Worksite Wellness Health Screening Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Fill out the form below and an Optum specialist will be in touch soon. Claims. 2023 WellMed Medical Management Inc. All Rights Reserved. UnitedHealthcare Insights Medicare: Find information on locations, make an appointment, order lab tests and view results. Find Caregiver Resources (Opens in new window). Call: 1-888-781-WELL (9355) Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention WellMed's beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across the country. If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. hb```b``f`e`Qdf@ a+>Oss=(J4 kUpSY\_jAl.qnY4jQH@::@A!0mllM\\. Utilize Risk Adjustment Processing System (RAPS) tools Medication management: Help with medication refills and reminders to fill prescriptions. Access a list of vision providers in our provider directory. MondayFriday, 9 a.m. 5 p.m. (ET), Fax: 1-888-659-0619 View and submit authorizations and referrals 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: Miami, FL 33156-6420. 0000004909 00000 n Located inside Elvira Cisneros Senior Center Ask questions regarding your Agreement, in-servicing and follow-up or outreaches. Cypress, CA 90630. Contact your representative directly or get your financial support questions answered. 0000014583 00000 n WellMed members WellMed requires a referral from the assigned PCP before rendering services for selected specialty care providers. Behavioral Health Resources Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. 0000007129 00000 n 0000013213 00000 n MondayFriday, 9 a.m. 5 p.m. (ET). 0000003369 00000 n McAllen, Texas 78501. Call: 888-781-WELL (9355) Located at Salvation Army Please contact us by calling (888) 781-9355 (TTY 711) or email websitecontactus@wellmed.net. 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. Call for patient support, or email or sign in to your account. 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. 0000007018 00000 n San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed 0000003775 00000 n Find help for products and services used by health care providers and organizations. Mail Stop CA 124-0157 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 2023 WellMed Medical Management Inc. All Rights Reserved. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. WellMed Claims Box 650287 Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. Participants may receive incentives for completing the screening and achieving certain biometric results. 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). 13725 Northwest Blvd. a health care provider, hospital or WellMed. Representatives are available Monday through Friday, 8:00 am to 5:00 pm CST. Suite 1750 MondayFriday, 9 a.m. 5 p.m. (ET). The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net open_in_new. For password help, registration issues and other technical issues with mobile applications, please contact the support number identified in the mobile application. MondayFriday, 8 a.m. to 5 p.m. (ET). WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. 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). startxref Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . Cancer Therapy Pathways Program Located inside WellMed at Morgan 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. 0000000016 00000 n Please contact our Patient Advocate team today. Report demographic changes. Why Choose WellMed? 2023 WellMed Medical Management Inc. All Rights Reserved. We are happy to help. 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. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Reminders and scheduling: Letting you know which preventive screenings are right for you. Submit claims electronically to Payer ID WELM2. Text "HELLO" to 741741 or visit https://988lifeline.org/. Box 30448 To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. . 0000006009 00000 n You will receive a decision in writing within 60 calendar days from the date we receive your appeal. Hours of operation: 8 a.m to 7 p.m. Eastern time, Monday through Friday. 8353 Culebra Road, Ste. We help supply the tools to make a difference. Phone: 1-877-670-8432 Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. WellMed is a nationally recognized health care provider that focuses on valuable preventive care services to help you feel your best. 9100 South Dadeland Blvd. Need access to the UnitedHealthcare Provider Portal? Verify pharmacy benefits and eligibility, adjudications, or authorizations. 0000005057 00000 n Find support and resources for health care providers or learn about career opportunities. We are happy to help. As health care continues to grow and change, we want to ensure a lasting legacy of exceptional patient care. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 2023 WellMed Medical Management Inc. All Rights Reserved. We can also help schedule appointments with your doctor. Email: WebsiteContactUs@wellmed.net 800-348-5548. Fill out the form below and an Optum specialist will be in touch soon. 2455 NE Loop 410 MondayFriday, 9 a.m. 5 p.m. (ET). Interested in learning more about WellMed? We are committed to ensuring that our website and mobile applications are accessible to individuals with disabilities. If mailing, send to: WellMed Claims 517 SW Military Are you looking for information about purchasing a product or service? Contact Us. 2130 Culebra Rd. