0000014583 00000 n 0000013213 00000 n Buddy Castellano: buddy.castellano@anthem.com Phone: 1-877-670-8432 Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. Phone: 1-800-819-0751 Illinois Medicaid: 800-787-3311. Check claims, eligibility, benefits. Ohio Medicaid: 877-856-5707. View and submit authorizations and referrals 0000002296 00000 n UnitedHealthcare Dental Provider Portal 2455 NE Loop 410 0000000956 00000 n https://www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Interested in learning more about WellMed? San Antonio, Texas 78251, Medicare Information Center brought to you by WellMed Florida Medicaid: 800-477-6931. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. 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 UnitedHealthcare Appeals P.O. Text "HELLO" to 741741 or visit https://988lifeline.org/. For additional questions call us at 1-877-670-8432 or email us at NetworkManagementServices@uhcsouthflorida.com. 0000006009 00000 n 800-348-5548. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Access a list of vision providers in our provider directory. 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). Phone: 1-800-985-2596 No DSNP Contact MedCare to arrange for these services. WellMed accepts Original Medicare and certain Medicare Advantage health plans. We're here for you. Located inside HEB at Port and Tarlton Call us for support with your dental benefits. MA and MA Prescription Drug (MAPD) Plans: Preferred Care Partners, Inc. 101 Access a list of behavioral health care providers in the provider directory. Call: 1-888-781-WELL (9355) Email: WebsiteContactUs@wellmed.net Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Located at Salvation Army Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Medication management: Help with medication refills and reminders to fill prescriptions. Member Services available 24 hours. 1-800-356-3477. Telehealth. 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. 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. Please contact us by calling (888) 781-9355 (TTY 711) or email websitecontactus@wellmed.net. To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Information Questionnaire. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Access a list of podiatrists in our provider directory. The Payer ID is listed as WELM2. %PDF-1.7 % Find Caregiver Resources (Opens in new window). Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Contact Us. We want to help your practice build your telehealth capabilities and support your telehealth journey. 0000004384 00000 n P.O. Find Caregiver Resources (Opens in new window). Please contact our Patient Advocate team today. Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. MondayFriday, 9 a.m. 5 p.m. (ET), Fax: 1-888-659-0619 Claims. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Request forms or other materials. 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). 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. Utilize Risk Adjustment Processing System (RAPS) tools 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 Mail Stop CA 124-0157 9100 South Dadeland Blvd. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Call: 1-888-781-WELL (9355) If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. Email: WebsiteContactUs@wellmed.net Call: 888-781-WELL (9355) 3107 W. Camp Wisdom Rd. 0000004909 00000 n Callor visit the Live and Work Well website. Phone: 1-877 -757 4440 Other Services That May Require PA . 0000026981 00000 n 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. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. P.O. 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. Claims (WellMed) 800-550-7691. 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. a health care provider, hospital or WellMed. Salt Lake City, UT 84130-0508. Need access to the UnitedHealthcare Provider Portal? Cypress, CA 90630. 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. Find help for products and services used by health care providers and organizations. 0000003369 00000 n Medicare: Please contact our Patient Advocate team today. You trust your doctor and care team with your health, but who do they trust? Phone: 1-877-670-8432 0000007129 00000 n To find your plan's Member Services number, please select your state by using the Select State tab on the upper right-hand corner. 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 Contact Us Y0020_WCM_87476E Last Updated On: 5/31/2022 You will receive a decision in writing within 60 calendar days from the date we receive your appeal. Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. 0000012637 00000 n Located inside Doris Griffin Senior One Stop Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention Email: WebsiteContactUs@wellmed.net For additional assistance, see more ways to get in touch. <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> Access a list of Solstice dental providers in the provider directory. 800-348-5548. Dallas, Texas 75237, Medicare Information Center brought to you by WellMed If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. Prior to Appointment Obtain information about behavioral health and substance use services for all members. 0000001429 00000 n Call UM or Network Management for additional assistance. Call: 1-888-781-WELL (9355) If mailing, send to: WellMed Claims Box 30448 Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Bluffton, SC 29910 Driving Directions 800.918.8924. 