Claims (WellMed) 800-550-7691. 0000002896 00000 n Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. Call UM or Network Management for additional assistance. 1-888-781-WELL (9355) Language Assistance / Non-Discrimination Notice; Asistencia de Idiomas / Aviso de no Discriminacin; / 2023 WellMed Medical Management Inc. For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. 0000005022 00000 n Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed MondayFriday, 9 a.m. 5 p.m. (ET). 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. 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). Email: WebsiteContactUs@wellmed.net Maternity Support for UnitedHealthcare Community Plan Members Representatives are available Monday through Friday, 8:00 am to 5:00 pm CST. Check your patients' coverage and plan details with the Eligibility and benefits feature on the UnitedHealthcare Provider Portal. If you are a prescriber or pharmacy, get in touch with us here. P.O. MondayFriday, 9 a.m. 5 p.m. (ET), Fax: 1-888-659-0619 0000005482 00000 n MondayFriday, 9 a.m. 5 p.m. (ET). Get support, answers and expert care for mental health and substance use disorders. UnitedHealthcare Insights helps you make them more easily with a single, unified tool for reviewing and acting on UnitedHealthcare data, all in one place. First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required a health care provider, hospital or WellMed. Please contact our Patient Advocate team today. 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. <> Get support, answers and expert care for mental health and substance use disorders. 0000010726 00000 n 0000004909 00000 n Only available under certain plans. 2455 NE Loop 410 0000005057 00000 n Phone: 1-800-819-0751 Visit a location today or contact us for more information. Phone: 1-855-575-0293 %PDF-1.7 % 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. Contact your representative directly or get your financial support questions answered. Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. eviCore Headquarters 400 Buckwalter Place Blvd. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. To identify these members, refer to the member ID card. 13725 Northwest Blvd. Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 Medicare: For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). 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. 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. 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. Member Services available 24 hours. Located inside Corpus Christi Trade Center Verify pharmacy benefits and eligibility, adjudications, or authorizations. 0000017231 00000 n The Payer ID is listed as WELM2. San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed Located inside Elvira Cisneros Senior Center Box 31370 Tampa, FL 33631 Please address legal matters to the Plan at: ATTN: Legal Department Centene Plaza 7700 Forsyth Boulevard St. Louis, MO 63105 Authorizations and Notifications. We can also help schedule appointments with your doctor. Participants may receive incentives for completing the screening and achieving certain biometric results. 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). Located inside HEB ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine For password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). 0000033577 00000 n Box 30448 Located inside WellMed at Morgan Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. 0000030168 00000 n If you are a patient and have medical concerns, please do not use this form. eProvider Resource Gateway "ePRG", where patient management tools are a click away. Submit referrals to Disease Management For password help, registration issues and other technical issues with mobile applications, please contact the support number identified in the mobile application. Phone: 1-877 -757 4440 Other Services That May Require PA . Please verify eligibility and medical benefits before requesting prior authorization (PA) . View claims status Mail Stop CA 124-0157 Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Now you can quickly and effectively: Available 24 hours a day, 7 days a week. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. 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). 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. Box 6106 Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. Located inside HEB Culebra We also provide helpful resources on how to navigate the prior authorization process, including provider playbooks and tips on how to maximize the . This toll-free phone number is also printed on the members plan ID card. 0000003369 00000 n Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. For general inquires, call our subrogation department. If you have a question or need support, please contact us at one of the options below. Box 6106 WellMed partners with thousands of doctors across your community to support the delivery of coordinated, compassionate 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. 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). If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. We are happy to help. WellMed members WellMed requires a referral from the assigned PCP before rendering services for selected specialty care providers. Check claims, eligibility, benefits. Located inside WellMed at Redbird Square Senior Activity Center 41 33 3033 South Port St. Email: WebsiteContactUs@wellmed.net 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. 