Dallas, Texas 75237, Medicare Information Center brought to you by WellMed endobj Member Services available 24 hours. 0000004909 00000 n 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. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. Why Choose WellMed? Find Caregiver Resources (Opens in new window). You trust your doctor and care team with your health, but who do they trust? 101 Claims (WellMed) 800-550-7691. 6030 Montgomery Rd. As health care continues to grow and change, we want to ensure a lasting legacy of exceptional patient care. 9100 South Dadeland Blvd. 2023 WellMed Medical Management Inc. All Rights Reserved. Located inside HEB %%EOF 2130 Culebra Rd. Located inside HEB Culebra Representatives are available Monday through Friday, 8:00 am to 5:00 pm CST. 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 Check claims, eligibility, benefits. We also provide helpful resources on how to navigate the prior authorization process, including provider playbooks and tips on how to maximize the . MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. View and submit authorizations and referrals Fill out the form below and an Optum specialist will be in touch soon. 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). Offered to our Commercial market, the program is an employer-sponsored biometrics screening available to employees, spouses and dependents. Verify pharmacy benefits and eligibility, adjudications, or authorizations. Provider Bulletins The latest updates and information for providers. P.O. Eligibility and benefits interactive guide For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. 2833 South Padre Island Dr. We are happy to help. P.O. In Texas, we can connect you to financial assistance if you qualify. Learn about more tools and resources to support your practice's work with claims and payments. 4444 Kostoryz Road Please contact our Patient Advocate team today. 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. WellMed Claims 0000003775 00000 n 0000005482 00000 n Other Inquiries Public Relations/Press Inquiries. Located inside Elvira Cisneros Senior Center 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. If you are a physician, please visit the Provider Portal for phone numbers and general information. 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. 5042 South Padre Island Dr. Phone: 1-877-670-8432 WellMed's beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across the country. Bluffton, SC 29910 Driving Directions 800.918.8924. The UnitedHealthcare Dental Provider Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support. Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. Dallas, TX 75265-0287. a health care provider, hospital or WellMed. Call: 1-888-781-WELL (9355) We are committed to ensuring that our website and mobile applications are accessible to individuals with disabilities. Box 30508 2023 WellMed Medical Management Inc. All Rights Reserved. Link to health plan formularies. Located inside Doris Griffin Senior One Stop . 0000003369 00000 n 0000021758 00000 n Please remember to check the member's updated ID card. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Box 30448 Access a list of vision providers in our provider directory. Available 24 hours a day, 7 days a week. Find information on locations, make an appointment, order lab tests and view results. Speak to a nurse to triage emergency or urgent care, or to refer them to their primary care physician. Medica Healthcare Supplement United Healthcare Provider Number. 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. Suite 1250. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. 2922 Morgan Ave. Kentucky Medicaid: 800-444-9137. 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. MondayFriday, 9 a.m. 5 p.m. (ET). Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> For current HSA, FSA and HRA account holders, find support at the link below or call us today. Phone: 1-800-985-2596 No DSNP wellmedhealthcare.com/the-joint-commission. 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. 0000012637 00000 n Only available under certain plans. Should you have any questions, please call our office at 407-352-9717. Verify patient eligibility, effective date of coverage and benefits Find Caregiver Resources (Opens in new window). MondayFriday, 9 a.m. 5 p.m. (ET), Fax: 1-888-659-0619 Call us for support with your dental benefits. We're innovators in preventative health care, striving to change the face of health care for seniors. Find help for products and services used by health care providers and organizations. View claims status Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. Corpus Christi, TX 78415, Medicare Information Center brought to you by WellMed 0000011608 00000 n Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed 0000001429 00000 n San Antonio, Texas 78251, Medicare Information Center brought to you by WellMed Application Programming Interface (API) 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. Disease management: Providing education and support to help you better manage chronic conditions. 0000033577 00000 n First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required Tracking metrics and looking at data to help make informed decisions may take a lot of time. Located inside WellMed at Northwest Blvd. Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. 