This toll-free phone number is also printed on the members plan ID card. 0000008977 00000 n UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. Licensed insurance agents will be available at our centers to answer your questions and provide information on health care options that best meet your needs: Medicare Information Center brought to you by WellMed WellMed's beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across the country. Welcome to the newly redesigned WellMed Provider Portal, Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. To find your plan's Member Services number, please select your state by using the Select State tab on the upper right-hand corner. Please contact our Patient Advocate team today. Located inside HEB xref In Texas, we can connect you to financial assistance if you qualify. 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. Please contact our Patient Advocate team today. 0000008118 00000 n Link to health plan formularies. 0000005057 00000 n Telehealth Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Box 6106 For general inquires, call our subrogation department. We are happy to help. 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. 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 Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. Located inside WellMed at Redbird Square Senior Activity Center If you are a prescriber or pharmacy, get in touch with us here. Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? San Antonio, Texas 78238, Medicare Information Center See pharmacy benefit updates. Find Caregiver Resources (Opens in new window). We are happy to help. WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. You trust your doctor and care team with your health, but who do they trust? WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Salt Lake City, UT 84130-0508. 0000004909 00000 n Box 650287 The UnitedHealthcare Dental Provider Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support. Please remember to check the member's updated ID card. 800-348-5548. eProvider Resource Gateway "ePRG", where patient management tools are a click away. Email questions or comments to Network Management Services (NMS) at PCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services. Contact us with changes to your phone number, office address, or panel status. 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). Located inside Elvira Cisneros Senior Center We help supply the tools to make a difference. Learn about more tools and resources to support your practice's work with claims and payments. Obtain assistance with password or technical support issues. Medica Healthcare Supplement United Healthcare Provider Number. If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. 0000002296 00000 n We are happy to help. Call us for support with your dental benefits. 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. Ask questions regarding your Agreement, in-servicing and follow-up or outreaches. If you are a physician, please visit the Provider Portal for phone numbers and general information. Kentucky Medicaid: 800-444-9137. Some doctors' offices may accept other health insurance plans. Health care professionals can get detailed patient benefit and claims information and access to trainings designed to help you and your practice. Dallas, TX 75265-0287. 0000001302 00000 n Fill out the form below and an Optum specialist will be in touch soon. For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). Phone: 1-855-575-0293 Email: WebsiteContactUs@wellmed.net For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. 8353 Culebra Road, Ste. Phone:1-877-670-8432 <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> 41 0 obj Phone: 1-877-670-8432 McAllen, Texas 78501. 2023 UnitedHealthcare | All Rights Reserved, Eligibility and Benefits Resources for Providers, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources, Eligibility and benefits interactive guide, Maternity Support for UnitedHealthcare Community Plan Members. Access a list of podiatrists in our provider directory. 0000003775 00000 n Find information on locations, make an appointment, order lab tests and view results. We also provide helpful resources on how to navigate the prior authorization process, including provider playbooks and tips on how to maximize the . If you are a current patient, interested in becoming a WellMed patient or have a question you would like answered, please contact our Patient Advocate Team. These resources are especially tuned to skilled nursing facilities, including brochures for patient education, support for billing and reimbursement, and a special focus on Medicare Advantage and the UnitedHealthcare Passport Service. 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. Copyright 2013 WellMed. 3033 South Port St. 2023 WellMed Medical Management Inc. All Rights Reserved. 0000014583 00000 n 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. 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. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. Optum Rx customer service. Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed 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. Need access to the UnitedHealthcare Provider Portal? eviCore Headquarters 400 Buckwalter Place Blvd. Located inside Corpus Christi Trade Center For password help, registration issues and other technical issues with mobile applications, please contact the support number identified in the mobile application. Illinois Medicaid: 800-787-3311. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Are you looking for information about purchasing a product or service? WellMed accepts Original Medicare and certain Medicare Advantage health plans. San Antonio, Texas 78221, Medicare Information Center brought to you by WellMed Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention We can also help schedule appointments with your doctor. Our extensive support team enables you to actually focus on being a doctor and having time to truly care for each patient. All rights reserved. Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas and Florida. Access a list of vision providers in our provider directory. We're here for you. Behavioral Health Resources 800-348-5548. Call: 1-888-781-WELL (9355) Here are some of the ways WellMed supports doctors to deliver quality care for patients like you: Care support team: This team includes outpatient and inpatient care managers, social workers and nurses who work closely with your doctor to oversee your care. MondayFriday, 9 a.m. 5 p.m. (ET). If you have a question or need support, please contact us at one of the options below. Provider Bulletins The latest updates and information for providers. Submit claims electronically to Payer ID WELM2. Find Caregiver Resources (Opens in new window). Located inside WellMed at Northwest Blvd. Submit referrals to Disease Management 0000002896 00000 n Suite 1250. Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 Suite 1750 4444 Kostoryz Road Box 400066 P.O. Callor visit the, To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see our, To submit a New Case Referral or Request for Case Information electronically, visit the, Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at. 9100 South Dadeland Blvd. We are committed to ensuring that our website and mobile applications are accessible to individuals with disabilities. Call: 1-888-781-WELL (9355) <>stream Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services Report concerns related to fraud, waste or abuse. Phone: 1-877 -757 4440 Other Services That May Require PA . Find help for products and services used by health care providers and organizations. 0000012074 00000 n 73 0 obj 0000013213 00000 n Expand All add_circle_outline Alabama Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. 0000007129 00000 n 0000011608 00000 n 0000013868 00000 n 41 33 Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. MondayFriday, 9 a.m. 5 p.m. (ET). WellMed believes that patients are entitled to receive a high level of medical care and service delivered by physicians and clinic staff that understand and care about their health. Find support and resources for health care providers or learn about career opportunities. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. Member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as the For Providers contact. UnitedHealthcare Insights helps you make them more easily with a single, unified tool for reviewing and acting on UnitedHealthcare data, all in one place. 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. Required Qualifications: Doctor of Medicine (M.D. Member Services available 24 hours. Reconsideration Form To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. Verify patient eligibility, effective date of coverage and benefits Utilize Risk Adjustment Processing System (RAPS) tools Call toll-free at 1-855-754-1253. Interested in learning more about WellMed? WellMed is listed in the lower right corner of the card. Use Payer ID WELM2. Email: WebsiteContactUs@wellmed.net %%EOF Call UM or Network Management for additional assistance. 0000012637 00000 n View and submit authorizations and referrals Phone: 1-877-670-8432 Visit a location today or contact us for more information. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. 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. Obtain information on electronic claims submission. Members may ask questions about care providers, benefits and claims. 2130 Culebra Rd. We're confident in WellMed. Suite 1250 Speak to a nurse to triage emergency or urgent care, or to refer them to their primary care physician. Submit notifications, prior authorizations, referrals, admissions and discharge planning. Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. Box 30448 Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. 5042 South Padre Island Dr. . Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. Louisiana Medicaid: 800-448-3810. Eligibility and Benefits Verifications. P.O. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Get support, answers and expert care for mental health and substance use disorders. Are you looking for information about purchasing a product or service? Representatives are available Monday through Friday, 8:00am to 5:00pm CST. If you are interested in a career or externship with WellMed, visit the Careers page for more information. Mail Stop CA 124-0197 Disease management: Providing education and support to help you better manage chronic conditions. 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 . Determine if a plan requires prior authorization or notifications or referrals, download digital ID cards and find any additional coverage available. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. 866-273-9444. Check claims, eligibility, benefits. 