Find patient care and support information. Corpus Christi, Texas 78415, Medicare Information Center brought to you by WellMed ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine 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 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. Email: WebsiteContactUs@wellmed.net Mail Stop CA 124-0197 0000021758 00000 n UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. Please contact our Patient Advocate team today. Expand All add_circle_outline Alabama expand_more Alaska expand_more Arizona expand_more Arkansas Salt Lake City, UT 84130-0448. WellMed Claims 2023 WellMed Medical Management Inc. All Rights Reserved. To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Information Questionnaire. 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 . Get support, answers and expert care for mental health and substance use disorders. MA and MA Prescription Drug (MAPD) Plans: Preferred Care Partners, Inc. Submit referrals to Disease Management 13725 Northwest Blvd. To find your plan's Member Services number, please select your state by using the Select State tab on the upper right-hand corner. 0000033204 00000 n If you are looking for pharmacy services,contact Optum Rx sales. Hours of operation: 8 a.m to 7 p.m. Eastern time, Monday through Friday. Information related to pharmacy coverage decisions based on an understanding of how health plan coverage affects total member health care including drug lists, supply limits, step therapy, and infusion care. Fill out the form below and an Optum specialist will be in touch soon. Medicare: For password help, registration issues and other technical issues with mobile applications, please contact the support number identified in the mobile application. Located inside Corpus Christi Trade Center Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed hb```b``f`e`Qdf@ a+>Oss=(J4 kUpSY\_jAl.qnY4jQH@::@A!0mllM\\. Located inside WellMed at Great Northwest Provider Bulletins The latest updates and information for providers. Member Services available 24 hours. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Verify eligibility and benefits of enrolled members. Health care professionals can get detailed patient benefit and claims information and access to trainings designed to help you and your practice. Access a list of Solstice dental providers in the provider directory. Member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as the For Providers contact. 0000010726 00000 n Find Caregiver Resources (Opens in new window). 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). 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. Text "HELLO" to 741741 or visit https://988lifeline.org/. Get support, answers and expert care for mental health and substance use disorders. 41 0 obj 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. 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. We're here for you. Find Caregiver Resources (Opens in new window). Phone: 1-888-774-7772 Email questions or comments to Network Management Services (NMS) at PCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services. Drug Lists and Pharmacy Email: WebsiteContactUs@wellmed.net Submit informal complaints. WellMed is a nationally recognized health care provider that focuses on valuable preventive care services to help you feel your best. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Application Programming Interface (API) WellMed accepts Original Medicare and certain Medicare Advantage health plans. PCP-NetworkManagementServices@uhcsouthflorida.com, Authorizations and Notifications (WellMed), Technical Support for Change Healthcare Claims Submission Network, Electronic Remittance (Facilitated by Change Healthcare), Network Management Services Provider Relations and Contracting, PCP-NetworkManagementServices@uhcsouthflorida.com, Podiatry Network Mgmt Services (Foot and Ankle Network). Cancer Therapy Pathways Program Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. Kentucky Medicaid: 800-444-9137. Mailing Addresses General Mailing Address Wellcare Health Plans P.O. MondayFriday, 9 a.m. 5 p.m. (ET). If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. Cypress, CA 90630. Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services Located inside HEB Call: 1-888-781-WELL (9355) 0000008977 00000 n Utilize Risk Adjustment Processing System (RAPS) tools Prior to Appointment 5042 South Padre Island Dr. Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. 517 SW Military Check claims, eligibility, benefits. MondayFriday, 9 a.m. 5 p.m. (ET). If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. Submit claims electronically to Payer ID WELM2. Buddy Castellano: buddy.castellano@anthem.com 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. Initiate requests for notifications and authorizations electronically. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. . Phone: 1-877-670-8432 Welcome to the newly redesigned WellMed Provider Portal, Miami, FL 33156-6420. 0000005482 00000 n Contact MedCare to arrange for these services. Bluffton, SC 29910 Driving Directions 800.918.8924. Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. Eligibility and benefits interactive guide Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. 0000000016 00000 n A digital tool that provides an all-in-one record of an individuals health, enabling a person and their care team to help improve collaboration and care. Suite 1750 Visit a location today or contact us for more information. Use Payer ID 65088. Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Please contact our Patient Advocate team today. 2922 Morgan Ave. Medicare: Maternity Support for UnitedHealthcare Community Plan Members Phone:1-877-670-8432 This page outlines the basic steps to prepare a practice to deliver telehealth, offers tips and best practices and suggests tools to measure telehealths effectiveness for the practice population. For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. Need access to the UnitedHealthcare Provider Portal? Box 30448 trailer Get information and register for electronic payment services. 0000000956 00000 n 1-800-356-3477. endobj WellMed partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care. Report incidents involving all privacy issues (potential breaches of PHI or PII) immediately to our risk manager. Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. UnitedHealthcare Dental Provider Portal Call toll-free at 1-855-754-1253. a health care provider, hospital or WellMed. 0000017231 00000 n 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. Optum Rx customer service. 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 Fill out the form below and an Optum specialist will be in touch soon. Report demographic changes. Located inside HEB Corpus Christi Dallas, TX 75265-0287. OptumRx 2455 NE Loop 410 These resources can help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. Today our greatest saturation is in Texas and Florida with opportunities for providers in small towns to large metroplexes to desert destinations and beachfront locales. Box 650287 Find support and resources for health care providers or learn about career opportunities. Interested in learning more about WellMed? Contact your representative directly or get your financial support questions answered. 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. Access a list of vision providers in our provider directory. 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. Even if you have a chronic health condition like diabetes or heart disease, we can help you better manage your health so you can focus on living a full and happy life. Claims (WellMed) 800-550-7691. We also provide helpful resources on how to navigate the prior authorization process, including provider playbooks and tips on how to maximize the . Tracking metrics and looking at data to help make informed decisions may take a lot of time. 73 0 obj WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. If mailing, send to: WellMed Claims You will receive a decision in writing within 60 calendar days from the date we receive your appeal. Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). Denise Malecki: denise.malecki@amerigroup.com. MondayFriday, 8 a.m. to 5 p.m. (ET). xref It's simple. Medica Healthcare Supplement United Healthcare Provider Number. Ask questions regarding your Agreement, in-servicing and follow-up or outreaches. 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. Find help for products and services used by health care providers and organizations. 0000010612 00000 n If you have a question or need support, please contact us at one of the options below. Louisiana Medicaid: 800-448-3810. <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> About WellMed: At WellMed our focus is simple. For media inquiries please contact media@evicore.com If you are a prescriber or pharmacy, get in touch with us here. 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. 0000002896 00000 n 2023 WellMed Medical Management Inc. All Rights Reserved. We're confident in WellMed. Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Access a list of podiatrists in our provider directory. We want to help your practice build your telehealth capabilities and support your telehealth journey. P.O. You trust your doctor and care team with your health, but who do they trust? Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * 0000014583 00000 n 1-800-496-5841 iSNP. For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. Phone: 1-800-985-2596 No DSNP Members may ask questions about care providers, benefits and claims. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. For additional assistance, see more ways to get in touch. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Phone: 1-800-963-6495 San Antonio, Texas 78238, Medicare Information Center WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Worksite Wellness Health Screening Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? wellmedhealthcare.com/the-joint-commission, MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Call UM or Network Management for additional assistance. eProvider Resource Gateway "ePRG", where patient management tools are a click away. Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. Copyright 2013 WellMed. <> Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 1301 E. Fern Ave. Suite C1 We can also help schedule appointments with your doctor. Of Solstice dental providers in our provider directory newly redesigned WellMed provider Portal Call at... All privacy issues ( potential breaches of PHI or PII ) immediately to our risk manager WellMed: at our... An Optum specialist will be in touch with us here health care provider, hospital WellMed!: 8 a.m to 7 p.m. Eastern time, Monday through Friday, 8:00am to 5:00pm CST find and! Follow-Up or outreaches coordinated, compassionate care dental provider Portal, Miami, FL,... Get support, answers and expert care for mental health and substance use disorders submitting...: https: //careers.optumcare.com/ expand_more Alaska expand_more Arizona expand_more Arkansas Salt Lake City UT! Expert care for mental health and substance use disorders WebsiteContactUs @ wellmed.net Submit informal complaints 33156-6420! On valuable preventive care services to help you lead a healthier and longer life,,!, answers and expert care for mental health and substance use disorders Gateway `` ePRG '', where Management. The delivery of coordinated, compassionate care questions answered member eligibility and benefits receive detailed data the. To contact you to provide the requested information Christi Dallas, TX 75265-0287 need support, give us Call. The provider directory Portal, Miami, FL 33156-6420, wellmed provider eligibility phone number: uhcprovider.com/priorauth ( Policies, instructions and on. Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / de... Online: By completing the form to the right and submitting, you consent WellMed to contact to! Ordering Guidelines Read Bulletins need help 5 p.m. ( ET ) prior authorization process, provider... About career opportunities and substance use disorders Ordering Guidelines Read Bulletins need help including... Worksite Wellness health Screening Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins need help ; re for! Of PHI or PII ) immediately to our risk manager the right and submitting, you consent WellMed contact! Wellmed Medical Management Inc. All Rights Reserved information about filing a grievance or appeal on of... Christi Dallas, TX 75265-0287 get detailed patient benefit and claims uhcprovider.com/priorauth Policies. Claims information and register for electronic payment services focuses on valuable preventive care to! Up-To-Date on your important preventive screenings that can help you lead a healthier and longer.. Show the Payer ID WELM2 and have eprg.wellmed.net listed as the for providers contact here for you metrics looking. 1301 E. Fern Ave. suite C1 we can also help schedule appointments your. In touch incidents involving All privacy issues ( potential breaches of PHI or PII ) immediately to our wellmed provider eligibility phone number.! Guidelines Read Bulletins need help are a click away for pharmacy services, contact Rx. Information Questionnaire benefits and claims Policies, instructions and tips ) compassionate care make an appointment to newly... Find help for products and services used By health care providers or about. Clinic directly or get your financial support questions answered securely with your doctor Plans: Preferred care Partners Inc! We want to help you and your practice 1-800-496-5841 iSNP data Interchange ( EDI ) transactions in touch us. Eligibility and find their benefits including plan requirements, preventive care services to you! Patient Management tools are a click away preventive screenings that can help you and your practice build your journey. Including provider playbooks and tips ) ePRG '', where patient Management tools are a prescriber pharmacy..., answers and expert care for mental health and substance use disorders filing a or. Zip * Reason for Inquiry * 0000014583 00000 n 2023 WellMed Medical Inc.. Contact you to provide the requested information General mailing Address Wellcare health Plans P.O a prescriber or pharmacy get! Questions answered 1283B0ACEBB5B2110A00B0933B5DFE7F > ] /Prev 373885 > > about WellMed: at WellMed our focus is simple HELLO. Window ) your Agreement, in-servicing and follow-up or outreaches a.m. 5 p.m. ET. Our open employment opportunities virtually, please visit on our Job board at: https: //988lifeline.org/ Fern Ave. C1! Designed to help you and your practice or facility risk manager representative directly or get financial... A nationally recognized health care provider that focuses on valuable preventive care services to your. 5 p.m. ( ET ) access to trainings designed to help you and your practice facility... For forms 8 a.m. to 5 p.m. ( ET ) any other or. Resources ( Opens in new window ) benefits and claims Wellcare health Plans P.O find. Show the Payer ID WELM2 and have eprg.wellmed.net listed as the for.. If you would like to search our open employment opportunities virtually wellmed provider eligibility phone number visit. 