NM108, and the payer ID itself in NM109:

NM1*PR*2*WELLCARE (ENCOUNTERS)*****PI*59354~

The same NM1*PR structure names the payer in loop 2100A of 270 eligibility and 276 claim status requests. Many clearinghouses use one payer ID for claims, eligibility, and claim status, but some assign a separate ID per transaction, so check the payer list for each transaction type you send.

Before you submit to payer ID 59354

  1. Read the member's ID card

    The claims payer ID or claims address printed on the card is the most specific source for that member's plan. Where it differs from a directory listing, the card generally reflects how that plan wants claims sent.

  2. Check whether a third-party administrator runs the plan

    Self-funded employer plans route claims to their administrator's payer ID, which is often different from the network or carrier name printed on the card.

  3. Confirm the ID on your clearinghouse's payer list

    Payer IDs are assigned per clearinghouse. Large national payers tend to use the same ID nearly everywhere; regional plans and administrators often do not. Search your clearinghouse's list for 59354 and confirm it maps to WellCare (Encounters).

  4. Watch the acknowledgments, not just the remittance

    A wrong payer ID fails at the clearinghouse or on the 277CA claim acknowledgment, not as a denial on the 835. A rejected claim was never received by the payer, so the timely filing clock keeps running until a corrected claim is accepted.

WellCare (Encounters) billing reference

Payer ID 59354 questions

Which insurance company uses payer ID 59354?
Payer ID 59354 belongs to WellCare (Encounters) in the Stedi payer network directory. Payer IDs are assigned per clearinghouse, so check 59354 against your own clearinghouse's payer list before submitting.
What is the WellCare (Encounters) payer ID?
The WellCare (Encounters) electronic payer ID is 59354. It goes in loop 2010BB of the 837 claim. Payer IDs are assigned per clearinghouse, so confirm 59354 against your own clearinghouse's payer list before relying on it.
Where do I enter payer ID 59354 on an 837 claim?
In loop 2010BB, the payer name loop: the NM1 segment with entity identifier PR, qualifier PI in NM108, and 59354 in NM109. The same NM1*PR structure identifies the payer in loop 2100A of 270 eligibility and 276 claim status requests, though some clearinghouses assign a different payer ID for those transactions.

Payer IDs for related payers

60054 - AetnaBSKAI - Skai Blue Cross Blue Shield61101 - Humana87726 - UnitedHealthcareCMS - National Centers for Medicare & Medicaid Services62118 - Aetna Senior Supplemental Insurance
Every payer ID in the directory

Payer IDs come from the payer network directory named above and are assigned per clearinghouse. Always confirm the ID with your clearinghouse and the member's card before submitting a claim.