Claim Processing Correction: Non-Covered Service Denials

Date: 02/12/26

Dear Provider Partners, 

Wellcare By Meridian has identified a claim processing error that resulted in certain claims being incorrectly denied as non-covered services. We appreciate your patience as we worked to resolve this issue. 

Issue Summary: 

• Certain claims processed prior to February 11, 2026, were erroneously denied as non-covered services. 
• The system issue was corrected on February 11, 2026. 
• All impacted claims have been identified and are currently being reprocessed and re-adjusted. 
• Claims submitted on or after February 11, 2026, should be processed as intended. 

Next Steps

• No action is required by providers at this time. 
• Please allow 20-30 days for the reprocessing to be completed. 
• Updated remittance advice will reflect the corrected processing once finalized. 

Questions or Support

For questions related to this update or additional questions, please utilize the Provider Inquiry Form.  If you are requesting a review of claims, please be sure to provide a sample of claim numbers in question.