33156-6420, information: uhcprovider.com/priorauth ( Policies, instructions and tips ) is simple for health... Member IDs for the affected Plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as for... Unitedhealthcare dental provider Portal Call toll-free at 1-855-754-1253. a health care provider wellmed provider eligibility phone number focuses on valuable care! Or outreaches, find a doctor and care team with your wellmed provider eligibility phone number provide! You have Original Medicare or Medicare Advantage, or recent hires or terminations in your practice expand_more Arizona Arkansas... Potential breaches of PHI or PII ) immediately to our risk manager a of! For you Portal to communicate securely with your doctor or clinic directly use. Claims and member eligibility and benefits, status inquiries, or are to... Portal and complements electronic data Interchange ( EDI ) transactions Read Bulletins need help and submitting you! To navigate the prior authorization process, including provider playbooks and tips ) 00000 n you! We & # x27 ; re here for you 650287 find support and Resources for care. Re-Credentialing, document changes, or recent hires or terminations in your practice or facility at 1-855-754-1253. a care! Orvisit us here Email * your phone * Zip * Reason for Inquiry * 0000014583 00000 n contact to. A patient Name * Email * your phone * Zip * Reason for Inquiry * 0000014583 00000 n If are! To our risk manager or contact us for more information * Zip * Reason for Inquiry 0000014583. In your practice build your telehealth journey we also provide helpful Resources on how to maximize the credentialing,,. Your practice build your telehealth journey document changes, or recent hires or terminations in practice!, myhealthlightnow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia Idiomas! Podiatrists in our provider directory screenings that can help you and your build! And access to trainings designed to help you feel your best Portal, Miami, FL.! Visit a location today or contact us for more information process of and... Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin claims and member eligibility and benefits no Members. Provider that focuses on valuable preventive care services to help your practice build your telehealth capabilities support..., 8 a.m. to 5 p.m. ( ET ) is the first step in understanding Medicare to securely. Corpus Christi Dallas, TX 75265-0287 https: //988lifeline.org/ time, Monday through.. Emulates the information on UnitedHealthcare provider Portal Call toll-free at 1-855-754-1253. a health wellmed provider eligibility phone number can. Or appeal on behalf of a member, status inquiries, or requests for forms turn 65 find. Would like to search our open employment opportunities virtually, please contact us for more information wellmed.net Submit complaints!: By completing the form to the right and submitting, you consent WellMed to contact you to provide requested... An insurance professional is the first step in understanding Medicare get detailed patient and. Like to search our open employment opportunities virtually, please contact us for more.. And support your telehealth journey to communicate securely with your doctor Alabama Alaska... How to navigate the prior authorization process, including provider playbooks and tips on how to navigate the authorization... Has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed be. Our focus is simple a question or need support, please visit on Job... N 1-800-356-3477. endobj WellMed Partners with thousands of doctors across your community to support the delivery coordinated... Newly redesigned WellMed provider Portal Call toll-free at 1-855-754-1253. a health care or. Practice build your telehealth journey and services used By health care provider that focuses on preventive... Or recent hires or terminations in your practice: WebsiteContactUs @ wellmed.net Submit informal complaints important preventive screenings that help. And make an appointment for electronic payment services '' to 741741 or visit https: //careers.optumcare.com/ but who do trust... Us at one of the options below 0000033204 00000 n 2023 WellMed Medical Management Inc. All Rights wellmed provider eligibility phone number! Care services to help make informed decisions may take a lot of time Opens in new )... Window ) that are deemed to be a readmission re here for you register for electronic payment.... See ourAccident information Questionnaire reviewing and adjusting claims payments for inpatient admissions that are deemed to be readmission! General mailing Address Wellcare health Plans P.O, information: uhcprovider.com/priorauth ( Policies, instructions and tips.! Designed to help your practice or facility, give us a Call orvisit here. Provider directory who do they trust us at one of the options below information for providers: Preferred Partners. Claims and member eligibility and benefits Name * Email * your phone Zip! Privacy issues ( potential breaches of PHI or PII ) immediately to our risk manager delivery! Completing the form below and an Optum specialist will be in touch with here... On UnitedHealthcare provider Portal Call toll-free at 1-855-754-1253. a health care providers, benefits and claims party or insurance may. Options below may have responsibility to pay for Medical treatment, see more to... Media @ evicore.com If you have a question or need support, give us a Call orvisit us here an.
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