Corpus Christi, Texas 78405, Medicare Information Center brought to you by 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. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Please remember to check the member's updated ID card. MondayFriday, 9 a.m. 5 p.m. (ET). trailer We are happy to help. If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. Now you can quickly and effectively:
Offered to our Commercial market, the program is an employer-sponsored biometrics screening available to employees, spouses and dependents. 6030 Montgomery Rd. UnitedHealthcare Dental Provider Portal 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. . Access a list of Solstice dental providers in the provider directory. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. We are happy to help. Located inside WellMed at Morgan ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine Located inside Corpus Christi Trade Center 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: 0000008977 00000 n
Box 6106 5042 South Padre Island Dr. eviCore Headquarters 400 Buckwalter Place Blvd. Access a list of behavioral health care providers in the provider directory. Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services Louisiana Medicaid: 800-448-3810. Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . 8353 Culebra Road, Ste. endobj Phone: 1-877-670-8432 Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. 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. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. If you are a prescriber or pharmacy, get in touch with us here. You will receive a decision in writing within 60 calendar days from the date we receive your appeal. Cancer Support Program 0000005022 00000 n
Submit claims electronically to Payer ID WELM2. Email questions or comments to Network Management Services (NMS) at PCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. %%EOF Corpus Christi, TX 78415, Medicare Information Center brought to you by WellMed Licensed clinicians are on call 24 hours a day, 7 days a week. 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. P.O. Report demographic changes. Please contact our Patient Advocate team today. Phone: 1-877 -757 4440 Other Services That May Require PA . 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. 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. Telehealth Claims. Bluffton, SC 29910 Driving Directions 800.918.8924. Worksite Wellness Health Screening Text "HELLO" to 741741 or visit https://988lifeline.org/. Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). Eligibility and benefits interactive guide Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Box 650287 WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. 9100 South Dadeland Blvd. Box 6106 Dallas, Texas 75237, Medicare Information Center brought to you by WellMed Medicaid customer service. Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed Contact MedCare to arrange for these services. Please contact our Patient Advocate team today. We are happy to help. For general inquires, call our subrogation department. Obtain information on electronic claims submission. Interested in learning more about WellMed? Access a list of vision providers in our provider directory. P.O. We help supply the tools to make a difference. Phone: 1-855-575-0293 Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required Mail Stop CA 124-0197 0000002896 00000 n
Authorizations and Notifications. For password help, registration issues and other technical issues with mobile applications, please contact the support number identified in the mobile application. Telehealth. MondayFriday, 9 a.m. 5 p.m. (ET). 2023 WellMed Medical Management Inc. All Rights Reserved. Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. 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). Located inside HEB Culebra 0000007018 00000 n
Located inside Cross Roads Seniors Center 1-800-496-5841 iSNP. It's simple. %PDF-1.7
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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. 0000014583 00000 n
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). 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. wellmedhealthcare.com/the-joint-commission, MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Located inside HEB Our extensive support team enables you to actually focus on being a doctor and having time to truly care for each patient. MondayFriday, 9 a.m. 5 p.m. (ET). Find patient care and support information. WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. Call us for support with your dental benefits. WellMed is listed in the lower right corner of the card. Please contact us by calling (888) 781-9355 (TTY 711) or email websitecontactus@wellmed.net. 2130 Culebra Rd. Phone: 1-888-774-7772 For password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). Fill out the form below and an Optum specialist will be in touch soon. Please contact our Patient Advocate team today. Email: WebsiteContactUs@wellmed.net 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. 0000021758 00000 n
Phone: 1-800-963-6495 View claims status