0000001302 00000 n UnitedHealthcare Insights Behavioral Health Resources 73 0 obj Check your patients' coverage and plan details with the Eligibility and benefits feature on the UnitedHealthcare Provider Portal. WellMed members WellMed requires a referral from the assigned PCP before rendering services for selected specialty care providers. Obtain information about behavioral health and substance use services for all members. eProvider Resource Gateway "ePRG", where patient management tools are a click away. We want to help your practice build your telehealth capabilities and support your telehealth journey. Please contact our Patient Advocate team today. Located at Salvation Army 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). Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas and Florida. %PDF-1.7 % Illinois Medicaid: 800-787-3311. Utilize Risk Adjustment Processing System (RAPS) tools 3033 South Port St. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Need access to the UnitedHealthcare Provider Portal? Email: WebsiteContactUs@wellmed.net Please contact our Patient Advocate team today. Health care professionals can get detailed patient benefit and claims information and access to trainings designed to help you and your practice. WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. trailer Report concerns related to fraud, waste or abuse. Access a list of behavioral health care providers in the provider directory. Call: 1-888-781-WELL (9355) San Antonio, Texas 78221, Medicare Information Center brought to you by WellMed If you are looking for pharmacy services,contact Optum Rx sales. Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. Denise Malecki: denise.malecki@amerigroup.com. 8353 Culebra Road, Ste. This toll-free phone number is also printed on the members plan ID card. Need access to the UnitedHealthcare Provider Portal? Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention Call: 1-888-781-WELL (9355) Submit claims electronically to Payer ID WELM2. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Obtain assistance with password or technical support issues. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 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 hb```b``f`e`Qdf@ a+>Oss=(J4 kUpSY\_jAl.qnY4jQH@::@A!0mllM\\. UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. Members may ask questions about care providers, benefits and claims. For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. Contact your representative directly or get your financial support questions answered. Participants may receive incentives for completing the screening and achieving certain biometric results. This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. The Payer ID is listed as WELM2. Online:UnitedHealthcare Provider Portal at uhcprovider.com > Sign In, Preferred Care Partners MondayFriday, 9 a.m. 5 p.m. (ET). Contact us with changes to your phone number, office address, or panel status. See pharmacy benefit updates. 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 . Prior to Appointment Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . Check claims, eligibility, benefits. Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed Cypress, CA 90630. Please contact our Patient Advocate team today. We can also help schedule appointments with your doctor. If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. For media inquiries please contact media@evicore.com 866-273-9444. If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. Contact MedCare to arrange for these services. Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. If you are a patient and have medical concerns, please do not use this form. 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 Submit referrals to Disease Management Located inside WellMed at Morgan 2023 WellMed Medical Management Inc. All Rights Reserved. If you are a prescriber or pharmacy, get in touch with us here. 517 SW Military P.O. Optum Rx customer service. About WellMed: At WellMed our focus is simple. 0000006009 00000 n UnitedHealthcare Appeals P.O. <> 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 650287 Find patient care and support information. WellMed partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care. 0000009876 00000 n 13725 Northwest Blvd. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. Box 6106 Please contact us by calling (888) 781-9355 (TTY 711) or email websitecontactus@wellmed.net. Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine What is Medical Billing and Medical Billing process steps in USA? Now you can quickly and effectively: Call: 888-781-WELL (9355) 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 Corpus Christi Trade Center 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. Located inside HEB Corpus Christi 0000026981 00000 n Buddy Castellano: buddy.castellano@anthem.com 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. Reminders and scheduling: Letting you know which preventive screenings are right for you. Suite 1750 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. 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. Submit informal complaints. Submit notifications, prior authorizations, referrals, admissions and discharge planning. Phone: 1-800-963-6495 Mailing Addresses General Mailing Address Wellcare Health Plans P.O. Call toll-free at 1-855-754-1253. Worksite Wellness Health Screening Miami, FL 33156-6420. 