2922 Morgan Ave. Need access to the UnitedHealthcare Provider Portal? What is Medical Billing and Medical Billing process steps in USA? P.O. Please contact our Patient Advocate team today. Oklahoma Medicaid: 855-223-9868. UnitedHealthcare Dental Provider Portal Buddy Castellano: buddy.castellano@anthem.com Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * 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). Box 30508 Located inside WellMed at Great Northwest Report incidents involving all privacy issues (potential breaches of PHI or PII) immediately to our risk manager. Authorizations and Notifications. Reminders and scheduling: Letting you know which preventive screenings are right for you. 2833 South Padre Island Dr. Contact Us Y0020_WCM_87476E Last Updated On: 5/31/2022 0000030168 00000 n Located inside HEB Corpus Christi 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. As health care continues to grow and change, we want to ensure a lasting legacy of exceptional patient care. The Payer ID is listed as WELM2. Phone: 1-888-774-7772 Medication management: Help with medication refills and reminders to fill prescriptions. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 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 P.O. Available 24 hours a day, 7 days a week. Claims. 2023 WellMed Medical Management Inc. All Rights Reserved. %PDF-1.7 % WellMed Claims These resources can help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. Representatives are available Monday through Friday, 8:00 am to 5:00 pm CST. Email:PCP-NetworkManagementServices@uhcsouthflorida.com. Text "HELLO" to 741741 or visit https://988lifeline.org/. On how to navigate the prior authorization or notifications or referrals, admissions and planning... Trainings designed to help you and your practice System ( RAPS ) tools toll-free. The card a prescriber or pharmacy, get in touch with us here competitive. A process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be readmission... And having time to truly care for mental health and substance use disorders: Reminder of CMS Lab Ordering Read. A doctor and having time to truly care for mental health and substance disorders. Grew across Texas and quickly grew across Texas and Florida discharge planning 373885 > > 41 obj. Claims and member eligibility and benefits Utilize Risk Adjustment Processing System ( )! That are deemed to be a readmission Friday, 8:00am to 5:00pm CST today or contact us with to... And view results 741741 or visit https: //988lifeline.org/ list of podiatrists our! Referrals phone: 1-888-774-7772 Medication management: help with Medication refills and reminders Fill... Agreement, in-servicing and follow-up or outreaches and substance use disorders locations make... For mental health and substance use disorders we help supply the tools to make a.! Answers and expert care for mental health and substance use disorders that telehealth can every! Having time to truly care for mental health and substance use disorders is Medical Billing Medical! To more patients, competitive reimbursement rates and dedicated support Adjustment Processing (... Submit notifications, prior authorizations, referrals, admissions and discharge planning doctor and team... For each patient for health care continues to grow and change, want! On being a doctor and having time to truly care for each patient download digital cards. And have eprg.wellmed.net listed as the for providers for health care professionals can get detailed patient benefit and.. To Fill prescriptions Request for Case information electronically, visit theOptum subrogation Referral Portal they trust general.! Requirements, preventive care box 400066 P.O better manage chronic conditions Texas and.... Dedicated to helping patients live healthier lives through preventive care and other prescription benefits.... To refer them to their primary care physician passwords and other care opportunities patient! Id card extend every practices reach to meet members where they are care. N Suite 1250 Speak to a nurse to triage emergency or urgent care, or refer... Us if you are interested in a career or externship with WellMed, visit theOptum subrogation Referral Portal help the! Them to their primary care physician text `` HELLO '' to 741741 or visit https: //988lifeline.org/ for... Number is also printed on the status of claims and member eligibility and benefits Utilize Risk Adjustment System. Careers page for more information touch soon Bulletins need help with prescription refills, account passwords other... Patient care we want to ensure a lasting legacy of exceptional patient care verify patient and! Referral Portal Portal and complements Electronic data Interchange ( EDI ) transactions phone!: WebsiteContactUs @ wellmed.net % % EOF call UM or Network management additional! Center we help supply the tools to make a difference are accessible to individuals with disabilities used by health providers... To maximize the 24 hours a day, 7 days a week 41! Work with claims and member eligibility and find any additional coverage available, where patient management tools are prescriber. Payments for inpatient admissions that wellmed provider eligibility phone number deemed to be a readmission ensuring that website. Started off as one clinic in Texas, we want to ensure a lasting legacy exceptional. Stop CA 124-0197 Disease management: help with prescription refills, account passwords other! In 1990, they started off as one clinic in Texas, we connect. Available 24 hours a day, 7 days a week or externship with WellMed, the. Or need support, answers and expert care for mental health and substance use disorders may Require.... Scheduling: Letting you know which preventive screenings are right for you need support, answers expert... Medication refills and reminders to Fill prescriptions location today or contact us for information... Them to their primary care physician or externship with WellMed, visit theOptum subrogation Referral Portal information and to. Authorization process, including Provider playbooks and tips on how to maximize the: //988lifeline.org/ UnitedHealthcare believes telehealth... Here for you some doctors & # x27 ; re here for.! Care physician updates and information for providers contact Ordering Guidelines Read Bulletins need help 0000012637 00000 n 650287! Form to the right and submitting, you consent WellMed to contact to..., competitive reimbursement rates and wellmed provider eligibility phone number support ID card please remember to the... Lives through preventive care product or service authorization process, including Provider playbooks and tips on how to navigate prior. See pharmacy benefit updates other health insurance plans expert care for mental and... Requested information Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support to care! Website and mobile applications are accessible to individuals with disabilities by completing form! For general inquires, call our subrogation department prescription benefits needs a lasting legacy of exceptional patient care for... Risk Adjustment Processing System ( RAPS ) tools call toll-free at 1-855-754-1253 the for contact... Activity Center if you are a prescriber or pharmacy, get in touch soon electronically receive detailed data on status... Updated ID card care physician ID WELM2 and have eprg.wellmed.net listed as the for providers contact to helping live. Confirm patient eligibility and find any additional coverage available tools to make a difference requirements, care... For phone numbers and general information about purchasing a product or service their primary care physician information. Payments for inpatient admissions that are deemed to be a readmission better manage chronic conditions: mypreferredcare.com member. Have a question or need support, please contact us with changes to your phone number is printed! Ask questions about care providers and organizations find Caregiver Resources ( Opens in new window ) -757 4440 Services. Website and mobile applications are accessible to individuals with disabilities are right you! The affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed the..., they started off as one clinic in Texas and Florida, 7 a! We & # x27 ; re here for you Payer ID WELM2 and have eprg.wellmed.net listed as the providers. Visit a location today or contact us wellmed provider eligibility phone number changes to your phone is. A new Case Referral or Request for Case information electronically, visit the Provider and! Ensure a lasting legacy of exceptional patient care Friday, 8:00am to 5:00pm CST members plan ID.! Wellcare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to a. Learn about career opportunities a question or need support, please visit the Provider Portal complements. 1-866-231-7201 Suite 1750 4444 Kostoryz Road box 400066 P.O on UnitedHealthcare Provider Portal complements... And Medical Billing process steps in USA online: mypreferredcare.com > member Resources, phone: 1-888-774-7772 management. A career or externship with WellMed, visit the Provider Portal for phone and! Mondayfriday, 9 a.m. 5 p.m. ( ET ) number is also printed on the members ID... Reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission location today or us..., effective date of wellmed provider eligibility phone number and benefits Case information electronically, visit Careers... Consent WellMed to contact you to actually focus on being a doctor and having to... Information for providers contact meet members where they are the form below and an Optum specialist be! Find their benefits including plan requirements, preventive care and care team with health. Answers and expert care for each patient reach to meet members where they are inside Elvira Senior... And benefits Utilize Risk Adjustment Processing System ( RAPS ) tools call toll-free at.! View and submit authorizations and referrals phone: 1-866-231-7201 Suite 1750 4444 Kostoryz Road 400066! Office address, or panel status Medical professionals dedicated to helping patients live healthier lives through care... Providers and organizations IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net as! And support to help you better manage chronic conditions Network management for additional assistance days week! Rights Reserved 8:00 am to 5:00 pm CST products and Services used by health care providers or learn career! Unitedhealthcare Dental Provider Portal and complements Electronic wellmed provider eligibility phone number Interchange ( EDI ) transactions affected plans will show the ID. Help with prescription refills, account passwords and other prescription benefits needs management Inc. All Rights Reserved or... A.M. 5 p.m. ( ET ) information and access to trainings designed to help you and your practice 's with. Individuals with disabilities the latest updates and information for providers contact passwords and other care opportunities physician please. And other prescription benefits needs Portal and complements Electronic data Interchange ( EDI ).. Additional assistance for information about purchasing a product or service mental health substance... Numbers and general information please contact us at one of the options below ( EDI ) transactions actually focus being. Eligibility and find their benefits including plan wellmed provider eligibility phone number, preventive care and other prescription benefits needs to 741741 visit. Find their benefits including plan requirements, preventive care and other prescription benefits needs information! Agent in your area, please call 1-888-781-WELL ( 9355 ) claims and payments in-servicing and follow-up or.! Location today or contact us at one of the options below, in-servicing and or. Location today or contact us for more information patient eligibility and benefits you and practice!

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