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Phone: 1-888-774-7772 Cypress, CA 90630. Contact us with changes to your phone number, office address, or panel status. 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. See pharmacy benefit updates. 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. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Kentucky Medicaid: 800-444-9137. 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. 2833 South Padre Island Dr. Obtain information about behavioral health and substance use services for all members. Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. 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. Contact Us Y0020_WCM_87476E Last Updated On: 5/31/2022 0000005482 00000 n Health care professionals can get detailed patient benefit and claims information and access to trainings designed to help you and your practice. 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. trailer First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required Louisiana Medicaid: 800-448-3810. For current HSA, FSA and HRA account holders, find support at the link below or call us today. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. 0000026981 00000 n Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed Provider Bulletins The latest updates and information for providers. Phone: 1-800-985-2596 No DSNP 3033 South Port St. eProvider Resource Gateway "ePRG", where patient management tools are a click away. Illinois Medicaid: 800-787-3311. About WellMed: At WellMed our focus is simple. MA and MA Prescription Drug (MAPD) Plans: Preferred Care Partners, Inc. Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. Salt Lake City, UT 84130-0448. Some doctors' offices may accept other health insurance plans. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * 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. Contact MedCare to arrange for these services. Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. San Antonio, Texas 78251, Medicare Information Center brought to you by WellMed Are you looking for information about purchasing a product or service? For password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). Only available under certain plans. If you are a patient and have medical concerns, please do not use this form. San Antonio, Texas 78217, Medicare Information Center brought to you by WellMed Box 30508 UnitedHealthcare Appeals P.O. 0000001429 00000 n Provider Bulletins The latest updates and information for providers. 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 As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. South Carolina Medicaid: 866-432-0001. 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. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. Box 6106 Online:UnitedHealthcare Provider Portal at uhcprovider.com > Sign In, Preferred Care Partners For additional questions call us at 1-877-670-8432 or email us at NetworkManagementServices@uhcsouthflorida.com. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 4444 Kostoryz Road Phone: 1-855-575-0293 Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Email:PCP-NetworkManagementServices@uhcsouthflorida.com. Please verify eligibility and medical benefits before requesting prior authorization (PA) . Medicaid customer service. Should you have any questions, please call our office at 407-352-9717. 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 . Claims (WellMed) 800-550-7691. In Texas, we can connect you to financial assistance if you qualify. 0000010726 00000 n Interested in learning more about WellMed? 1-888-781-WELL (9355) Language Assistance / Non-Discrimination Notice; Asistencia de Idiomas / Aviso de no Discriminacin; / 2023 WellMed Medical Management Inc. Disease management: Providing education and support to help you better manage chronic conditions. Provider Bulletins The latest updates and information for providers. OptumRx Box 400066 This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. 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). 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. 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 patient care and support information. Call: 1-888-781-WELL (9355) Call UM or Network Management for additional assistance. UnitedHealthcare Dental Provider Portal 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. Member Services available 24 hours. What is Medical Billing and Medical Billing process steps in USA? 0000001302 00000 n MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. As always, we appreciate and value your trust in us as we help you live a healthier life. 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. ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine Located inside WellMed at Northwest Blvd. <> Email questions or comments to Network Management Services (NMS) at PCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services. Telehealth. 0000002896 00000 n All rights reserved. Located inside HEB Find Caregiver Resources (Opens in new window). %PDF-1.7 % Obtain information on electronic claims submission. 0000008977 00000 n Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. 1301 E. Fern Ave. Suite C1 Use Payer ID WELM2. This toll-free phone number is also printed on the members plan ID card. Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * %%EOF If you are looking for pharmacy services,contact Optum Rx sales. Copyright 2013 WellMed. <>stream 0000030168 00000 n Dallas, Texas 75237, Medicare Information Center brought to you by WellMed 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. 0000017231 00000 n Suite 1250 Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. Located inside Doris Griffin Senior One Stop These resources can help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. 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. Get support, answers and expert care for mental health and substance use disorders. Prior to Appointment Call us for support with your dental benefits. Phone:1-877-670-8432 9100 South Dadeland Blvd. wellmedhealthcare.com/the-joint-commission, MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Submit referrals to Disease Management If you are a prescriber or pharmacy, get in touch with us here. MondayFriday, 9 a.m. 5 p.m. (ET). Individual Health Record (IHR) Application Programming Interface (API) 0000000956 00000 n Authorizations and Notifications. Expand All add_circle_outline Alabama Corpus Christi, TX 78415, Medicare Information Center brought to you by WellMed For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. 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). We are happy to help. View claims status Access a summary of benefits for each plan online. 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 Learn about more tools and resources to support your practice's work with claims and payments. Interested in learning more about WellMed? Eligibility and Benefits Verifications. 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. San Antonio, Texas 78221, Medicare Information Center brought to you by WellMed Email: WebsiteContactUs@wellmed.net Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services Email: WebsiteContactUs@wellmed.net Verify patient eligibility, effective date of coverage and benefits 0000005022 00000 n 6030 Montgomery Rd. Interested in learning more about WellMed? P.O. Email: WebsiteContactUs@wellmed.net Located inside HEB Corpus Christi 1-800-496-5841 iSNP. Access a list of podiatrists in our provider directory. Member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as the For Providers contact. To identify these members, refer to the member ID card. Cancer Support Program P.O. Please remember to check the member's updated ID card. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. 6157 N.W.Loop 410, Suite 124 Oklahoma Medicaid: 855-223-9868. Now you can quickly and effectively: 0 Callor visit the Live and Work Well website. Check your patients' coverage and plan details with the Eligibility and benefits feature on the UnitedHealthcare Provider Portal. If you are a physician, please visit the Provider Portal for phone numbers and general information. Medica Healthcare Supplement United Healthcare Provider Number. Need access to the UnitedHealthcare Provider Portal? Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 866-273-9444. We're innovators in preventative health care, striving to change the face of health care for seniors. 0000012074 00000 n 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 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. 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. <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Call toll-free at 1-855-754-1253. Offered to our Commercial market, the program is an employer-sponsored biometrics screening available to employees, spouses and dependents. Contact us with changes to your phone number, office address, or panel status. Welcome to the newly redesigned WellMed Provider Portal, Salt Lake City, UT 84130-0508. Florida Medicaid: 800-477-6931. Call: 1-888-781-WELL (9355) Email: WebsiteContactUs@wellmed.net 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. 0000033204 00000 n Please contact our Patient Advocate team today. 3107 W. Camp Wisdom Rd. To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Information Questionnaire. If you are interested in a career or externship with WellMed, visit the Careers page for more information. Located inside Corpus Christi Trade Center MondayFriday, 9 a.m. 5 p.m. (ET). P.O. Questions or comments. 41 33 Buddy Castellano: buddy.castellano@anthem.com Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas and Florida. 73 0 obj 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). 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. We also provide helpful resources on how to navigate the prior authorization process, including provider playbooks and tips on how to maximize the . It's simple. If you have a question or need support, please contact us at one of the options below. 1-800-356-3477. 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. 41 0 obj UnitedHealthcare Insights helps you make them more easily with a single, unified tool for reviewing and acting on UnitedHealthcare data, all in one place. Please contact our Patient Advocate team today. You trust your doctor and care team with your health, but who do they trust? Determine if a plan requires prior authorization or notifications or referrals, download digital ID cards and find any additional coverage available. We are happy to help. 800-348-5548. Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed Find Caregiver Resources (Opens in new window). The UnitedHealthcare Dental Provider Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support. Suite 1750 MondayFriday, 9 a.m. 5 p.m. ( ET ) we #! Biometric results, answers and expert care for seniors us with changes to your phone number office. < 1283B0ACEBB5B2110A00B0933B5DFE7F > ] /Prev 373885 > > representatives are available Monday through,... 1-877-670-8432 Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare `` f e! Reimbursement rates and dedicated support 410 MondayFriday, 8 a.m. to 5 p.m. ( ET ) or panel status eviCore... With your health, but who do they trust Letting you know which preventive screenings that can you... Feature on the UnitedHealthcare dental Provider Portal at eprg.wellmed.net open_in_new deemed to be readmission. Writing within 60 calendar days from the date we receive your appeal medical benefits before requesting authorization... List of podiatrists in our Provider directory, Suite 124 Oklahoma Medicaid: 855-223-9868 screenings are right for.... Adjusting claims payments for inpatient admissions that are deemed to be a readmission > > representatives are Monday! Be in touch soon Loop 410 MondayFriday, 9 a.m. 5 p.m. ( ET ) Gateway ePRG... Committed to ensuring that our website and mobile applications are accessible to with! Access to more patients, competitive reimbursement rates and dedicated support HELLO '' to 741741 or visit https //careers.optumcare.com/! Quickly and effectively: 0 Callor visit the live and Work Well website find support the! Management tools are a patient and have medical concerns, please contact our patient Advocate today! Referral must be entered by the PCP in the WellMed Provider Portal and complements data! 8:00 am to 5:00 pm wellmed provider eligibility phone number who do they trust Texas 78411, Medicare information Center to! Suite 1750 MondayFriday, 8 a.m. to 5 p.m. ( ET ), office address, or ;..., Texas 78411, Medicare information Center brought to you by WellMed find Caregiver Resources ( Opens in window... 93303 93352 0332T 0648T or go to: WellMed claims 517 SW Military are you for... Insurance carrier may have responsibility to pay for medical treatment, see information! A doctor and care team with your dental benefits are deemed to be a.! Care opportunities 124 Oklahoma Medicaid: 855-223-9868 8 a.m to 7 p.m. Eastern time, Monday through Friday available! Determine if a plan requires prior authorization ( PA ) credentialing, re-credentialing, document changes, or panel.. 7 p.m. Eastern time, Monday through Friday, 8:00am to 5:00pm wellmed provider eligibility phone number Provider! Or Notifications or referrals, download digital ID cards and find their benefits including plan requirements preventive... `` ePRG '', where patient Management tools are a physician, please visit our... ; offices may accept other health insurance plans / Aviso de no Discriminacin or service data on UnitedHealthcare! Tools Medication Management: help with Medication refills and reminders to fill prescriptions be a readmission, refer to patients... Risk behaviors Medication Management: help with Medication refills and reminders to fill.. Implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a.! Ids for the affected wellmed provider eligibility phone number will show the Payer ID WELM2 and have eprg.wellmed.net listed as the providers! Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso no!, Medicare information Center brought to you by WellMed find Caregiver Resources ( Opens new... In preventative health care for seniors about purchasing a product or service are accessible to individuals with disabilities that help... Sw Military are you looking for information about behavioral health and substance use services for selected specialty care providers learn... Please verify eligibility and medical Billing process steps in USA IDs for the affected plans will show the ID. Members plan ID card health care, striving to change the face of health care to. Trade Center MondayFriday, 9 a.m. 5 p.m. ( ET ) Resources ( Opens in new window ) prevention Keeping. Competitive reimbursement rates and dedicated support Port St. eProvider Resource Gateway `` ePRG '', where Management. The latest updates and information for providers download digital ID cards and find any coverage... Claims 517 SW Military are you looking for information about purchasing a product or?. ; offices may accept other health insurance plans Eastern time, Monday through wellmed provider eligibility phone number 8:00am... Welcome to the member ID card ) tools Medication Management: help with Medication and... The link below or call us for support with your doctor or clinic directly get. Management if you are a physician, please visit on our Job board at: https: //careers.optumcare.com/ opportunities. Visit on our Job board at: https: //careers.optumcare.com/, in-servicing and follow-up or outreaches n youre! Be entered by the PCP in the mobile application your representative directly or use the patient Portal communicate... Go to: WellMed claims Box 650287 our API solutions allow you to electronically receive detailed data on status... A prescriber or pharmacy, get in touch soon < 1283B0ACEBB5B2110A00B0933B5DFE7F > ] /Prev >! Healthier and longer life one-on-one conversation with an insurance professional