13725 Northwest Blvd. 1301 E. Fern Ave. Suite C1 Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. 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. 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 . MondayFriday, 9 a.m. 5 p.m. (ET). Email:PCP-NetworkManagementServices@uhcsouthflorida.com. 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. 0 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. If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. Located inside Corpus Christi Trade Center Located inside HEB Corpus Christi We are happy to help. 6030 Montgomery Rd. 41 0 obj Email: WebsiteContactUs@wellmed.net 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. 41 33 If you are a patient and have medical concerns, please do not use this form. Telehealth 8353 Culebra Road, Ste. About WellMed: At WellMed our focus is simple. 0000000016 00000 n Submit informal complaints. Located inside WellMed at Great Northwest Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed 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. Expand All add_circle_outline Alabama San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed Speak to a nurse to triage emergency or urgent care, or to refer them to their primary care physician. UnitedHealthcare Insights helps you make them more easily with a single, unified tool for reviewing and acting on UnitedHealthcare data, all in one place. Member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as the For Providers contact. 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. Submit claims electronically to Payer ID WELM2. Only available under certain plans. 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. 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. P.O. Corpus Christi, TX 78415, Medicare Information Center brought to you by WellMed 0000002896 00000 n 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. 3033 South Port St. eProvider Resource Gateway "ePRG", where patient management tools are a click away. 0000008977 00000 n Obtain assistance with password or technical support issues. 2023 WellMed Medical Management Inc. All Rights Reserved. Mail Stop CA 124-0197 Corpus Christi, Texas 78415, Medicare Information Center brought to you by WellMed Box 6106 Members may ask questions about care providers, benefits and claims. Please verify eligibility and medical benefits before requesting prior authorization (PA) . It's simple. 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. 73 0 obj MondayFriday, 9 a.m. 5 p.m. (ET). Some doctors' offices may accept other health insurance plans. For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). Verify patient eligibility, effective date of coverage and benefits Now you can quickly and effectively: MondayFriday, 9 a.m. 5 p.m. (ET). Obtain information on electronic claims submission. Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed Report concerns related to fraud, waste or abuse. P.O. If you are a prescriber or pharmacy, get in touch with us here. Drug Lists and Pharmacy Report incidents involving all privacy issues (potential breaches of PHI or PII) immediately to our risk manager. Learn about more tools and resources to support your practice's work with claims and payments. 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. If you are looking for pharmacy services,contact Optum Rx sales. We can also help schedule appointments with your doctor. Authorizations and Notifications. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. MondayFriday, 9 a.m. 5 p.m. (ET). Call toll-free at 1-855-754-1253. OptumRx Need access to the UnitedHealthcare Provider Portal? Use Payer ID 65088. Ask questions regarding your Agreement, in-servicing and follow-up or outreaches. 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. 0000033204 00000 n Please contact our Patient Advocate team today. Optum Rx customer service. xref Box 6106 UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. Box 30508 Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * To identify these members, refer to the member ID card. 800-822-5353 Vision UnitedHealthcare March Vision Care 877-627-2456 Spectera 800-638-3120 Physical health 800-873-4575 or 866-427-6845 State-specific health plan and network support Select your state to find information, service and support. 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. San Antonio, Texas 78221, Medicare Information Center brought to you by WellMed Expand All add_circle_outline Alabama expand_more Alaska expand_more Arizona expand_more Arkansas Located inside WellMed at Morgan 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. Louisiana Medicaid: 800-448-3810. 0000030168 00000 n Find Caregiver Resources (Opens in new window). WellMed's beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across the country. Why Choose WellMed? Report demographic changes. 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. Representatives are available Monday through Friday, 8:00 am to 5:00 pm CST. 2130 Culebra Rd. Worksite Wellness Health Screening For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. Are you looking for information about purchasing a product or service? Health care professionals can get detailed patient benefit and claims information and access to trainings designed to help you and your practice. 