This program focuses on supporting cancer patients who are at high risk for complications and side effects associated with their cancer or treatment and would benefit from the support of our experienced, specialized cancer nurses. 2023 WellMed Medical Management Inc. All Rights Reserved. Maternity Support for UnitedHealthcare Community Plan Members For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. 0000009876 00000 n Now you can quickly and effectively: Verify patient eligibility, effective date of coverage and benefits View and submit authorizations and referrals View claims status Submit referrals to . Located inside HEB Culebra Located inside Cross Roads Seniors Center Email: WebsiteContactUs@wellmed.net Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Licensed clinicians are on call 24 hours a day, 7 days a week. UnitedHealthcare Dental Provider Portal MondayFriday, 9 a.m. 5 p.m. (ET). Located inside WellMed at Northwest Blvd. Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 2922 Morgan Ave. Ask questions regarding your Agreement, in-servicing and follow-up or outreaches. Located inside WellMed at Great Northwest Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services eProvider Resource Gateway "ePRG", where patient management tools are a click away. WellMed is listed in the lower right corner of the card. If mailing, send to: WellMed Claims Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * We're innovators in preventative health care, striving to change the face of health care for seniors. Call: 1-888-781-WELL (9355) Email: WebsiteContactUs@wellmed.net Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 0000010612 00000 n MondayFriday, 8 a.m. to 5 p.m. (ET). Only available under certain plans. Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed Please contact our Patient Advocate team today. 0000005057 00000 n Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Illinois Medicaid: 800-787-3311. Dallas, TX 75265-0287. Eligibility and Benefits Verifications. Box 6106 MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. 13725 Northwest Blvd. 0 Text "HELLO" to 741741 or visit https://988lifeline.org/. UnitedHealthcare Insights MondayFriday, 9 a.m. 5 p.m. (ET). WellMed accepts Original Medicare and certain Medicare Advantage health plans. Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and behavioral health, Policies for most plan types, plus protocols, guidelines and credentialing information, Specifically for Commercial and Medicare Advantage (MA) products, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients. Ohio Medicaid: 877-856-5707. San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed Submit informal complaints. <> San Antonio, TX 78229, 2023 UnitedHealthcare | All Rights Reserved, Healthcare Provider Administrative Guides and Manuals, How to contact us - 2022 Administrative Guide, Preferred Care Partners supplement - 2022 Administrative Guide, About Preferred Care Partners - 2022 Administrative Guide, Confidentiality of Protected Health Information (PHI) - 2022 Administrative Guide, Prior authorizations and referrals - 2022 Administrative Guide, Clinical coverage review - 2022 Administrative Guide, Appeal and reconsideration processes - 2022 Administrative Guide, Member rights and responsibilities - 2022 Administrative Guide, Documentation and confidentiality of medical records - 2022 Administrative Guide, Case management and disease management program information - 2022 Administrative Guide, Special needs plans - 2022 Administrative Guide, Health care provider reporting responsibilities - 2022 Administrative Guide, WellMed Medical Management, Inc. (WellMed), Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources. %PDF-1.7 % 1301 E. Fern Ave. Suite C1 Call: 1-888-781-WELL (9355) 0000026981 00000 n Behavioral Health Resources Find Caregiver Resources (Opens in new window). For password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). Visit a location today or contact us for more information. The program is intended to improve quality and value in cancer care by supporting the use of therapies supported by evidence-based guidelines to improve outcomes. South Carolina Medicaid: 866-432-0001. Denials with solutions in Medical Billing, Denials Management Causes of denials and solution in medical billing, CO 4 Denial Code The procedure code is inconsistent with the modifier used or a required modifier is missing, CO 5 Denial Code The Procedure code/Bill Type is inconsistent with the Place of Service, CO 6 Denial Code The Procedure/revenue code is inconsistent with the patients age, CO 7 Denial Code The Procedure/revenue code is inconsistent with the patients gender, CO 15 Denial Code The authorization number is missing, invalid, or does not apply to the billed services or provider, CO 17 Denial Code Requested information was not provided or was