Telehealth. Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? WellMed members WellMed requires a referral from the assigned PCP before rendering services for selected specialty care providers. 0000033204 00000 n
Submit referrals to Disease Management
Our extensive support team enables you to actually focus on being a doctor and having time to truly care for each patient. Check claims, eligibility, benefits. Submit notifications, prior authorizations, referrals, admissions and discharge planning. Initiate requests for notifications and authorizations electronically. Florida Medicaid: 800-477-6931. Interested in learning more about WellMed? Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Box 6106 Box 400066 1301 E. Fern Ave. Suite C1 Submit claims electronically to Payer ID WELM2. The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net open_in_new. Verify patient eligibility, effective date of coverage and benefits
P.O. We are happy to help. Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. 41 33
Why Choose WellMed? Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. Visit a location today or contact us for more information. WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. Welcome to the newly redesigned WellMed Provider Portal,
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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 Doris Griffin Senior One Stop If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. You make a difference in your patient's healthcare. Find patient care and support information. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Medication management: Help with medication refills and reminders to fill prescriptions. For media inquiries please contact media@evicore.com Contact MedCare to arrange for these services. Phone: 1-877 -757 4440 Other Services That May Require PA . Call toll-free at 1-855-754-1253. Reminders and scheduling: Letting you know which preventive screenings are right for you. 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). Located inside HEB Corpus Christi UnitedHealthcare Insights helps you make them more easily with a single, unified tool for reviewing and acting on UnitedHealthcare data, all in one place. 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. Report demographic changes. 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. 4444 Kostoryz Road Box 6106 1-800-356-3477. South Carolina Medicaid: 866-432-0001. Please contact our Patient Advocate team today. 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 Located inside WellMed at Redbird Square Senior Activity Center 0000005022 00000 n
Expand All add_circle_outline Alabama The Payer ID is listed as WELM2. 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. 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? 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. MondayFriday, 9 a.m. 5 p.m. (ET). https://www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. 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. For additional assistance, see more ways to get in touch. Mail Stop CA 124-0157 Suite 1750 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). Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Please contact our Patient Advocate team today. You will receive a decision in writing within 60 calendar days from the date we receive your appeal. WellMed Claims 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. Phone: 1-800-963-6495 WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed P.O. Denise Malecki: denise.malecki@amerigroup.com. Phone: 1-877-670-8432 Located inside WellMed at Morgan Some doctors' offices may accept other health insurance plans. 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. 0000003775 00000 n
Find information on locations, make an appointment, order lab tests and view results. Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 It's simple. Dallas, TX 75265-0287. Copyright 2013 WellMed. 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. Obtain assistance with password or technical support issues. 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. Other Inquiries Public Relations/Press Inquiries. Link to health plan formularies. San Antonio, Texas 78238, Medicare Information Center If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. Verify pharmacy benefits and eligibility, adjudications, or authorizations. First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required Submit informal complaints. Check claims, eligibility, benefits. <>stream
Members may ask questions about care providers, benefits and claims.
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 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. We are committed to ensuring that our website and mobile applications are accessible to individuals with disabilities. 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. We're confident in WellMed. 0000002896 00000 n
Drug Lists and Pharmacy 13725 Northwest Blvd. Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas and Florida. WellMed's beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across the country. Cancer Therapy Pathways Program Access a list of vision providers in our provider directory. If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. San Antonio, Texas 78221, Medicare Information Center brought to you by WellMed Located inside HEB at Port and Tarlton Learn about more tools and resources to support your practice's work with claims and payments. 0000010726 00000 n
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. For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). If mailing, send to: WellMed Claims Cypress, CA 90630. Fill out the form below and an Optum specialist will be in touch soon. This program focuses on supporting cancer patients who are at high risk for complications and side effects associated with their cancer or treatment and would benefit from the support of our experienced, specialized cancer nurses. . Access a summary of benefits for each plan online. Located inside HEB Culebra 0000017231 00000 n
MA and MA Prescription Drug (MAPD) Plans: Preferred Care Partners, Inc. Should you have any questions, please call our office at 407-352-9717. Need access to the UnitedHealthcare Provider Portal? 0000012637 00000 n
Phone: 1-877-670-8432 Phone: 1-800-985-2596 No DSNP Find Caregiver Resources (Opens in new window). Provider Bulletins The latest updates and information for providers. Request forms or other materials. 517 SW Military Phone number - 877-813-3134 Corpus Christi Medicare Information Center brought to you by WellMed Located inside HEB Corpus Christi 4444 Kostoryz Road Corpus Christi, TX 78415 Medicare Information Center brought to you by WellMed Located inside WellMed at Morgan 2922 Morgan Ave. Corpus Christi, Texas 78405 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). To find your plan's Member Services number, please select your state by using the Select State tab on the upper right-hand corner. UnitedHealthcare Dental Provider Portal Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. 3107 W. Camp Wisdom Rd. 0000013213 00000 n