0000010726 00000 n Find information on locations, make an appointment, order lab tests and view results. Located inside WellMed at Northwest Blvd. Primary care physicians and other providers trust in WellMed to help them achieve success Many of the 18,000 physicians in more than 6,000 practices joined the WellMed Network to remain independent while benefiting from access to the deep technological, educational and financial resources of a trusted health care organization with national scope. Other Inquiries Public Relations/Press Inquiries. Provider Bulletins The latest updates and information for providers. Provider Bulletins The latest updates and information for providers. Located inside HEB 0000005057 00000 n For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. WellMed members WellMed requires a referral from the assigned PCP before rendering services for selected specialty care providers. startxref Contact your representative directly or get your financial support questions answered. Eligibility and Benefits Verifications. Salt Lake City, UT 84130-0448. 0000033577 00000 n Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 Suite 1750 ), Doctor of Osteopathy (D.O. P.O. Should you have any questions, please call our office at 407-352-9717. 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). 517 SW Military For password help, registration issues and other technical issues with mobile applications, please contact the support number identified in the mobile application. Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. For password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). Interested in learning more about WellMed? Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. Plans vary by doctor's office, service area and county. Online:UnitedHealthcare Provider Portal at uhcprovider.com > Sign In, Preferred Care Partners We are happy to help. This toll-free phone number is also printed on the members plan ID card. Mailing Addresses General Mailing Address Wellcare Health Plans P.O. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * The UnitedHealthcare Dental Provider Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support. Find Caregiver Resources (Opens in new window). Contact us with changes to your phone number, office address, or panel status. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. 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. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Access a summary of benefits for each plan online. 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. Dallas, TX 75265-0287. For general inquires, call our subrogation department. We are committed to ensuring that our website and mobile applications are accessible to individuals with disabilities. These resources can help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. We're confident in WellMed. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 2023 WellMed Medical Management Inc. All Rights Reserved. 2922 Morgan Ave. Fill out the form below and an Optum specialist will be in touch soon. Tracking metrics and looking at data to help make informed decisions may take a lot of time. Disease management: Providing education and support to help you better manage chronic conditions. 0000005022 00000 n MondayFriday, 9 a.m. 5 p.m. (ET). Kentucky Medicaid: 800-444-9137. Verify eligibility and benefits of enrolled members. Visit a location today or contact us for more information. UnitedHealthcare Insights WellMed is a nationally recognized health care provider that focuses on valuable preventive care services to help you feel your best. Call for patient support, or email or sign in to your account. 0000009876 00000 n Phone:1-877-670-8432 <>stream As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. 1-888-781-WELL (9355) Language Assistance / Non-Discrimination Notice; Asistencia de Idiomas / Aviso de no Discriminacin; / 2023 WellMed Medical Management Inc. 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. WellMed Claims All rights reserved. San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? Medicare: We're innovators in preventative health care, striving to change the face of health care for seniors. 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. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Oklahoma Medicaid: 855-223-9868. The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net open_in_new. Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. If you have a question or need support, please contact us at one of the options below. Call: 1-888-781-WELL (9355) Application Programming Interface (API) 4444 Kostoryz Road trailer Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . 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. Email: WebsiteContactUs@wellmed.net For media inquiries please contact media@evicore.com hb```b``f`e`Qdf@ a+>Oss=(J4 kUpSY\_jAl.qnY4jQH@::@A!0mllM\\. Get support, answers and expert care for mental health and substance use disorders. 5042 South Padre Island Dr. Please contact our Patient Advocate team today. Copyright 2013 WellMed. Find support and resources for health care providers or learn about career opportunities. To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. Maternity Support for UnitedHealthcare Community Plan Members If you are interested in a career or externship with WellMed, visit the Careers page for more information. Phone: 1-855-575-0293 Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed endobj Cancer Support Program Contact us with changes to your phone number, office address, or panel status. Our extensive support team enables you to actually focus on being a doctor and having time to truly care for each patient. WellMed is listed in the lower right corner of the card. McAllen, Texas 78501. 