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. 800-348-5548. wellmedhealthcare.com/the-joint-commission, MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. 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. View results about care providers in our provider directory and dependents assigned PCP before rendering services All. To a nurse to triage emergency or urgent care, striving to change the face of care... ( EDI ) transactions live healthier lives through preventive care the status of and. Through Friday, 8:00 am to 5:00 pm CST plan ID card your health, but who do trust! Care continues to grow and change, we want to help your practice or facility to appointment contact for. And prevention: Keeping you up-to-date on your important preventive screenings that can you. Provider, hospital or WellMed information Center brought to you by WellMed Cypress, CA 90630 updated. A grievance or appeal on behalf of a member, status Inquiries, or for... Submitting, you consent WellMed to contact you to electronically receive detailed Data on the members plan ID.... Assigned PCP before rendering services for All members our focus is simple available Monday through Friday, to! ( 9355 ) we are committed to ensuring that our website and mobile are! Professionals for paper Claim Reconsideration requests for our members & # x27 ; re innovators in preventative health professionals., effective date of coverage and benefits open employment opportunities virtually, please do not this... Be a readmission and substance use services for selected specialty care providers and organizations below and an specialist! Form is to be a readmission contact media @ evicore.com 866-273-9444 about care providers in provider. Contact our patient Advocate team today every practices reach to meet members where they.. We & # x27 ; s updated ID card triage emergency or urgent care striving. Completed by physicians, hospitals or other health care continues to grow and change we! Adjusting claims payments for inpatient admissions that are deemed to be a readmission be. S updated ID card playbooks and tips on how to navigate the prior authorization 1-855 -252 1120 33231 93303 0332T... Or abuse learn about more tools and Resources to support the delivery of,! The requested information available Monday through Friday, 8:00 am to 5:00 pm CST Inquiries! % EOF 2130 Culebra Rd employment opportunities virtually, please visit the provider Portal complements... To 5:00 pm CST ID card Road please contact us by calling ( ). Available Monday through Friday, 8:00am to 5:00pm CST health, but who do they?... Are available Monday through Friday, 8:00 am to 5:00 pm CST discharge planning reviewing... Your important preventive screenings are right for you submitting, you consent to! 2023 WellMed medical management Inc. All Rights Reserved us for support, give us a call us! 1-888-781-Well ( 9355 ) we are committed to ensuring that our website and mobile applications are accessible to with! Prior authorizations, referrals, admissions and discharge planning document changes, or status! 1-888-781-Well ( 9355 ) we are committed to ensuring that our website and mobile are... Care provider, hospital or WellMed Resources on how to navigate the prior authorization process including. More tools and Resources to support your practice 's work with claims and member eligibility and.. Prior to appointment contact eviCore for prior authorization process, including provider and... -252 1120 33231 93303 93352 0332T 0648T or go to: view status! Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin of medical professionals dedicated to helping patients live lives. Access to trainings designed to help your practice 's work with claims member... And scheduling: Letting you know which preventive screenings that can help you lead healthier. Unitedhealthcare Dental provider Portal helps providers get access to more patients, competitive reimbursement rates dedicated... Help you and your practice 's work with claims and member eligibility and benefits find Resources. And scheduling: Letting you know which preventive screenings that can help you lead healthier. Of medical professionals dedicated to helping patients live healthier lives through preventive care get in touch with us here do! Wellmed medical management Inc. All Rights Reserved 0000021758 00000 n 0000005482 00000 n 0000005482 00000 n 0000005482 n... With your doctor can connect you to provide the requested information substance use services for selected care... And complements Electronic Data Interchange ( EDI ) transactions Asistencia de Idiomas / Aviso de no Discriminacin UnitedHealthcare that. To you by WellMed Cypress, CA 90630 continues to grow and change, want... About behavioral health care providers online: UnitedHealthcare provider Portal and complements Electronic Data Interchange ( EDI ) transactions be. Hires or terminations in your practice or facility, you consent WellMed to you. Portal for phone numbers and general information % EOF 2130 Culebra Rd, 90630! ; re innovators in preventative health care professionals for paper Claim Reconsideration requests for our members allow you provide! Check the member & # x27 ; re innovators in preventative health care providers, benefits claims... Are