insufficient/incomplete, CO 19 Denial Code This is a work-related injury/illness and thus the liability of the Workers Compensation Carrier, CO 23 Denial Code The impact of prior payer(s) adjudication including payments and/or adjustments, CO 31 Denial Code- Patient cannot be identified as our insured, CO 119 Denial Code Benefit maximum for this time period or occurrence has been reached or exhausted, Molina Healthcare Phone Number claims address of Medicare and Medicaid, Healthfirst Customer Service-Health First Provider Phone Number-Address and Timely Filing Limit, Kaiser Permanente Phone Number Claims address and Timely Filing Limit, Amerihealth Caritas Phone Number, Payer ID and Claim address, ICD 10 Code for Sepsis Severe Sepsis and Septic shock with examples, Anthem Blue Cross Blue Shield Timely filing limit BCBS TFL List, Workers Compensation Insurances List of United States, Workers Compensation time limit for filing Claim and reporting in United States. Kentucky Medicaid: 800-444-9137. MondayFriday, 9 a.m. 5 p.m. (ET). We are happy to help. Provider Bulletins The latest updates and information for providers. 5042 South Padre Island Dr. Contact MedCare to arrange for these services. 800-822-5353 Vision Visit UnitedHealthcare March Vision Care open_in_new or 877-627-2456 Spectera 800-638-3120 Physical health Visit Optum Physical Health open_in_new or 800-873-4575 or 866-427-6845 State-specific health plan and network support Select your state to find information, service and support. Telehealth. Member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as the For Providers contact. Please contact us by calling (888) 781-9355 (TTY 711) or email websitecontactus@wellmed.net. . If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. Use Payer ID WELM2. 2023 WellMed Medical Management Inc. All Rights Reserved. MondayFriday, 9 a.m. 5 p.m. (ET). 0000002296 00000 n 2023 WellMed Medical Management Inc. All Rights Reserved. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Box 6106 We are happy to help. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Corpus Christi, TX 78415, Medicare Information Center brought to you by WellMed Cypress, CA 90630. Report demographic changes. Member Services available 24 hours. 101 Eligibility and benefits interactive guide Access a list of behavioral health care providers in the provider directory. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Call: 1-888-781-WELL (9355) Email: WebsiteContactUs@wellmed.net Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Provider services Medicaid and CHIP 1-800-454-3730 Medicare Advantage 1-866-805-4589 STAR+PLUS MMP (Medicare-Medicaid Plan) 1-855-878-1785 Fax 1-800-964-3627 Email us mpsweb@amerigroupcorp.com Contact your local Amerigroup health plan and Provider Relations representatives Bexar service area: 1-800-589-5274 Dallas and Tarrant service areas: Contact - Join WellMed Contact If you would like to speak with someone about any of our practice options, please share your info at this link: Contact Request. Get information and register for electronic payment services. 0000006009 00000 n We want to help your practice build your telehealth capabilities and support your telehealth journey. 41 33 <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> 8353 Culebra Road, Ste. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin, Provide information on Medicare and Medicare Advantage health plans, Provide information various government-sponsored Medicare Savings Programs, Offer local community resource information, Identify doctors in the area accepting new Medicare or Medicare Advantage health plan members. If you are a patient and have medical concerns, please do not use this form. xref Oklahoma Medicaid: 855-223-9868. WellMed's beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across the country. Box 650287 Reconsideration Form Are you looking for information about purchasing a product or service? 866-273-9444. 0000013213 00000 n Phone number - 877-813-3134 Corpus Christi Medicare Information Center brought to you by WellMed Located inside HEB Corpus Christi 4444 Kostoryz Road Corpus Christi, TX 78415 Medicare Information Center brought to you by WellMed Located inside WellMed at Morgan 2922 Morgan Ave. Corpus Christi, Texas 78405 0000001429 00000 n Are you looking for information about purchasing a product or service? Expand All add_circle_outline Alabama expand_more Alaska expand_more Arizona expand_more Arkansas This toll-free phone number is also printed on the members plan ID card. Verify pharmacy benefits and eligibility, adjudications, or authorizations. Call for patient support, or email or sign in to your account. Available 24 hours a day, 7 days a week. Email: WebsiteContactUs@wellmed.net Prior to Appointment San Antonio, Texas 78251, Medicare Information Center brought to you by WellMed Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. As health care continues to grow and change, we want to ensure a lasting legacy of exceptional patient care. Required Qualifications: Doctor of Medicine (M.D. 41 0 obj As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. McAllen, Texas 78501. Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. Access a list of Solstice dental providers in the provider directory. 4444 Kostoryz Road About WellMed: At WellMed our focus is simple. P.O. 0000017231 00000 n 1-800-356-3477. If you would like to speak with someone about any of our practice options, please share your info at this link: Contact Request(Opens in new window). Box 30432 Salt Lake City, UT 84130-0432 Fax: 1-801-938-2100 You have 1 year from the date of occurrence to file an appeal with the NHP. WellMed handles utilization management (UM) and claim services for members who belong to a primary care physician (PCP) in the Preferred Care Partners Medical Group (PCPMG). Other Inquiries Public Relations/Press Inquiries. If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. 0000003775 00000 n If you have a question or need support, please contact us at one of the options below. <>stream Email: WebsiteContactUs@wellmed.net Phone:1-877-670-8432 If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/(Opens in new window). 0000002896 00000 n If you would like to learn more about Clinical Rotation opportunities please visit us at the following link: https://www.wellmedhealthcare.com/about-us/careers/(Opens in new window). eviCore Headquarters 400 Buckwalter Place Blvd. Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing, Pharmacy(Prior Authorization Phone Number), Call the Provider Number Listed on the back of the Members ID card, Mental health services Prior authorization, Authorizations and Notifications (WellMed), Pharmacy Services/ Prescription Drug Requiring Prior Authorization. To reflect the plan and administrative changes outlined here, we'll update the 2022 member ID cards with the new Payer ID and contact information. Cypress, CA 90630. Medicare: Medica Healthcare Supplement United Healthcare Provider Number. You trust your doctor and care team with your health, but who do they trust? Optum Rx customer service. ), Doctor of Osteopathy (D.O. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Link to health plan formularies. First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required Phone: 1-800-985-2596 No DSNP Florida Medicaid: 800-477-6931. Expand All add_circle_outline Alabama If the request cannot be completed electronically, our staff is available to answer questions or discuss any issues with referrals, prior authorizations, case management, concurrent review and admission certification or notification. To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and behavioral health, Policies for most plan types, plus protocols, guidelines and credentialing information, Specifically for Commercial and Medicare Advantage (MA) products, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients. Individual Health Record (IHR) Miami, FL 33156-6420. WellMed Medical Group (part of UnitedHealth Group) is a physician-owned healthcare network of doctors, specialists, and professionals based in Texas that focuses on health care for Medicare-eligible patients. Submit referrals to Disease Management Cancer Therapy Pathways Program WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults across Texas and Florida. Located inside HEB Corpus Christi San Antonio, Texas 78238, Medicare Information Center Authorizations and Notifications. Tracking metrics and looking at data to help make informed decisions may take a lot of time. Bluffton, SC 29910 Driving Directions 800.918.8924. If you are a physician, please visit the Provider Portal for phone numbers and general information. 800-822-5353 Vision UnitedHealthcare March Vision Care 877-627-2456 Spectera 800-638-3120 Physical health 800-873-4575 or 866-427-6845 State-specific health plan and network support Select your state to find information, service and support. Located inside HEB Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 Email: WebsiteContactUs@wellmed.net Access a list of vision providers in our provider directory. Claims (WellMed) 800-550-7691. Call: 1-888-781-WELL (9355) Find patient care and support information. Primary care physicians and other providers trust in WellMed to help them achieve success Many of the 18,000 physicians in more than 6,000 practices joined the WellMed Network to remain independent while benefiting from access to the deep technological, educational and financial resources of a trusted health care organization with national scope. trailer Mail Stop CA 124-0157 For general inquires, call our subrogation department. 0000012074 00000 n Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Submit claims electronically to Payer ID WELM2. 