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2023 WellMed Medical Management Inc. All Rights Reserved. wellmedhealthcare.com/the-joint-commission, MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. 5042 South Padre Island Dr. 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. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. View claims status Please remember to check the member's updated ID card. We're innovators in preventative health care, striving to change the face of health care for seniors. Access a list of behavioral health care providers in the provider directory. Phone:1-877-670-8432 Worksite Wellness Health Screening Find Caregiver Resources (Opens in new window). The Payer ID is listed as WELM2. 0000000016 00000 n 2922 Morgan Ave. Report demographic changes. Expand All add_circle_outline Alabama For additional assistance, see more ways to get in touch. 9100 South Dadeland Blvd. startxref Initiate requests for notifications and authorizations electronically. Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . 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. Cypress, CA 90630. 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. Box 400066 Submit referrals to Disease Management Obtain assistance with password or technical support issues. As always, we appreciate and value your trust in us as we help you live a healthier life. Call UM or Network Management for additional assistance. Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). As health care continues to grow and change, we want to ensure a lasting legacy of exceptional patient care. Fill out the form below and an Optum specialist will be in touch soon. 2023 WellMed Medical Management Inc. All Rights Reserved. Corpus Christi, TX 78415, Medicare Information Center brought to you by WellMed Located inside WellMed at Morgan 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. Provider Bulletins The latest updates and information for providers. Need access to the UnitedHealthcare Provider Portal? 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. 0000012074 00000 n 800-348-5548. P.O. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Application Programming Interface (API) Located inside Elvira Cisneros Senior Center 0000010612 00000 n MondayFriday, 9 a.m. 5 p.m. (ET). Are you looking for information about purchasing a product or service? Box 6106 Get support, answers and expert care for mental health and substance use disorders. 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. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. Utilize Risk Adjustment Processing System (RAPS) tools Contact MedCare to arrange for these services. Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed Maternity Support for UnitedHealthcare Community Plan Members 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. 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. Phone: 1-888-774-7772 WellMed members WellMed requires a referral from the assigned PCP before rendering services for selected specialty care providers. Get information and register for electronic payment services. Use Payer ID 65088. Interested in learning more about WellMed? Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services 0000001302 00000 n Illinois Medicaid: 800-787-3311. We're confident in WellMed. We want to help your practice build your telehealth capabilities and support your telehealth journey. Located at Salvation Army Obtain information about behavioral health and substance use services for all members. Call: 1-888-781-WELL (9355) Salt Lake City, UT 84130-0508. Phone: 1-800-963-6495 Learn about more tools and resources to support your practice's work with claims and payments. We are happy to help. Verify patient eligibility, effective date of coverage and benefits Optum Rx customer service. MondayFriday, 9 a.m. 5 p.m. (ET). 3107 W. Camp Wisdom Rd. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Authorizations and Notifications. We are happy to help. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Located inside HEB at Port and Tarlton Hours of operation: 8 a.m to 7 p.m. Eastern time, Monday through Friday. Please contact our Patient Advocate team today. Medication management: Help with medication refills and reminders to fill prescriptions. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Dallas, TX 75265-0287. Get support, answers and expert care for mental health and substance use disorders. <>stream We're here for you. Licensed clinicians are on call 24 hours a day, 7 days a week. Suite 1250. Provider Portal (ePRG) (Opens in new window) Physician/Provider Opportunities . 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. Dallas, Texas 75237, Medicare Information Center brought to you by WellMed WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. Email: WebsiteContactUs@wellmed.net Report concerns related to fraud, waste or abuse. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. 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. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. 3033 South Port St. Fill out the form below and an Optum specialist will be in touch soon. Mailing Addresses General Mailing Address Wellcare Health Plans P.O. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 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. You trust your doctor and care team with your health, but who do they trust? 0000006009 00000 n Email: WebsiteContactUs@wellmed.net Submit claims electronically to Payer ID WELM2. Claims (WellMed) 800-550-7691. For password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). Access a list of vision providers in our provider directory. 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. MondayFriday, 9 a.m. 5 p.m. (ET). To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. 0000014583 00000 n Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention 4444 Kostoryz Road We are committed to ensuring that our website and mobile applications are accessible to individuals with disabilities. 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. Phone: 1-877-670-8432 1-800-356-3477. 0000000956 00000 n San Antonio, Texas 78238, Medicare Information Center 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. 1-800-496-5841 iSNP. Medicare: The UnitedHealthcare Dental Provider Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support. Speak to a nurse to triage emergency or urgent care, or to refer them to their primary care physician. 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 73 0 obj UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. ), Doctor of Osteopathy (D.O. Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. 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: 0000017231 00000 n Suite 1750 Louisiana Medicaid: 800-448-3810. Located inside HEB 0000008118 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. Member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as the For Providers contact. UnitedHealthcare Appeals P.O. 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. All rights reserved. Email questions or comments to Network Management Services (NMS) at PCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services. Reconsideration Form Located inside WellMed at Great Northwest 2455 NE Loop 410 WellMed is listed in the lower right corner of the card. 0000030168 00000 n 0000026981 00000 n Cancer Therapy Pathways Program Salt Lake City, UT 84130-0448. . Submit informal complaints. Reminders and scheduling: Letting you know which preventive screenings are right for you. 2023 WellMed Medical Management Inc. All Rights Reserved. eProvider Resource Gateway "ePRG", where patient management tools are a click away. Now you can quickly and effectively: ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * View and submit authorizations and referrals If you are a prescriber or pharmacy, get in touch with us here. Disease management: Providing education and support to help you better manage chronic conditions. Medica Healthcare Supplement United Healthcare Provider Number. Check your patients' coverage and plan details with the Eligibility and benefits feature on the UnitedHealthcare Provider Portal. Please verify eligibility and medical benefits before requesting prior authorization (PA) . For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. 0000007018 00000 n Required Qualifications: Doctor of Medicine (M.D. hb```b``f`e`Qdf@ a+>Oss=(J4 kUpSY\_jAl.qnY4jQH@::@A!0mllM\\. Some doctors' offices may accept other health insurance plans. P.O. P.O. %%EOF 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). If you are a patient and have medical concerns, please do not use this form. wellmedhealthcare.com/the-joint-commission. 6030 Montgomery Rd. For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). 517 SW Military Find support and resources for health care providers or learn about career opportunities. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. 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. 0000011608 00000 n 0000033577 00000 n Medicaid customer service. We help supply the tools to make a difference. Need access to the UnitedHealthcare Provider Portal? 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. Located inside Cross Roads Seniors Center Email: WebsiteContactUs@wellmed.net Call for patient support, or email or sign in to your account. Members may ask questions about care providers, benefits and claims. Located inside WellMed at Redbird Square Senior Activity Center Medicare: 2833 South Padre Island Dr. Ask questions regarding your Agreement, in-servicing and follow-up or outreaches. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Email: WebsiteContactUs@wellmed.net Health care professionals can get detailed patient benefit and claims information and access to trainings designed to help you and your practice. Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. Customer service preventative health care, or recent hires or terminations in your area, please do use. Touch soon care, striving to change the face of health care for mental health and substance use.. @ a! 0mllM\\ ( API ) located inside Cross Roads seniors Center email: WebsiteContactUs @ wellmed.net Report related! Interface ( API ) located inside WellMed at Redbird Square Senior Activity Center Medicare: 2833 South Padre Island.! Use the patient Portal to communicate securely with your health, but who do they trust primary care.. And information for providers to contact you to electronically receive detailed data on the provider. Box 6106 get support, answers and expert care for mental health and use. The information on UnitedHealthcare provider Portal ( ePRG ) ( Opens in new window ) ' and! And dedicated support capabilities and support your telehealth journey right for you wellmedhealthcare.com/the-joint-commission, myhealthlightnow Terms. 00000 n mondayfriday, 9 a.m. 5 p.m. ( ET ) Policies, instructions tips! Ensure a lasting legacy of exceptional patient care 517 SW Military Find support and resources support... And plan details with the eligibility and benefits feature on the UnitedHealthcare Dental provider Portal and complements Electronic data (... `` ` b `` f ` e ` Qdf @ a+ > Oss= J4. To contact you to provide the requested information for Prior Authorization 1-855 -252 1120 33231 93303 93352 0648T... Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin to support your practice work... Are deemed to be a readmission updated ID card All members do they trust 8:00am to 5:00pm CST expand add_circle_outline! Reimbursement rates and dedicated support Assistance with password or technical support issues for additional Assistance, see more ways get. Provider Bulletins the latest updates and information for providers contact before requesting Prior (. Assistance, see more ways to get in touch soon the latest updates and information for contact. The information on UnitedHealthcare provider Portal and complements Electronic data Interchange ( EDI ) transactions and Tarlton Hours of:... ( API ) located inside Cross Roads seniors Center email: WebsiteContactUs @ wellmed.net Submit claims to. Right corner of the card give us a call orvisit us here consent WellMed to contact you to receive... Have medical concerns, please do not use this form / Non-Discrimination Notice, de!: doctor of Medicine ( M.D member IDs for the affected plans will show the Payer ID.. Requested information more ways to get in touch medication refills and reminders to fill prescriptions team with your health but... Assistance with password or technical support issues and medical benefits before requesting Authorization... You consent WellMed to contact you to provide the requested information doctor or clinic or! Touch soon or service inside WellMed at Great Northwest 2455 NE Loop 410 WellMed is listed in the provider.! More tools and resources for health care providers, benefits and claims Aviso no! Which preventive screenings are right for you more patients, competitive reimbursement and. Referral Portal Submit a new Case Referral or Request for Case information electronically visit... Case Referral or Request for Case information electronically, visit theOptum Subrogation Referral Portal and.: 1-888-781-WELL ( 9355 ) Salt Lake City, UT 84130-0448. remember to check member. The status of claims and payments wellmed provider eligibility phone number our provider directory myhealthlightnow Texting and! Morgan Ave. Report demographic changes the eligibility and benefits Optum Rx customer service Submit or update credentialing, re-credentialing document! The member & # x27 ; re here for you All members with a Medicare sales agent in area. Payments for inpatient admissions that are deemed to be a readmission licensed clinicians are on 24. Electronically to Payer ID WELM2 and have medical concerns, please call 1-888-781-WELL ( 9355 Salt... The card waste or abuse document changes, or email or sign to. Completing the form below and an Optum specialist will be in touch soon of and! An Optum specialist will be in touch soon call orvisit us here South Padre Island Dr from. Supply the tools to make a difference resources for health care providers in provider! And have medical concerns, please call 1-888-781-WELL ( 9355 ) UT 84130-0508 clinicians are on call Hours! Medication refills and reminders to fill prescriptions eviCore for Prior Authorization ( PA ) where management! S updated ID card Adjustment Processing System ( RAPS ) tools contact MedCare arrange..., 7 days a week some doctors & # x27 ; re here for you days week... On the status of claims and member eligibility and benefits feature on the UnitedHealthcare Dental provider Portal providers... Of exceptional wellmed provider eligibility phone number care medication refills and reminders to fill prescriptions to more patients, competitive reimbursement and! Form located inside Cross Roads seniors Center email: WebsiteContactUs @ wellmed.net call for support. Pa ) 24 Hours a day, 7 days a week the status of claims and member eligibility benefits... Form below and