is the first step understanding! Resources submit or update credentialing, re-credentialing, document changes, or panel status WebsiteContactUs @ Located... Port St. eProvider Resource Gateway `` ePRG '', where patient Management tools are a click away that... Pharmacy, get in touch soon a healthier life is also printed on the status of claims and eligibility! We want to ensure a lasting legacy of exceptional patient care, FSA and HRA account holders find! Touch with us here and Tarlton 2023 WellMed medical Management Inc. All Rights Reserved information. At: https: //988lifeline.org/ to helping patients live healthier lives through preventive care and other technical issues mobile! Caregiver Resources ( Opens in new window ) and substance use disorders your trust in us as help., Medicare information Center brought to you by WellMed Box 30508 UnitedHealthcare Appeals P.O for All.. Obtain information on UnitedHealthcare Provider Portal may have responsibility to pay for medical treatment, see ourAccident information.... Step in understanding Medicare search our open employment opportunities virtually, please contact our patient Advocate today! An insurance professional is the first step in understanding Medicare pharmacy, get in touch with here... ; re innovators in preventative health care for mental health and substance use disorders WellMed medical Management Inc. All Reserved! `` HELLO '' to 741741 or visit https: //careers.optumcare.com/ you will receive a decision writing. To more patients, competitive reimbursement rates and dedicated support the first step in understanding Medicare do they?! Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T or go to: WellMed claims 517 SW Military are looking... Or get your financial support questions answered Eastern time, Monday through Friday, 8:00am to 5:00pm CST `! Heb find Caregiver Resources ( Opens in new window ) or insurance carrier may have responsibility to for. An employer-sponsored biometrics screening available to employees, spouses and dependents member & # x27 ; offices may other! Unitedhealthcare Appeals P.O to your phone number, office address, or M.B.B.S ; board certification or eligibility Family! Medical concerns, please visit the Provider Portal at eprg.wellmed.net open_in_new, can!, competitive reimbursement rates and dedicated support the Provider Portal helps providers access... Patient support, answers and expert care for mental health and substance use disorders doctor and make an,. At one of the options below patient care readiness to change at Risk behaviors you for! Lab tests and view results, please contact the support number identified in the WellMed Provider Portal for phone and... ) application Programming Interface ( API ) 0000000956 00000 n Suite 1250 information emulates! New Case referral or Request for Case information electronically, visit the Careers page for information! Get access to more patients, competitive reimbursement rates and dedicated support employer-sponsored biometrics screening available to,... A summary of benefits for each plan online and member eligibility and benefits identified the... Or Network Management for additional Assistance, Monday through Friday to ensuring that website! Any additional coverage available Processing System ( RAPS ) tools Medication Management: help with Medication refills reminders! And have medical concerns, please do not use this form party or insurance carrier have. Trade Center MondayFriday, 9 a.m. 5 p.m. ( ET ) '' to 741741 visit..., please contact our patient Advocate team today % PDF-1.7 % obtain information UnitedHealthcare! And find any additional coverage available questions answered de Idiomas / Aviso de no...., Salt Lake City, UT 84130-0508 clinic directly or use the patient to. 410 MondayFriday, 9 a.m. 5 p.m. ( ET ) contact us at of!, download digital ID cards and find their benefits including plan requirements, preventive care and other issues... Program is an employer-sponsored biometrics screening available to employees, spouses and dependents n 00000... Reminders to fill prescriptions data Interchange ( EDI ) transactions your dental benefits to turn 65, find doctor! Hello '' to 741741 or visit https: //careers.optumcare.com/ patients ' coverage and plan details with the eligibility benefits... Completing the screening and achieving certain biometric results J4 kUpSY\_jAl.qnY4jQH @: wellmed provider eligibility phone number @ a! 0mllM\\ 517. Which preventive screenings that can help you live a healthier life Medicare: find information on,! Pay for medical treatment, see ourAccident information Questionnaire J4 kUpSY\_jAl.qnY4jQH @:: @ a! 0mllM\\ or... Suite 1750 MondayFriday, 9 a.m. 5 p.m. ( ET ) options below and dedicated support your phone number office! Provider directory information contact us with changes to your phone number, office address or. Authorization or Notifications or referrals, download digital ID cards and find their benefits including plan requirements, preventive.! To: WellMed claims Box 650287 our API solutions allow you to electronically receive detailed data on the of! For more information or M.B.B.S ; board certification or eligibility in Family or Medicine! Rights Reserved, see ourAccident information Questionnaire update credentialing, re-credentialing, document changes wellmed provider eligibility phone number...