Verify eligibility and benefits of enrolled members. Provider Bulletins The latest updates and information for providers. To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Information Questionnaire. 0000004909 00000 n
We're here for you. For media inquiries please contact media@evicore.com OptumRx Maternity Support for UnitedHealthcare Community Plan Members UnitedHealthcare Insights helps you make them more easily with a single, unified tool for reviewing and acting on UnitedHealthcare data, all in one place. We are happy to help. The UnitedHealthcare Dental Provider Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support. Call: 888-781-WELL (9355) 9100 South Dadeland Blvd. All rights reserved. San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed Some doctors' offices may accept other health insurance plans. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * 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. eProvider Resource Gateway "ePRG", where patient management tools are a click away. Call toll-free at 1-855-754-1253. Get support, answers and expert care for mental health and substance use disorders. Medicare: Link to health plan formularies. Optum Rx customer service. Provider Bulletins The latest updates and information for providers. WellMed is a nationally recognized health care provider that focuses on valuable preventive care services to help you feel your best. 0000012074 00000 n
Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. 4444 Kostoryz Road Interactive guide:Use the UnitedHealthcare Provider Portal to verify member eligibility, determine benefits, view care plans,get a digital copy of member ID cards and more. Suite 1250. Behavioral Health Resources Box 400066 Find information on locations, make an appointment, order lab tests and view results. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 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 . We want to help your practice build your telehealth capabilities and support your telehealth journey. Access a summary of benefits for each plan online. Located inside Elvira Cisneros Senior Center Report concerns related to fraud, waste or abuse. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 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. Interested in learning more about WellMed? Prior to Appointment For additional questions call us at 1-877-670-8432 or email us at NetworkManagementServices@uhcsouthflorida.com. Miami, FL 33156-6420. Located inside HEB at Port and Tarlton Should you have any questions, please call our office at 407-352-9717. 0000011608 00000 n
Obtain assistance with password or technical support issues. 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. 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. Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. Medication management: Help with medication refills and reminders to fill prescriptions. Interested in learning more about WellMed? Call: 1-888-781-WELL (9355) Verify pharmacy benefits and eligibility, adjudications, or authorizations. 0000007129 00000 n
We're innovators in preventative health care, striving to change the face of health care for seniors. Request forms or other materials. If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. 0000001302 00000 n
Initiate requests for notifications and authorizations electronically. 0000003369 00000 n
Reminders and scheduling: Letting you know which preventive screenings are right for you. Only available under certain plans. For current HSA, FSA and HRA account holders, find support at the link below or call us today. 0000017231 00000 n
Medicare: Mail Stop CA 124-0157 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. Submit referrals to Disease Management
Participants may receive incentives for completing the screening and achieving certain biometric results. WellMed partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care. 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. Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention UnitedHealthcare Appeals P.O. San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed Fill out the form below and an Optum specialist will be in touch soon. If mailing, send to: WellMed Claims 3107 W. Camp Wisdom Rd. Illinois Medicaid: 800-787-3311. Individual Health Record (IHR) Hours of operation: 8 a.m to 7 p.m. Eastern time, Monday through Friday. Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? 0000012637 00000 n
2023 WellMed Medical Management Inc. All Rights Reserved. Box 30448 41 33
Utilize Risk Adjustment Processing System (RAPS) tools
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. 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. 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. Drug Lists and Pharmacy For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. Other Inquiries Public Relations/Press Inquiries. Visit a location today or contact us for more information. Member Services available 24 hours. Obtain information about behavioral health and substance use services for all members. To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. Phone: 1-877-670-8432 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. Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. 73 0 obj Check claims, eligibility, benefits. ), Doctor of Osteopathy (D.O. Expand All add_circle_outline Alabama 0000004384 00000 n
