How To Submit Claims To Simply Healthcare Plans dba WellPoint Florida,

Simply Healthcare Plans dba WellPoint Florida,'s reviewed provider guidance starts with this submission channel: Availity Essentials Claims & Payments application. Confirm the member plan and claim type before using a payer ID or paper address.

At a glance

Electronic claim submission is the preferred operational channel. The provider manual supports X12 837 professional, institutional, and dental claims through EDI/Availity, and the claims page directs providers to Availity-based workflows. Paper claims are discouraged and should only be used when a specific reason exists for filing on paper. Claim status is available through X12 276/277 and Availity Claims & Payments/Claim Status.

Submission channels

Availity Essentials Claims & Payments application
EDI X12 837 professional / institutional / dental claims
EDI X12 276/277 claim status inquiry/response
Paper claims only when specifically required
B2B API / EMR integrations where available

Electronic claims payer IDs

Not clearly published in the researched sources.

Paper claims addresses

Not clearly published in the researched sources.

Corrected claims and follow-up

Submit the entire claim as a replacement claim when correcting omitted charges or changed claim information.
Submit the entire claim as a void/cancel of the prior claim when the original claim was billed in error.
Use Claim Frequency Type 7 for replacement claims in EDI.
Do not use the paper submission process for corrections unless there is a specific reason for filing a paper claim correction.
Claims status resource 1
Claims status resource 2

Caveats

No payer ID or paper claim mailing address was verified in the reviewed official sources.
The claims page captured in review was sparse and referenced a hearing-aid update; the provider manual provided the substantive claims workflow details.

Provider resources

Florida provider home (official)
Provider manual (official)
Claims submission (official)
Prior authorization (official)
Policies, guidelines, and manuals (official)
Forms and guides (official)
Availity registration / access (official)

Sources

Fact	Value	Source	Confidence
EDI and Availity claims	Wellpoint supports X12 837 claims and Availity Essentials claims functionality, including claim submission, attachments, and status.	Official	high
Claim status inquiry	Wellpoint supports X12 276/277 for claim status inquiry and response.	Official	high
Corrected claims	To correct a previously submitted claim, submit the entire claim as a replacement claim or as a void/cancel of the prior claim, depending on the issue.	Official	high
Paper claims discouraged	Digital claim submission through Availity.com or EDI is the preferred method; filing paper claims can cause delays and should be avoided unless specifically needed.	Official	high

Last reviewed: March 27, 2026

Sources used: 1 official