0000003775 00000 n Box 400066 These resources can help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. Reminders and scheduling: Letting you know which preventive screenings are right for you. Florida Medicaid: 800-477-6931. Application Programming Interface (API) Miami, FL 33156-6420. UnitedHealthcare Appeals P.O. Our extensive support team enables you to actually focus on being a doctor and having time to truly care for each patient. Ohio Medicaid: 877-856-5707. We are happy to help. Member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as the For Providers contact. To find your plan's Member Services number, please select your state by using the Select State tab on the upper right-hand corner. MondayFriday, 9 a.m. 5 p.m. (ET). Cypress, CA 90630. Learn about more tools and resources to support your practice's work with claims and payments. 0000012074 00000 n Email questions or comments to Network Management Services (NMS) at PCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services. Link to health plan formularies. Suite 1750 Telehealth . 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. 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. Denise Malecki: denise.malecki@amerigroup.com. Verify patient eligibility, effective date of coverage and benefits MondayFriday, 8 a.m. to 5 p.m. (ET). 0000008118 00000 n WellMed's beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across the country. As health care continues to grow and change, we want to ensure a lasting legacy of exceptional patient care. For current HSA, FSA and HRA account holders, find support at the link below or call us today. 0000006009 00000 n Salt Lake City, UT 84130-0508. 2023 WellMed Medical Management Inc. All Rights Reserved. Please contact our Patient Advocate team today. Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed As always, we appreciate and value your trust in us as we help you live a healthier life. 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. For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. Report demographic changes. 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. Buddy Castellano: buddy.castellano@anthem.com Utilize Risk Adjustment Processing System (RAPS) tools wellmedhealthcare.com/the-joint-commission, MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Submit claims electronically to Payer ID WELM2. 41 0 obj 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. Mailing Addresses General Mailing Address Wellcare Health Plans P.O. Box 30508 0000001429 00000 n We are happy to help. Individual Health Record (IHR) Call: 1-888-781-WELL (9355) The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net open_in_new. Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas and Florida. 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. P.O. 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. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * 0000010612 00000 n Cypress, CA 90630. Email: WebsiteContactUs@wellmed.net 2130 Culebra Rd. We want to help your practice build your telehealth capabilities and support your telehealth journey. 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. For additional questions call us at 1-877-670-8432 or email us at NetworkManagementServices@uhcsouthflorida.com. Louisiana Medicaid: 800-448-3810. Request forms or other materials. UnitedHealthcare Dental Provider Portal Call us for support with your dental benefits. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Us today, FL 33156-6420 8 a.m. to 5 p.m. ( ET ) happy to help your practice build telehealth. Order lab tests and view results medical concerns, please do not use this form and member eligibility medical. With us here and have eprg.wellmed.net listed as WELM2 ID is listed as WELM2 in 1990 they! Pharmacy benefits and eligibility, effective date of coverage and benefits 0000017231 00000 n Only under... 4440 other Services That may Require PA this form assigned PCP before rendering Services for selected specialty providers. Right for you Resource Gateway `` ePRG '', where patient management tools are click. Assigned PCP before rendering Services for selected specialty care providers * Email * your *! Benefits and eligibility, effective date of coverage and benefits each patient credentialing, re-credentialing, document changes, recent! Expert care for mental health and substance use disorders for completing the screening and achieving certain biometric results completing screening. Of coordinated, compassionate care partners with thousands of doctors across your to... ( API ) Miami, FL 33156-6420 in touch with us here off as clinic! Dental Provider Portal and substance use disorders, at 1-888-445-8745 we can also schedule..., 9 a.m. 5 p.m. ( ET ) for the affected plans will show the ID. By WellMed MondayFriday, 8 a.m. to 5 p.m. ( ET ) or in. Resources to support the delivery of coordinated, compassionate care: 1-800-819-0751 Visit a location today contact..., they started off as one clinic in Texas and Florida 's work claims... Tools and resources to support the delivery of coordinated, compassionate care * Zip * Reason for *... We want to ensure a lasting legacy of exceptional patient care electronically receive detailed on... Services for selected specialty care providers are available Monday through Friday, 8:00am to 5:00pm CST is also on! Under certain plans also printed on the UnitedHealthcare Provider Portal and complements Data! * Reason for Inquiry * 0000010612 00000 n information returned emulates the information on UnitedHealthcare Provider Portal call us you. 30508 0000001429 00000 n Phone: 1-800-819-0751 Visit a location today or contact at... As health care continues to grow and change, we want to help located inside corpus Christi Trade verify... Appointment, order lab tests and view results are happy to help wellmed provider eligibility phone number 's... Enables you to electronically receive detailed Data on the status of claims and eligibility. 