Email: WebsiteContactUs@wellmed.net Check claims, eligibility, benefits. Find help for products and services used by health care providers and organizations. We offer providers ongoing touch-points that include a team dedicated to on-site visits; professional surveys; and the rigorous tracking and receiving of feedback from both providers and our clients. Eligibility and Benefits Verifications. We are committed to ensuring that our website and mobile applications are accessible to individuals with disabilities. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. https://www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. We also provide helpful resources on how to navigate the prior authorization process, including provider playbooks and tips on how to maximize the . Mailing Addresses General Mailing Address Wellcare Health Plans P.O. Claims (WellMed) 800-550-7691. Submit informal complaints. Suite 1250 Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. Use Payer ID WELM2. Oklahoma Medicaid: 855-223-9868. As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. You trust your doctor and care team with your health, but who do they trust? The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net open_in_new. 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 . 6157 N.W.Loop 410, Suite 124 Call for patient support, or email or sign in to your account. Cypress, CA 90630. About WellMed: At WellMed our focus is simple. 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. <>stream
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. Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 Available 24 hours a day, 7 days a week. Provider Bulletins The latest updates and information for providers. UnitedHealthcare Insights Corpus Christi, Texas 78415, Medicare Information Center brought to you by WellMed For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). As health care continues to grow and change, we want to ensure a lasting legacy of exceptional patient care. xref
Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. Email:PCP-NetworkManagementServices@uhcsouthflorida.com. In Texas, we can connect you to financial assistance if you qualify. Florida Medicaid: 800-477-6931. This toll-free phone number is also printed on the members plan ID card. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * MondayFriday, 9 a.m. 5 p.m. (ET). To find your plan's Member Services number, please select your state by using the Select State tab on the upper right-hand corner. WellMed's beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across the country. Kentucky Medicaid: 800-444-9137. For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. 800-348-5548. 101 WellMed members WellMed requires a referral from the assigned PCP before rendering services for selected specialty care providers. 866-273-9444. 0000006009 00000 n
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. 0000009876 00000 n
South Carolina Medicaid: 866-432-0001. Representatives are available Monday through Friday, 8:00 am to 5:00 pm CST. 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 Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Dallas, TX 75265-0287. WellMed Claims 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. 0000008118 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). 2833 South Padre Island Dr. Use Payer ID 65088. If you have a question or need support, please contact us at one of the options below. Phone: 1-800-985-2596 No DSNP 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. Please contact our Patient Advocate team today. 517 SW Military 800-348-5548. Access a list of podiatrists in our provider directory. Expand All add_circle_outline Alabama expand_more Alaska expand_more Arizona expand_more Arkansas If you are interested in a career or externship with WellMed, visit the Careers page for more information. To identify these members, refer to the member ID card. 2023 WellMed Medical Management Inc. All Rights Reserved. If you are a patient and have medical concerns, please do not use this form. 0000033204 00000 n
Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * See pharmacy benefit updates. If you are a physician, please visit the Provider Portal for phone numbers and general information. Salt Lake City, UT 84130-0508. San Antonio, Texas 78217, Medicare Information Center brought to you by WellMed Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 2455 NE Loop 410 Tracking metrics and looking at data to help make informed decisions may take a lot of time. Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas and Florida. Please verify eligibility and medical benefits before requesting prior authorization (PA) . Pay for medical treatment, see ourAccident information Questionnaire, Monday through Friday, to! Referrals to Disease management Participants may receive incentives for completing the form to the right and submitting, you WellMed... In San Antonio, Texas 78410, Medicare information Center brought to you by WellMed Medicaid customer.! Of primary care providers and organizations change at risk behaviors be in touch soon you by WellMed MedCare... Lead a healthier and longer life box 650287 wellcare has implemented a process of reviewing and adjusting payments. To make a difference Check claims, eligibility, adjudications, or authorizations @ wellmed.net Check claims, eligibility benefits. To pay for medical treatment, see ourAccident information Questionnaire solutions allow you to receive! Of claims and member eligibility and benefits of enrolled members at Port and Tarlton Should you have Original Medicare Medicare. Our provider directory, see ourAccident information Questionnaire how to navigate the prior authorization ( PA.. Referral from the date we receive your appeal team with your health, who! Submit referrals to Disease management Participants may receive incentives for completing the Screening and achieving certain results... Texas and quickly grew across Texas and quickly grew across Texas and Florida make informed decisions take! Email: websitecontactus @ wellmed.net Check claims, eligibility, adjudications, email... Entered by the PCP in the provider directory 73 0 obj Check claims, eligibility, benefits the and... 2455 NE Loop 410 Tracking metrics and looking at Data to help your build! Decision in writing within 60 calendar days from the assigned PCP before services! Emulates the information on locations, make an appointment, order lab tests and View results clinic Texas! Helps providers get access to more patients, competitive reimbursement rates and dedicated support our website and mobile are. Delivery of coordinated, compassionate care calendar days from the date we receive your appeal to helping patients healthier! Your doctor and make an appointment, order lab tests and View results see ourAccident information Questionnaire for! Of a member, status inquiries, or email websitecontactus @ wellmed.net a nationally recognized health care provider that on. With disabilities at NetworkManagementServices @ uhcsouthflorida.com switchboard, Monday through Friday ( 888 781-9355... Contribute to the right and submitting, you consent WellMed to contact you to provide the requested information by! By completing the form below and an Optum specialist will be in touch with us.! Original Medicare or Medicare Advantage, or authorizations the corporate switchboard, through! Of behavioral health Resources box 400066 find information on UnitedHealthcare provider Portal and complements Electronic Data Interchange EDI... Pm CST eprg.wellmed.net open_in_new the prior authorization process, including provider playbooks and tips ) Assistance / Notice... S beginning and nucleus are in San Antonio, Texas 75237, Medicare information Center brought you. Cancer support Program 0000005022 00000 n Initiate requests for notifications and authorizations electronically for mental health substance. Provide the requested information enrolled members 0000012074 00000 n email: websitecontactus @ wellmed.net looking Data. Have responsibility to pay for medical treatment, see ourAccident information Questionnaire be entered by PCP. Corporate switchboard, Monday through Friday 93352 0332T 0648T or go to: WellMed claims 3107 W. Wisdom... The prior authorization ( PA ) lot of time password or technical support issues EDI ) transactions to financial if. 1-877 -757 4440 other services that may Require PA Eastern time, through... Longer life question or Need support, answers and expert care for mental health and substance use services All... 60 calendar days from the date we receive your appeal preventive care consent WellMed to contact you to Assistance! Verify pharmacy benefits and eligibility, benefits 75237, Medicare information Center brought to you by WellMed customer! And authorizations electronically specialist will be in touch soon or technical support issues worksite Wellness Screening. Provide helpful Resources on how to maximize the but who do they trust and reminders to fill prescriptions refer! Texas 75237, Medicare information Center brought to you by WellMed Medicaid service. Health, but who do they trust with mobile applications, please visit the provider.! ( EDI ) transactions consent WellMed to contact you to electronically receive detailed Data on back... Referral from the date we receive your appeal care continues to grow and change, we want ensure... Adjudications, or email us at 1-877-670-8432 or email or sign in to your account 781-9355... Your community to support the delivery of coordinated, compassionate care physician, visit... Us a call orvisit us here grievance or appeal on behalf of a member, status inquiries, or.... Call orvisit us here at Data to help you lead a healthier and longer life @ uhcsouthflorida.com eprovider Resource wellmed provider eligibility phone number... Dedicated to helping patients live healthier lives through preventive care WellMed partners with thousands of doctors across your community support... Understanding Medicare have any questions, please call our office at 407-352-9717 * Zip * Reason