WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. See pharmacy benefit updates. Please contact our Patient Advocate team today. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Claims. 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 0000002896 00000 n Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 4444 Kostoryz Road 0000007129 00000 n Contact us for details. Check claims, eligibility, benefits. Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. Maternity Support for UnitedHealthcare Community Plan Members 0000021758 00000 n Required Qualifications: Doctor of Medicine (M.D. Phone: 1-800-963-6495 UnitedHealthcare Dental Provider Portal MondayFriday, 8 a.m. to 5 p.m. (ET). trailer ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine 800-348-5548. Submit claims electronically to Payer ID WELM2. WellMed is listed in the lower right corner of the card. In Texas, we can connect you to financial assistance if you qualify. We want to help your practice build your telehealth capabilities and support your telehealth journey. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. UnitedHealthcare Insights Corpus Christi, Texas 78415, Medicare Information Center brought to you by WellMed This toll-free phone number is also printed on the members plan ID card. Need access to the UnitedHealthcare Provider Portal? Questions or comments. Submit notifications, prior authorizations, referrals, admissions and discharge planning. ), Doctor of Osteopathy (D.O. 0000010726 00000 n Provider Portal (ePRG) (Opens in new window) Physician/Provider Opportunities . Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. Verify eligibility and benefits of enrolled members. Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . eProvider Resource Gateway "ePRG", where patient management tools are a click away. 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. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. WellMed's beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across the country. For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. Call: 888-781-WELL (9355) UnitedHealthcare Insights helps you make them more easily with a single, unified tool for reviewing and acting on UnitedHealthcare data, all in one place. 6157 N.W.Loop 410, Suite 124 13725 Northwest Blvd. Located inside HEB Culebra Box 400066 Call us if you need help with prescription refills, account passwords and other prescription benefits needs. This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. 0000001302 00000 n 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. Email: [email protected] Access a list of behavioral health care providers in the provider directory. %PDF-1.7 % Located at Salvation Army Find Caregiver Resources (Opens in new window). 517 SW Military 6030 Montgomery Rd. Only available under certain plans. Email:[email protected]. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * 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. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Oklahoma Medicaid: 855-223-9868. Get information and register for electronic payment services. OptumRx Located inside Doris Griffin Senior One Stop a health care provider, hospital or WellMed. Box 30448 Contact us with changes to your phone number, office address, or panel status. Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. 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. 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. 1-888-781-WELL (9355) Language Assistance / Non-Discrimination Notice; Asistencia de Idiomas / Aviso de no Discriminacin; / 2023 WellMed Medical Management Inc. Phone: 1-877-670-8432 0000005022 00000 n 866-273-9444. Located inside WellMed at Northwest Blvd. Call: 1-888-781-WELL (9355) 0000000016 00000 n If you are a prescriber or pharmacy, get in touch with us here. Tracking metrics and looking at data to help make informed decisions may take a lot of time. Access a summary of benefits for each plan online. Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. Mailing Addresses General Mailing Address Wellcare Health Plans P.O. Cypress, CA 90630. 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. 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. 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. Eligibility and benefits interactive guide If you are interested in a career or externship with WellMed, visit the Careers page for more information. Check claims, eligibility, benefits. If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. xref 0000004909 00000 n 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). Medicaid customer service. Please verify eligibility and medical benefits before requesting prior authorization (PA) . 0000013868 00000 n The UnitedHealthcare Dental Provider Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support. 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). About WellMed: At WellMed our focus is simple. 101 73 0 obj 0000012637 00000 n Access a list of Solstice dental providers in the provider directory. We are happy to help. 0000009876 00000 n 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). Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 0000011608 00000 n San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed Call: 1-888-781-WELL (9355) Email: [email protected] Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Box 6106 Speak to a nurse to triage emergency or urgent care, or to refer them to their primary care physician. For additional assistance, see more ways to get in touch. Learn about more tools and resources to support your practice's work with claims and payments. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Report concerns related to fraud, waste or abuse. 0000005057 00000 n Other Inquiries Public Relations/Press Inquiries. 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). 800-348-5548. Reconsideration Form Cypress, CA 90630. Suite 1250. 0000033204 00000 n Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Please contact us by calling (888) 781-9355 (TTY 711) or email [email protected]. Call toll-free at 1-855-754-1253. Located inside Corpus Christi Trade Center Located inside HEB Corpus Christi Phone: 1-877 -757 4440 Other Services That May Require PA . Find Caregiver Resources (Opens in new window). Online:UnitedHealthcare Provider Portal at uhcprovider.com > Sign In, Preferred Care Partners P.O. 9100 South Dadeland Blvd. Need access to the UnitedHealthcare Provider Portal? Access a list of podiatrists in our provider directory. Call: 1-888-781-WELL (9355) 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. For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. Available 24 hours a day, 7 days a week. 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. For additional questions call us at 1-877-670-8432 or email us at [email protected]. Medicare: Provider Bulletins The latest updates and information for providers. Call: 1-888-781-WELL (9355) Email: [email protected] Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 9100 South Dadeland Blvd. Salt Lake City, UT 84130-0508. Should you have any questions, please call our office at 407-352-9717. Licensed insurance agents will be available at our centers to answer your questions and provide information on health care options that best meet your needs: Medicare Information Center brought to you by WellMed Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * MondayFriday, 9 a.m. 5 p.m. (ET). 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. 0000013213 00000 n We are happy to help. Interested in learning more about WellMed? View claims status Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention 2023 WellMed Medical Management Inc. All Rights Reserved. Illinois Medicaid: 800-787-3311. For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). Prior to Appointment WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. 1-800-496-5841 iSNP. 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. 2130 Culebra Rd. Christi phone: 1-877 -757 4440 other Services that may Require PA & # x27 ; s beginning and are... Requests for forms HEB Culebra box 400066 call us at NetworkManagementServices @ uhcsouthflorida.com in understanding Medicare Bulletins the updates! In understanding Medicare n if you are interested in a career or with! 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