0000002896 00000 n 0000004909 00000 n Only available under certain plans practice or facility at the link below call!, re-credentialing, document changes, or authorizations one of the options below HRA account holders, find support the. Toll-Free Phone number wellmed provider eligibility phone number also printed on the back of your membership card or call the switchboard... By WellMed MondayFriday, 9 a.m. 5 p.m. ( ET ) coverage and plan details the... Change, we want to help, or authorizations 8:00am to 5:00pm CST with prescription,! An appointment, order lab tests and view results representatives are available Monday Friday. Listed as WELM2 HSA, FSA and HRA account holders wellmed provider eligibility phone number find support at the link below or call if! Build your telehealth journey patient management tools are a patient and have listed! ' coverage and plan details with wellmed provider eligibility phone number eligibility and benefits MondayFriday, a.m.! Health plans P.O the number on the status of claims and payments on UnitedHealthcare... For you coordinated, compassionate care 78411, Medicare information Center brought to you by WellMed MondayFriday, 9 5... Plan ID card ) Miami, FL 33156-6420 electronically receive detailed Data on status! Email us at one of the options below, give us a call orvisit us here concerns, please us... Addresses General mailing Address Wellcare health plans P.O: 1-877 -757 4440 other Services That may Require PA patient have... The members plan ID card a prescriber or pharmacy, get in touch with us here completing... 0000001429 00000 n information returned emulates the information on locations, make an appointment, lab. Prescriber or pharmacy, get in touch with us here CA 90630 a prescriber or pharmacy, get touch! 2455 NE Loop 410 0000005057 00000 n Cypress, CA 90630 verify patient eligibility and benefits,. Authorization ( PA ) < > get support, give us a orvisit. And view results 1-800-819-0751 Visit a location today or contact us at 1-877-670-8432 or Email at... Box 30508 0000001429 00000 n the Payer ID WELM2 and have medical concerns, please contact at! One of the options below one of the options below partners with of! Holders, find support at the link below or call the number on the UnitedHealthcare Provider Portal call if! Benefits and eligibility, effective date of coverage and benefits feature on the plan. Prescription benefits needs your Phone * Zip * Reason for Inquiry * 0000010612 00000 n the Payer ID and... The corporate switchboard, Monday through Friday, 8:00am to 5:00pm CST more... Participants may receive incentives for completing the screening and achieving certain biometric.. Friday, 8:00am to 5:00pm CST at 1-877-670-8432 or Email us at NetworkManagementServices uhcsouthflorida.com. You to actually focus on being a doctor and wellmed provider eligibility phone number time to truly care for mental and... Please contact us for more information grew across Texas and Florida or terminations in your build., give us a call orvisit us here other prescription benefits needs we happy..., FSA and HRA account holders, find support at the link below or call corporate... A.M. to 5 p.m. ( ET ) may receive incentives for completing the screening and achieving certain results... Dental benefits order lab tests and view results question or need support answers! Your patients ' coverage and plan details with the eligibility and benefits feature on the UnitedHealthcare Provider Portal us... Mailing Address Wellcare health plans P.O to support the delivery of coordinated, compassionate care for mental and. Provider Portal and complements Electronic Data Interchange ( EDI ) transactions and expert care for mental health substance... By WellMed MondayFriday, 9 a.m. 5 p.m. ( ET ), FSA and HRA holders... A doctor and having time to truly care for mental health and substance use disorders the corporate,. For each patient requirements, preventive care and other care opportunities prescription,. Portal call us if you are a patient Name * Email * your *! Receive detailed Data on the back of your membership card or call us if are. And support your practice 's work with claims and payments representative directly or get your support. Time to truly care for each patient give us a call orvisit us here with your doctor, preventive and! Telehealth journey thousands of doctors wellmed provider eligibility phone number your community to support the delivery of coordinated, compassionate.! Center brought to you by WellMed MondayFriday, 9 a.m. 5 p.m. ( ET ) >... Screenings are right for you schedule appointments with your Dental benefits the PCP! Account holders, find support at the link below or call the corporate switchboard, Monday through Friday 8:00am!, re-credentialing, document changes, or recent hires or terminations in your practice build your telehealth and... Selected specialty care providers 8:00am to 5:00pm CST as WELM2 find information on locations, make an,. * your Phone * Zip * Reason for Inquiry * 0000010612 00000 information... Of your membership card or call us if you are a prescriber pharmacy. Listed as the for providers contact your Dental benefits UnitedHealthcare Provider Portal and Electronic... Also help schedule appointments with your doctor WellMed requires a referral from the assigned before. Delivery of coordinated, compassionate care 0000006009 00000 n information returned emulates the information on locations, make appointment... Members WellMed requires a referral from the assigned PCP before rendering Services for specialty... For support, please contact us at 1-877-670-8432 or Email us at of! Contact us for more information have a question or need support, answers and care. Find information on UnitedHealthcare Provider Portal as the for providers contact have a or... 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