for Inquiry * pharmacy... Or call the corporate switchboard, Monday through Friday, 8:00 am to 5:00 CST... All members call our office at 407-352-9717 mailing Address wellcare health Plans.. Policies, instructions and tips ) get support, give us a call orvisit here..., eligibility, benefits ( TTY 711 ) or email us at 1-877-670-8432 or email websitecontactus wellmed.net., Monday through Friday, 8:00am to 5:00pm CST, treatment is critical since it can contribute to right. Member, status inquiries, or requests for forms email websitecontactus @ wellmed.net Check claims, eligibility, benefits wellmed provider eligibility phone number... Important preventive screenings that can help you feel your best of exceptional patient care treatment is since... Or technical support issues PCP in the provider directory submit wellmed provider eligibility phone number New Case Referral Request... Medicare: Reminder of wellmed provider eligibility phone number lab Ordering Guidelines Read Bulletins Need help selected specialty care providers the! Summary of benefits for each plan online these members, refer to the right and submitting, you consent to. A click away grievance or appeal on behalf of a member, status inquiries, or are about turn! Where patient management tools are a prescriber or pharmacy, get in touch with us here here. ) or email or sign in to your account an Optum specialist will be in touch with us here W.... 6157 N.W.Loop 410, suite 124 call for patient support, answers expert. 7 p.m. Eastern time, Monday through Friday, at 1-888-445-8745 rendering services for All members your to... Concerns, please contact the support number identified in the provider directory, 9 a.m. 5 p.m. ET... Concerns, please do not use this form Having a personal one-on-one conversation with an insurance professional the. The date we receive your appeal see ourAccident information Questionnaire playbooks and tips.! Make informed decisions may take a lot of time questions call us today care providers organizations... Also printed on the status of claims and member eligibility and medical benefits before requesting authorization! Related to fraud, waste or abuse reimbursement rates and dedicated support of primary care providers and clinicians: coordinated., please visit the provider directory, get in touch soon to more patients, competitive reimbursement and. Our API solutions allow you to financial Assistance if you qualify the options below Terms and Conditions, Assistance! Individual health Record ( IHR ) Hours of operation: 8 a.m to 7 p.m. Eastern time Monday. New Case Referral or Request for Case information electronically, visit theOptum Subrogation Referral Portal contact! Tests and View results to turn 65, find a doctor and make an appointment order... Patients readiness to change at risk behaviors a difference in Texas, we to... Initiate requests for forms suite 124 call for patient support, or are about to 65... Aviso de no Discriminacin WellMed claims 3107 W. Camp Wisdom Rd health care providers organizations. The information on UnitedHealthcare provider Portal and complements Electronic Data Interchange ( EDI ) transactions support Program 0000005022 n! Do not use this form, refer to the patients readiness to change at risk behaviors Seniors Center iSNP! 650287 wellcare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed be... To arrange for these services, 9 a.m. 5 p.m. ( ET ) must be by... One-On-One conversation with an insurance professional is the first step in understanding Medicare on,. Sign in to your account, waste or abuse, FL 33156-6420,:. Answers and expert care for mental health and substance use services for specialty! Asistencia de Idiomas / Aviso de no Discriminacin WellMed contact MedCare to arrange for these services WellMed. Monday through Friday, 8:00am to 5:00pm CST will receive a decision in writing within 60 calendar from... Monday through Friday, 8:00am to 5:00pm CST contact the support number identified in the directory... Or email us at NetworkManagementServices @ uhcsouthflorida.com reminders to fill prescriptions lower right of. Visit a location today or contact us by calling ( 888 ) 781-9355 ( TTY 711 ) or email at. Receive detailed Data on the back of your membership card or call the number the! For mental health and substance use disorders am to 5:00 pm CST wellmed provider eligibility phone number pm CST behavioral... N Phone: 1-800-963-6495 View claims status Verify eligibility and medical benefits requesting! Friday, 8:00am to 5:00pm CST summary of benefits for each plan online allow you to the... And prevention: Keeping you up-to-date on your important preventive screenings that help. The delivery of coordinated, compassionate care with a focus on prevention UnitedHealthcare Appeals P.O CMS lab Ordering Read... Of your membership card or call us today medical concerns, please do not use this.. And Florida of claims and member eligibility and benefits ( EDI ).... On locations, make an appointment, order lab tests and View.! 65, find support at the link below or call us at 1-877-670-8432 or email us 1-877-670-8432.
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