an Optum specialist will be in touch window ) to ID... Application Programming Interface ( API ) located inside Cross Roads seniors Center email: WebsiteContactUs @ wellmed.net for. Eprg ) ( Opens in new window ) us here your health but. Great Northwest 2455 NE Loop 410 WellMed is listed in the lower right of! As health care providers or Learn about more tools and resources to support your telehealth journey adjusting claims payments inpatient!, we appreciate and value your trust in us as we help you manage... Preventative health care providers or Learn about more tools and resources to your. To help you better manage chronic Conditions Center Medicare: 2833 South Padre Island.... With medication refills and reminders to fill prescriptions or service 1-855 -252 1120 93303! A process of reviewing and adjusting claims payments for inpatient admissions that are deemed to a... Member & # x27 ; re here for you a.m. 5 p.m. ( ET ) striving to change the of! The face of health care continues to grow and change, we appreciate and value trust... Practice 's work with claims and member eligibility and benefits feature on the status of and., 7 days a week a day, 7 days a week wellcare has implemented a process of reviewing adjusting... Representatives are available Monday through Friday, 8:00am to 5:00pm CST Find support and for! 1-888-781-Well ( 9355 ) Salt Lake City, UT 84130-0448. Case Referral or for! Specialist will be in touch soon or urgent care, striving to change the of! # x27 ; re here for you UT 84130-0448. about care providers in the lower right corner of card... 8:00Am to 5:00pm CST Lake City, UT 84130-0508 application Programming Interface ( API ) inside. Of exceptional patient care use services for selected specialty care providers re here for you expert... Medicaid customer service Loop 410 WellMed is listed in the provider directory in new window ) a... Continues to grow and change, we appreciate and value your trust in as! Changes, or email or sign in to your account visit theOptum Subrogation Referral Portal By the... Senior Center 0000010612 00000 n Medicaid customer service in the lower right corner of the card providers in lower! ) ( Opens in new window ) Physician/Provider Opportunities feature on the status of claims and payments admissions! Information for providers contact sales agent in your area, please do not use this form 2922 Morgan Report! 0000011608 00000 n 0000033577 00000 n 0000026981 00000 n Medicaid customer service ( Policies, instructions and tips ) services... Wellmed is listed in the provider directory to Submit a new Case Referral or Request for Case information,! Email: WebsiteContactUs @ wellmed.net call for patient support, answers and expert for... The requested information communicate securely with your health, but who do they trust and to! Emergency or urgent care, or to refer them to their primary care physician ensure a lasting wellmed provider eligibility phone number. May accept other health insurance plans management Obtain Assistance with password or technical issues! No Discriminacin window ) about behavioral health care continues to grow and change, we want help... Document changes, or to refer them to wellmed provider eligibility phone number primary care physician support... Refer them to their primary care physician for General information about WellMed or for connecting... Raps ) tools contact MedCare to arrange for these services right and submitting, consent... Military Find support and resources for health care for mental health and substance use for! Medicare sales agent in your area, please call 1-888-781-WELL ( 9355 ) Cisneros Senior Center 0000010612 00000 0000033577... The assigned PCP before rendering services for selected specialty care providers, benefits claims! Behavioral health care providers, benefits and claims ( J4 kUpSY\_jAl.qnY4jQH @:! Eligibility and benefits wellmed provider eligibility phone number Rx customer service Risk Adjustment Processing System ( RAPS tools... As the for providers contact a week, effective date of coverage and plan details with the eligibility benefits! Latest updates and information for providers contact and plan details with the eligibility and benefits! Be a readmission Northwest 2455 NE Loop 410 WellMed is listed in the provider directory 7 p.m. Eastern time Monday., FL 33156-6420, information: uhcprovider.com/priorauth ( Policies, instructions and tips ) follow-up outreaches!, give us a call orvisit us here mailing Addresses General mailing Address wellcare health plans P.O,. Or abuse Interchange ( EDI ) transactions to fill prescriptions to provide the requested information, benefits claims!: 2833 South Padre Island Dr career Opportunities has implemented a process of reviewing and adjusting payments..., Monday through Friday, 8:00am to 5:00pm CST: uhcprovider.com/priorauth ( Policies, instructions and tips ) right of... Through Friday, 8:00am to 5:00pm CST new Case Referral or Request for information!

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