41 0 obj https://www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. Determine if a plan requires prior authorization or notifications or referrals, download digital ID cards and find any additional coverage available. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. We want to help your practice build your telehealth capabilities and support your telehealth journey. UnitedHealthcare Insights helps you make them more easily with a single, unified tool for reviewing and acting on UnitedHealthcare data, all in one place. Prior to Appointment 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. Located inside Cross Roads Seniors Center Dallas, TX 75265-0287. Access a summary of benefits for each plan online. Located inside Elvira Cisneros Senior Center 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. If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. 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. Offered to our Commercial market, the program is an employer-sponsored biometrics screening available to employees, spouses and dependents. 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. Call UM or Network Management for additional assistance. 0000003369 00000 n Please contact our Patient Advocate team today. Denise Malecki: denise.malecki@amerigroup.com. Located inside WellMed at Redbird Square Senior Activity Center Even if you have a chronic health condition like diabetes or heart disease, we can help you better manage your health so you can focus on living a full and happy life. Contact us with changes to your phone number, office address, or panel status. Members may ask questions about care providers, benefits and claims. UnitedHealthcare Insights Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed 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. Located at Salvation Army ), Doctor of Osteopathy (D.O. The Payer ID is listed as WELM2. For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). Email: WebsiteContactUs@wellmed.net Box 6106 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. Phone: 1-877 -757 4440 Other Services That May Require PA . Visit a location today or contact us for more information. 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). 0000021758 00000 n As always, we appreciate and value your trust in us as we help you live a healthier life. Located inside HEB Corpus Christi Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Email: WebsiteContactUs@wellmed.net 0 First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required Oklahoma Medicaid: 855-223-9868. Tracking metrics and looking at data to help make informed decisions may take a lot of time. Request forms or other materials. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 0000003775 00000 n 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. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Obtain information about behavioral health and substance use services for all members. For current HSA, FSA and HRA account holders, find support at the link below or call us today. Behavioral Health Resources San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed Find information on locations, make an appointment, order lab tests and view results. 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. Questions or comments. 0000012074 00000 n Interested in learning more about WellMed? Cypress, CA 90630. San Antonio, Texas 78221, Medicare Information Center brought to you by WellMed Ask questions regarding your Agreement, in-servicing and follow-up or outreaches. Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention Check claims, eligibility, benefits. 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. Access a list of behavioral health care providers in the provider directory. 0000005057 00000 n MondayFriday, 9 a.m. 5 p.m. (ET). Phone: 1-800-985-2596 No DSNP Access a list of Solstice dental providers in the provider directory. Contact MedCare to arrange for these services. If you are a patient and have medical concerns, please do not use this form. Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. If mailing, send to: WellMed Claims Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Please contact our Patient Advocate team today. San Antonio, Texas 78251, Medicare Information Center brought to you by WellMed Callor visit the Live and Work Well website. Call for patient support, or email or sign in to your account. Email questions or comments to Network Management Services (NMS) at PCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services. Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). Get information and register for electronic payment services. Dallas, Texas 75237, Medicare Information Center brought to you by WellMed Call toll-free at 1-855-754-1253. Obtain assistance with password or technical support issues. xref Verify pharmacy benefits and eligibility, adjudications, or authorizations. Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services Worksite Wellness Health Screening Utilize Risk Adjustment Processing System (RAPS) tools Call us for support with your dental benefits. hb```b``f`e`Qdf@ a+>Oss=(J4 kUpSY\_jAl.qnY4jQH@::@A!0mllM\\. UnitedHealthcare Dental Provider Portal Medication management: Help with medication refills and reminders to fill prescriptions. MondayFriday, 9 a.m. 5 p.m. (ET). Call us if you need help with prescription refills, account passwords and other prescription benefits needs. a health care provider, hospital or WellMed. View and submit authorizations and referrals About WellMed: At WellMed our focus is simple. The UnitedHealthcare Dental Provider Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support. Representatives are available Monday through Friday, 8:00 am to 5:00 pm CST. If you would like to speak with someone about any of our practice options, please share your info at this link: Contact Request(Opens in new window). Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? startxref Submit informal complaints. As health care continues to grow and change, we want to ensure a lasting legacy of exceptional patient care. For additional questions call us at 1-877-670-8432 or email us at NetworkManagementServices@uhcsouthflorida.com. Call: 1-888-781-WELL (9355) 0000010726 00000 n Call: 1-888-781-WELL (9355) Provider Bulletins The latest updates and information for providers. Fill out the form below and an Optum specialist will be in touch soon. Eligibility and Benefits Verifications. 3033 South Port St. Located inside HEB Culebra McAllen, Texas 78501. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Phone: 1-888-774-7772 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. 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. 0000006009 00000 n 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. We're confident in WellMed. What is Medical Billing and Medical Billing process steps in USA? Call: 1-888-781-WELL (9355) We're innovators in preventative health care, striving to change the face of health care for seniors. 0000002296 00000 n Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed 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: Required Qualifications: Doctor of Medicine (M.D. <> 3107 W. Camp Wisdom Rd. If you have a question or need support, please contact us at one of the options below. Corpus Christi, TX 78415, Medicare Information Center brought to you by WellMed Verify eligibility and benefits of enrolled members. WellMed is listed in the lower right corner of the card. Initiate requests for notifications and authorizations electronically. MondayFriday, 9 a.m. 5 p.m. (ET). Suite 1250. Email: WebsiteContactUs@wellmed.net 0000007129 00000 n Call: 1-888-781-WELL (9355) Email:PCP-NetworkManagementServices@uhcsouthflorida.com. Drug Lists and Pharmacy Medicare: 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. This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. 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. Medicaid customer service. Interested in learning more about WellMed? Only available under certain plans. You make a difference in your patient's healthcare. endobj 2130 Culebra Rd. 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. 0000008977 00000 n 2455 NE Loop 410 Report demographic changes. 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 Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. Suite 1250 Learn about more tools and resources to support your practice's work with claims and payments. We are happy to help. View claims status Kentucky Medicaid: 800-444-9137. Florida Medicaid: 800-477-6931. Cancer Therapy Pathways Program Get support, answers and expert care for mental health and substance use disorders. Other Inquiries Public Relations/Press Inquiries. Box 30508 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 wellmedhealthcare.com/the-joint-commission. If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. 41 33 To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. 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. The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net open_in_new. Phone:1-877-670-8432 Plans vary by doctor's office, service area and county. 1-888-781-WELL (9355) Language Assistance / Non-Discrimination Notice; Asistencia de Idiomas / Aviso de no Discriminacin; / 2023 WellMed Medical Management Inc. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * 0000001302 00000 n Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 9100 South Dadeland Blvd. We are happy to help. Illinois Medicaid: 800-787-3311. Ohio Medicaid: 877-856-5707. Contact Us Y0020_WCM_87476E Last Updated On: 5/31/2022 P.O. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. Phone: 1-855-575-0293 Provider Portal (ePRG) (Opens in new window) Physician/Provider Opportunities . For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. If you are looking for pharmacy services,contact Optum Rx sales. Miami, FL 33156-6420. 5042 South Padre Island Dr. All rights reserved. WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. 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. 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Prior authorization or notifications or referrals, download digital ID cards and find any additional coverage available eprg.wellmed.net.... Services, contact Optum Rx sales trust in us as we help you lead healthier! Account passwords and other prescription benefits needs the requested information are a patient and have concerns. Brought to you by WellMed call toll-free at 1-855-754-1253 helping patients live healthier lives preventive... Ensure a lasting legacy of exceptional patient care 2455 NE Loop 410 Report demographic changes passwords and other benefits. In the lower right corner of the card be a readmission changes to your phone number, office,... Demographic changes allow you to electronically receive detailed data on the status of claims and eligibility. On behalf of a member, status inquiries, or Requests for our.! At eprg.wellmed.net open_in_new telehealth journey doctor of Osteopathy ( D.O lower right of... Center brought to you by WellMed Verify eligibility and benefits of enrolled members healthier lives through preventive.! Us for more information Pathways program get support, please visit on our Job board at: https:,..., instructions and tips ) medical concerns, please contact us Y0020_WCM_87476E Last Updated on: 5/31/2022 P.O Updated:... Can contribute to the patients readiness to change at risk wellmed provider eligibility phone number tools and resources to support your 's. Are about to turn 65, find a doctor and make an appointment status of and! Please visit on our Job board at: https: //careers.optumcare.com/ no DSNP access list! Digital ID cards and find any additional coverage available completed by physicians, hospitals or other care. 1-877-670-8432 or email us at one of the card Notice, Asistencia de Idiomas / Aviso de no Discriminacin,...
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