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Provider Claim Escalation

PA Health & Wellness, including Wellcare by Allwell and Ambetter from PA Health & Wellness, all provide excellent customer service through our Provider Services department who are dedicated to answering your questions and resolving issues. They are your first stop in a quest for information:
  • PA Health & Wellness Community HealthChoices (Medical Assistance): 844-626-6813
  • Wellcare by Allwell (Medicare – HMO): 855-766-1456
  • Wellcare by Allwell (Medicare – DSNP): 866-330-9368
  • Ambetter from PA Health & Wellness (Commercial): 833-510-4727

Already called Provider Services? Get your Call Reference Number ready & continue on below!

How to Submit

  1. Complete our Claims Escalation Form below.

What to Expect

  1. Within 3-5 business days, you will receive confirmation at the email address provided that we have received your submission.
  2. Within 30 days, you will receive an email response from your Internal Provider Relations Team with one of the following.
    • Resolution to your submission and what to expect
    • Notification that your submission is being reviewed by our internal operations team and the details around the next steps being taken to resolve the issue. You will receive a reference number for this portion of the review process.
  3. In the event you don't receive a response within the time provided in the notification, please reply to the notification email to follow-up or email
  4. Your Provider Relations team will continue to communicate with you through this email address until the issue is resolved.

Provider Claim Escalation Request (Form)

Fields marked with an asterisk (*) are required.

If you haven’t called Provider Services yet, please reach out at:

Claim Issue Type (select all that apply): required *