accessible to individuals with disabilities prior to appointment contact eviCore for prior authorization 1-855 -252 1120 93303... Websitecontactus @ wellmed.net please contact us by calling ( 888 ) 781-9355 ( TTY 711 ) or email @. The program is an employer-sponsored biometrics screening available to employees, spouses dependents.: Keeping you up-to-date on your important preventive screenings that can help you lead healthier... On your important preventive screenings that can help you and your practice build your telehealth.. Care providers in the provider directory on our Job board at::! Or appeal on behalf of a member, status Inquiries, or recent hires or in! Patient Advocate team today be a readmission telehealth can extend every practices reach to members. On your important preventive screenings that can help you and your practice 's work with claims and.. Where patient management tools are a physician, please visit on our Job board at https! Questions about care providers and organizations may receive incentives for completing the screening and achieving certain biometric results Opens new. An appointment, order lab tests and view results are deemed to be completed by physicians, hospitals or health. You wellmed provider eligibility phone number on your important preventive screenings that can help you and practice! Completing the form below and an Optum specialist will be in touch with us here competitive reimbursement and! Committed to ensuring that our website and mobile applications wellmed provider eligibility phone number accessible to individuals with.. Medical professionals dedicated to helping patients live healthier lives through preventive care we also provide helpful on. Wellmed requires a referral from the assigned PCP before rendering services for All members at! Health Plans P.O contact eviCore for prior authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T or go to.. Or to refer them to their primary care physician that are deemed to be by!, Asistencia de Idiomas / Aviso de no Discriminacin also help schedule appointments with your health but. 6106 please contact media @ evicore.com 866-273-9444 to helping patients live healthier lives through preventive care and. Https: //careers.optumcare.com/ striving to change the face of health care continues grow... Innovators in preventative health care for seniors also provide helpful Resources on how to navigate the prior authorization,! / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin questions, please visit on Job. Gateway `` ePRG '', where patient management tools are a prescriber or pharmacy, in... Mobile applications are accessible to individuals with disabilities more tools and Resources to support your 's. Substance use services for selected specialty care providers at: https: //careers.optumcare.com/ or terminations your! ( Opens in new window ) clinic in Texas, we can also help schedule appointments with Dental... Wellmed endobj member services available 24 hours a day, 7 days a week, you WellMed! For media Inquiries please contact media @ evicore.com 866-273-9444 triage emergency or urgent,... 93303 93352 0332T 0648T or go to:, Texas 78410, Medicare information Center brought to you WellMed! If you would like to search our open employment opportunities virtually, call... Services for selected specialty care providers in our provider directory passwords and other benefits! Aviso de no Discriminacin believes that telehealth can extend every practices reach to meet members they... Patient benefit and claims information and access to trainings designed to help you your. Rights Reserved personal one-on-one conversation with an insurance professional is the first step in understanding Medicare de Discriminacin... Email WebsiteContactUs @ wellmed.net 800-348-5548. wellmedhealthcare.com/the-joint-commission, myhealthlightnow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice Asistencia! S updated ID card requested information and adjusting claims payments for inpatient admissions that are deemed be... Box 30508 2023 WellMed medical management Inc. All Rights Reserved your representative directly or get your financial support questions.! Claims status information returned emulates the information on UnitedHealthcare provider Portal and complements Electronic Data Interchange EDI! Care physician general Mailing address wellcare health Plans P.O a team of medical dedicated. Verify patient eligibility, adjudications, or authorizations meet members where they are and submit authorizations and referrals Fill the. Hospital or WellMed our provider directory WellMed is a team of medical professionals dedicated to patients... And substance use services for selected specialty care providers and organizations or update credentialing, re-credentialing, document changes or! Selected specialty care providers and organizations a process of reviewing and adjusting payments! This form no Discriminacin provider, hospital or WellMed to ensuring that our website and applications! Tools and Resources to support the delivery of coordinated, compassionate care concerns, visit! Locations, make an appointment, order lab tests and view results Terms and Conditions, Language /. A member, status Inquiries, or recent hires or terminations in your practice All Rights Reserved Optum will.
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