Payer ID WELM2: WellMed

Electronic transactions for payer ID WELM2

What WellMed accepts electronically under payer ID WELM2, and which transactions need provider enrollment before they work, as listed in the Stedi payer network directory.

Support is per clearinghouse connection: a transaction listed as not supported here may still work through another clearinghouse or the payer's portal. Enrollment, where required, is done once per provider and clearinghouse.

Where payer ID WELM2 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*WELLMED*****PI*WELM2~

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 WELM2

1. 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. 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. 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 WELM2 and confirm it maps to WellMed.

4. 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.

Other payer IDs and plan names for WellMed

Stedi's payer network also accepts these 8 IDs for WellMed. If your clearinghouse, an older payer list, or a remittance shows one of them instead of WELM2, it most likely routes to the same payer - confirm on your clearinghouse's payer list before you submit.

• 00175
• 3201
• 7923
• 16574
• 101366
• PEGUN
• TH023
• TH023MA

Plan and payer names Stedi's network routes to WellMed under WELM2. A member card that names one of these, without its own claims payer ID, most likely belongs here.

• UnitedHealthcare
• WellMed Medical Management Inc.

WellMed billing reference

• WellMed writes dental, medical, vision coverage in 2 states (FL, TX). Rette indexes 8 WellMed policy documents - coverage criteria, prior authorization requirements, and billing guidelines.

  WellMed timely filing, prior auth, and appeals

Payer ID WELM2 questions

Which insurance company uses payer ID WELM2?

Payer ID WELM2 belongs to WellMed in the Stedi payer network directory. Payer IDs are assigned per clearinghouse, so check WELM2 against your own clearinghouse's payer list before submitting.

What is the WellMed payer ID?

The WellMed electronic payer ID is WELM2. It goes in loop 2010BB of the 837 claim. Payer IDs are assigned per clearinghouse, so confirm WELM2 against your own clearinghouse's payer list before relying on it.

Where do I enter payer ID WELM2 on an 837 claim?

In loop 2010BB, the payer name loop: the NM1 segment with entity identifier PR, qualifier PI in NM108, and WELM2 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.

Can I check eligibility electronically with payer ID WELM2?

Yes. Stedi's payer network lists real-time eligibility and benefits checks (270/271) for WellMed under payer ID WELM2, with no enrollment step.

Do I need to enroll to receive ERAs from payer ID WELM2?

Yes. Stedi's payer network lists 835 electronic remittance advice from WellMed as requiring enrollment, which typically takes weeks. ERAs are enrolled per clearinghouse, so enrolling with a new clearinghouse usually moves your 835s to it.

Does WellMed use any payer ID other than WELM2?

Stedi's payer network also accepts 00175, 3201, 7923, 16574, 101366, PEGUN, TH023 and TH023MA for WellMed. Clearinghouses and older payer lists often show one of these instead of WELM2; if yours does, it most likely routes to the same payer, but confirm on your clearinghouse's payer list before you submit.

Payer IDs for related payers