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

For Simply Healthcare Plans dba WellPoint Florida,, the practical claims workflow usually starts with electronic submission guidance and only falls back to paper instructions when the payer documents a mailing address for specific claim types or exceptions. The details below keep the workflow broad instead of reducing it to a single 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