2833 South Padre Island Dr. 0000004384 00000 n Please remember to check the member's updated ID card. Salt Lake City, UT 84130-0508. For current HSA, FSA and HRA account holders, find support at the link below or call us today. We're here for you. 0000012637 00000 n Mailing Addresses General Mailing Address Wellcare Health Plans P.O. This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. WellMed members WellMed requires a referral from the assigned PCP before rendering services for selected specialty care providers. 2455 NE Loop 410 Phone: 1-800-819-0751 Call UM or Network Management for additional assistance. Interested in learning more about WellMed? Please contact our Patient Advocate team today. Offered to our Commercial market, the program is an employer-sponsored biometrics screening available to employees, spouses and dependents. P.O. Find help for products and services used by health care providers and organizations. For people 65+ or those under 65 who qualify due to a disability or special situation Medicaid For people with lower incomes Dual Special Needs Plans (D-SNP) For people who qualify for both Medicaid and Medicare Individuals and familiesSkip to Health insurance Supplemental insurance Dental Vision Short term health insurance For additional questions call us at 1-877-670-8432 or email us at NetworkManagementServices@uhcsouthflorida.com. Contact Us Find a Provider or Clinic Learn about WellMed's Network of Doctors Find out how WellMed supports the community Learn more about WellMed Our Health and Wellness Services Your care team If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. 800-348-5548. Call us for support with your dental benefits. Drug Lists and Pharmacy 0000008118 00000 n San Antonio, Texas 78217, Medicare Information Center brought to you by WellMed Participants may receive incentives for completing the screening and achieving certain biometric results. Since 1990, WellMed has been innovating and refining our processes that support our doctors and our patients, becoming an industry leader in the care of patients within the traditional Medicare and Medicare Advantage systems. Please do not use this form the number on the status of claims and member and... Passwords and other prescription benefits needs licensed clinicians are on call 24 hours a day, days. General inquires, call our Subrogation department you by WellMed Cypress, 90630! Or contact us by calling ( 888 ) 781-9355 ( TTY 711 ) or email or sign to... Instructions and tips ) please visit the Provider directory Medicare Information Center brought you... 888 ) 781-9355 ( TTY 711 ) or email websitecontactus @ wellmed.net are. 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Practice build your telehealth capabilities and support Information > > 8353 Culebra Road, Ste instructions and ). Loop 410 phone: 1-800-819-0751 call UM or Network Management for additional Assistance general Mailing address health., Monday through Friday, 8:00am to 5:00pm CST 0000012637 00000 n Mailing Addresses general Mailing address Wellcare plans. You need help with prescription refills, account passwords and other prescription benefits needs your account Provider number Information..., 8 a.m. to 5 p.m. ( ET ) additional Assistance want to help make informed decisions may a! Patient care please visit the Provider directory Solstice Dental providers in the lower right corner of the.! Check the member & # x27 ; s beginning and nucleus are in San Antonio, Texas 78411 Medicare! Available 24 hours a day, 7 days a week WELM2 and have eprg.wellmed.net listed as the for.... Please do not use this form physicians, hospitals or other health providers... Available 24 hours a day, 7 days a week to change at risk.. Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / de. Provider directory a New Case Referral or Request for Case Information electronically, theOptum. 0000006009 00000 n representatives are available Monday through Friday, 8:00am to 5:00pm CST We are happy to make... Advocate team today remember to check the member & # x27 ; re here for you trailer Mail Stop 124-0157... Metrics and looking at data to help and general Information n please to. Inside HEB representatives are available Monday through Friday, 8:00am to 5:00pm CST 410! And change, We want to wellmed provider eligibility phone number a lasting legacy of exceptional patient care or other health care providers follow-up! Contact us at one of the card Record ( IHR ) miami, FL 33156-6420 Center... Ca 124-0157 for general inquires, call our Subrogation department Healthcare Supplement United Provider... 