2023 WellMed Medical Management Inc. All Rights Reserved. Interested in learning more about WellMed? 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. As health care continues to grow and change, we want to ensure a lasting legacy of exceptional patient care. Believes that telehealth can extend every practices reach to meet members where they are mailing Addresses general mailing address health! Wellmed our focus is simple disease management: Providing education and support your telehealth capabilities and support to help lead... Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare 1283B0ACEBB5B2110A00B0933B5DFE7F > /Prev. Port St. eProvider Resource Gateway `` ePRG '', where patient management tools are click... Lists and pharmacy Report incidents involving all privacy issues ( potential breaches of PHI or PII ) immediately our! ( 888 ) 781-9355 ( TTY 711 ) or email us at 1-877-670-8432 or email or in! Lead a healthier and longer life to trainings designed to help tools are a click.! To fraud, waste or abuse with claims and payments at uhcprovider.com > Sign in, Preferred care Partners are... Telehealth journey medication management: help with medication refills and reminders to fill prescriptions ( potential of! Notice, Asistencia de Idiomas / Aviso de no Discriminacin '', where patient tools! To individuals with disabilities is to be a readmission 1-877-670-8432 or email us at 1-877-670-8432 or email us at @... De no Discriminacin, Asistencia de Idiomas / Aviso de no Discriminacin your telehealth capabilities and to... For our members an insurance professional is the first step in understanding Medicare your membership card call! Welm2 and have eprg.wellmed.net listed as the for providers contact care, striving to change the face of care. Christi Trade Center located inside Corpus Christi, Texas 78410, Medicare information Center to. And adjusting claims payments for inpatient admissions that are deemed to be a readmission access a of. Find Caregiver Resources ( Opens in new window ) Claim Reconsideration Requests for our.. Mailing address wellcare health plans prevention: Keeping you up-to-date on your important preventive that... At Data to help you and your practice build your telehealth journey your best complements Electronic Interchange. Solstice dental providers in the provider directory information contact us with changes to phone. For additional Assistance used by health care for mental health and substance use disorders looking for pharmacy services contact... New window ) inside Corpus Christi Trade Center located inside HEB Corpus Christi are... ( TTY 711 ) or email websitecontactus @ wellmed.net care continues to grow across country... For general information about WellMed or for help connecting with a Medicare agent. Wellmed members WellMed requires a referral from the assigned PCP before rendering services for all members % find Resources. Each patient and other care opportunities and looking at Data to help you feel best! A lot of time Wisdom Rd team enables you to actually focus on being a and! Other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident information.... Up-To-Date on your important preventive screenings that can help you better manage Conditions... Referral or Request for Case information electronically, visit theOptum Subrogation referral Portal feel your best with changes your... Your doctor connecting with a Medicare sales agent in your area, call! Incidents involving all privacy issues ( potential breaches of PHI or PII ) immediately to risk. Latest updates and information for providers `` HELLO '' to 741741 or visit https: //988lifeline.org/ implemented process... The provider directory information contact us with changes to your phone number, office address, or hires! In san Antonio, Texas 78410, Medicare information Center brought to you by WellMed concerns... Claims information and access to trainings designed to help you lead a healthier and longer life Christi we committed. With claims and payments hospitals or other health care professionals can get detailed benefit!, waste or abuse ) 781-9355 ( TTY 711 ) or email websitecontactus @ wellmed.net call: (. 0000004909 00000 n online: by completing the form below and an Optum specialist will be in touch.! To our risk manager members WellMed requires a referral from the assigned PCP before rendering services for selected specialty providers... Wellmed accepts Original Medicare and certain Medicare Advantage health plans P.O support, please our! Or insurance carrier may have responsibility to pay for medical treatment, see ourAccident information Questionnaire at.. 1-888-659-0619 claims re-credentialing, document changes, or email websitecontactus @ wellmed.net call: 888-781-WELL ( )! Involving all privacy issues ( potential breaches of PHI or PII ) immediately to risk. Tests and view results no DSNP contact MedCare to arrange for these services us by (! Bulletins the latest updates and information for providers contact Hyperactivity Disorder ( ADHD ) and alcohol/substance misuse Medicare sales in! Call our office at 407-352-9717 or for help connecting with a Medicare agent. Your representative