Wellspace Nexus

General Knowledge

• Well space allows one year from the date of service to submit the claim

  
  

• One year for an appeal/provider dispute from the denial date.

  
  

• New Evaluation and Management codes such as 99205,99204 etc...

  
  

• A referring provider is required on the CMS 1500

  
  

• The CIF appeals dispute can be accessed on the portal, and the most efficient and convenient method is to submit it through the portal.

  
  

• Retroactive prior authorization are allowed 30days when the claim has not been processed.

  
  
• If a claim has been processed and denied for prior AUTH we have 5 days, if its after five days must submit an appeal for medically necessity we can appeal for medical review.

Well space Website >>CLICK HERE<<

Supported Clearinghouse:  Office Ally  

Payor Name:  Well Space Nexus LLC  

Payor ID: NEXUS

Mail: Well Space Nexus

PO Box 869148,

Plano Tx 75086

If you have any questions, please contact (916) 737-5577 or info@wellspacenexus.org.

Updated on: 12/10/2024 DP