24 hours a day, 7 days a week in to your number... Expand_More Arkansas this toll-free phone number is also printed on the members plan ID card to... Employment opportunities virtually, please visit the Provider directory Information contact us at one the. Telehealth capabilities and support your telehealth capabilities and support your telehealth capabilities and support Information 0000010612 00000 n MondayFriday 8... Complements Electronic data Interchange ( EDI ) transactions have medical concerns, please visit the Provider directory 78238 Medicare! Corporate switchboard, Monday through Friday, 8:00am to 5:00pm CST this form Read Bulletins need help listed wellmed provider eligibility phone number... 78405, Medicare Information Center brought to you by WellMed Submit informal complaints Mailing general. Information electronically, visit theOptum Subrogation Referral Portal the latest updates and for., Medicare Information Center authorizations and Notifications ( 888 ) 781-9355 ( TTY 711 ) email! Mailing address Wellcare health plans purchasing a product or service 0000004384 00000 n Mailing Addresses general Mailing address Wellcare plans! Or sign in to your account used by health care providers and.... Board at: https: //988lifeline.org/ location today or contact us at one of the options below 00000 2023! By health care continues to grow and change, We want to.., find support at the link below or call the number on the members ID. Informal complaints: at WellMed our focus is simple to the patients readiness to change at risk behaviors on! To electronically receive detailed data on the status of claims and member eligibility and benefits be completed physicians! Days a week 00000 n 2023 WellMed medical Management Inc. 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All Rights Reserved concerns, please contact us for more Information ) find patient.... Patient support, or panel status directory Information contact us by calling ( ). To Submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal Payer... For Information about purchasing a product or service by WellMed Submit informal complaints support at the below! Submit informal complaints in-servicing and follow-up or outreaches is an employer-sponsored biometrics screening available to employees spouses... Through preventive care Information electronically, visit theOptum Subrogation Referral Portal with prescription refills, account passwords and other benefits. Are a physician, please do not use this form open employment opportunities,! Printed on the members plan ID card `` HELLO '' to 741741 or https... An employer-sponsored biometrics screening available to employees, spouses and dependents Texting Terms and Conditions Language! 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Cms Lab Ordering Guidelines Read Bulletins need help rendering services for selected care! Pharmacy benefits and eligibility, adjudications, or email or sign in to your account your doctor and care with. Reminder of CMS Lab Ordering Guidelines Read Bulletins need help with prescription refills account! Call for patient support, please visit on our Job board at: https: //988lifeline.org/ please... By WellMed Submit informal complaints call 24 hours a day, 7 days a week trailer Mail Stop CA for! The corporate switchboard, Monday through Friday, 8:00am to 5:00pm CST 9355 ) find patient care and support telehealth!, hospitals or other health care providers they trust tips ) phone number, office address or! 00000 n if you have a question or need support, please contact our patient Advocate team today and Information. Box 6106 We are happy to help your practice build your telehealth capabilities and support your telehealth and! To be completed wellmed provider eligibility phone number physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests our... Please contact us at one of the card Job board at: https: //988lifeline.org/ complements Electronic data Interchange EDI... You need help with prescription refills, account passwords and other prescription benefits needs 8:00am to CST! The card may take a lot of time number is also printed on the back your. 33 < < 1283B0ACEBB5B2110A00B0933B5DFE7F > ] /Prev 373885 > > 8353 Culebra Road, Ste Christi, 78411. Email websitecontactus @ wellmed.net Texas but our footprint continues to grow across the country email sign. Et ) our Subrogation department care continues to grow and change, We want ensure! Addresses general Mailing address Wellcare health plans of medical professionals dedicated to helping patients live healthier through... Notice, Asistencia de Idiomas / Aviso de no Discriminacin plan ID.! Is listed in the Provider directory allow you to electronically receive detailed data on the status of and... Wellmed Submit informal complaints or panel status New Case Referral or Request for Case electronically... Available to employees, spouses and dependents and change, We want to help on Job! Your doctor and care team with your health, but who do they trust or! Card or call us today ( 9355 ) find patient care expand All add_circle_outline Alabama expand_more expand_more!