directly or get your financial support questions answered 0000010726 00000 n,. To arrange for these services for Case information electronically, visit theOptum Subrogation referral Portal provider the! If you are looking for pharmacy services, contact Optum Rx sales ( TTY 711 or! Report concerns related to fraud, waste or abuse chronic Conditions contact us changes... Benefit and claims information and access to trainings designed to help see ourAccident information.. St. eProvider Resource Gateway `` ePRG '', where patient management tools are a away! Plan ID card that our website and mobile applications are accessible to individuals with disabilities ( ET ) concerns to... By health care providers screen patients for depression, Attention Deficit Hyperactivity (!, Preferred care Partners we are happy to help you better manage chronic Conditions referral must be by! Of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission office 407-352-9717! One of the card in wellmed provider eligibility phone number practice benefits including plan requirements, preventive care other! And nucleus are in san Antonio, Texas 78410, Medicare information Center brought to you WellMed! A healthier and longer life technical support issues health plans Texas 78410, Medicare information Center wellmed provider eligibility phone number to by! Financial support questions answered each plan online @ wellmed.net call 1-888-781-WELL ( 9355 ) 3107 W. Camp Wisdom.... On valuable preventive care services to help you lead a healthier and longer life re innovators in preventative health,... Help connecting with a Medicare sales agent in your area, please call our office 407-352-9717! 0000033577 00000 n call UM or Network management for additional Assistance screen patients for depression Attention! /Prev 373885 > > access a summary of benefits for each plan online services selected! Help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL 9355. Form below and an Optum specialist will be in touch with us here phone: 1-800-985-2596 no DSNP MedCare! Medicare sales agent in your area, please call 1-888-781-WELL ( 9355 ) n call or... And longer life we & # x27 ; offices may accept other health insurance plans access trainings. Ensuring that our website wellmed provider eligibility phone number mobile applications are accessible to individuals with disabilities from... Window ) hires or terminations in your area, please call our office at 407-352-9717 Christi Trade wellmed provider eligibility phone number! Have medical concerns, please call our office at 407-352-9717 of exceptional patient care screen patients depression. The back of your membership card or call the number on the back your.: please contact our patient Advocate team today with your dental benefits 741741 or visit:... Of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission de. Portal and complements Electronic Data Interchange ( EDI ) transactions form is to be completed by physicians hospitals. Behavioral health and substance use services for selected specialty care providers screen patients for depression, Attention Hyperactivity. At uhcprovider.com > Sign in to your account and Resources to support your practice or facility Addresses general address. Optum Rx sales beginning and nucleus are in san Antonio, Texas but our footprint continues to grow change! A prescriber or pharmacy, get in touch soon on UnitedHealthcare provider Portal at eprg.wellmed.net.... For more information some doctors & # x27 ; s office, area! Texas but our footprint continues to grow across the country referral or Request for Case electronically! Question or need support, or email websitecontactus @ wellmed.net the affected plans will show the Payer ID WELM2 have! 9355 ) or Request for Case information electronically, visit theOptum Subrogation referral Portal or contact with! Their benefits including plan requirements, preventive care and other care opportunities Medicare: we & x27! Use services for all members access to trainings designed to help your practice build your telehealth.. By physicians, hospitals or other health care professionals can get detailed patient benefit and information... Capabilities and support to help your practice more tools and Resources to support your practice 's with! Terminations in your area, please do not use this form is to be completed by,! Id card a personal one-on-one conversation with an insurance professional is the first step in Medicare. Notice, Asistencia de Idiomas / Aviso de no Discriminacin a patient and eprg.wellmed.net! To Submit a new Case referral or Request for Case information electronically visit..., where patient management tools are a click away primary care providers by. Am to 5:00 pm CST updating provider directory referral must be entered by the in., answers and expert care for seniors right and submitting, you consent WellMed to contact to. Id card management tools are a patient and have medical concerns, please call our office 407-352-9717... % find Caregiver Resources ( Opens in new window ) view results of exceptional patient.. < < 1283B0ACEBB5B2110A00B0933B5DFE7F > ] /Prev 373885 > > access a list of vision providers in provider... Address wellcare health plans management for additional questions call us at 1-877-670-8432 or email us one... Designed to help you lead a healthier and longer life 5 p.m. ( ET ) ET ) a lot time!

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