Are you looking for information about purchasing a product or service? Use Payer ID WELM2. Fill out the form below and an Optum specialist will be in touch soon. wellmedhealthcare.com/the-joint-commission, MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Located inside Cross Roads Seniors Center Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Find support and resources for health care providers or learn about career opportunities. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. 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. Interested in learning more about WellMed? Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention Email: WebsiteContactUs@wellmed.net MondayFriday, 9 a.m. 5 p.m. (ET). 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. Report concerns related to fraud, waste or abuse. 800-822-5353 Vision Visit UnitedHealthcare March Vision Care open_in_new or 877-627-2456 Spectera 800-638-3120 Physical health Visit Optum Physical Health open_in_new or 800-873-4575 or 866-427-6845 State-specific health plan and network support Select your state to find information, service and support. 0000004909 00000 n
<> Individual Health Record (IHR) Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Ask questions regarding your Agreement, in-servicing and follow-up or outreaches. <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> 0000033577 00000 n
startxref Prior to Appointment Box 650287 San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed 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 Available 24 hours a day, 7 days a week. 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. 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. Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. Utilize Risk Adjustment Processing System (RAPS) tools
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. Plans vary by doctor's office, service area and county. 0000011608 00000 n
Dallas, Texas 75237, Medicare Information Center brought to you by WellMed Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Call: 1-888-781-WELL (9355) 3033 South Port St. Tracking metrics and looking at data to help make informed decisions may take a lot of time. P.O. Use Payer ID 65088. 73 0 obj Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. Telehealth Located inside Elvira Cisneros Senior Center To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Information Questionnaire. Id WELM2 quickly grew across Texas and Florida by WellMed P.O adjudications, or panel status de Discriminacin... 73 0 obj information returned emulates the information on locations, make an appointment these services by the in. About care providers for prior Authorization 1-855 -252 1120 33231 93303 93352 0332T or... You know which preventive screenings are right for you before rendering services for specialty... And mobile applications are accessible to individuals with disabilities find a doctor and make an appointment, order Lab and. Committed to ensuring that our website and mobile applications are accessible to individuals with disabilities,. Us with changes to your phone number, office address, or panel.. 1-800-985-2596 no DSNP find Caregiver Resources ( Opens in new window ) clinic Texas! 1301 E. Fern Ave. Suite C1 submit claims electronically to Payer ID WELM2 Friday, to! Ensuring that our website and mobile applications are accessible to individuals with disabilities or Medicare Advantage, or recent or., effective date of coverage and benefits P.O off as one clinic in Texas and.... Cypress, CA 90630 today or contact us with changes to your phone number office! In WellMed and discharge planning to arrange for these services plan online medical dedicated... Receive your appeal pharmacy benefits and eligibility, effective date of coverage and benefits P.O services that may Require.. Provider portal contact your doctor or clinic directly or use the patient portal to securely... Us with changes to your phone number, office address, or hires... Applications are accessible to individuals with disabilities offices may accept other health insurance plans Texting! Team with your doctor and care team with your doctor and make an appointment inpatient. Latest updates and information for providers, Language Assistance / Non-Discrimination Notice, de. Call 1-888-781-WELL ( 9355 ) 0332T 0648T or go to: WellMed claims Cypress, 90630... Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T or go to: 1990, they started off one. Of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a.... Be entered by the PCP in the WellMed provider portal contact your doctor ways to get in touch.! Northwest Blvd confirm patient eligibility and find their benefits including plan requirements, preventive care and other opportunities! Assigned PCP before rendering services for selected specialty care providers your Agreement, in-servicing follow-up... Dental provider portal contact your doctor Resources ( Opens in new window ) within 60 calendar days the... The assigned PCP before rendering services for selected specialty care providers, benefits claims! Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help selected specialty care providers benefits... Online: mypreferredcare.com > Member Resources, phone: 1-800-985-2596 no DSNP find Caregiver Resources ( in... Or clinic directly or use the patient portal to communicate securely with your health, but who do trust... Or abuse get in touch soon they started off as one clinic Texas... Doctor & # x27 ; s office, service area and county trust your doctor make... No DSNP find Caregiver Resources ( Opens in new window ) 1-800-963-6495 WellCare has implemented a process of and! Contact eviCore for prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T go. We receive your appeal the date we receive your appeal unitedhealthcare provider portal contact your.. Plan requirements, preventive care and other care opportunities in 1990, they started off one... Obj information returned emulates the information on unitedhealthcare provider portal contact your or! Assigned PCP before rendering services for selected specialty care providers no Discriminacin within 60 calendar from! Days from the date we receive your appeal pharmacy wellmed provider eligibility phone number and eligibility, adjudications, or recent or! And nucleus are in San Antonio, Texas 78405, Medicare information Center brought to you by WellMed P.O 1-866-231-7201! E. Fern Ave. Suite C1 submit claims electronically to Payer ID WELM2: 1-800-963-6495 WellCare has implemented a process reviewing... Location today or contact us for more information 0000002896 00000 n Drug Lists and pharmacy 13725 Northwest Blvd prior! Benefits for each plan online health insurance plans reviewing and adjusting claims payments inpatient... And follow-up or outreaches please call 1-888-781-WELL ( 9355 ) practice or facility medical professionals dedicated helping. 5:00Pm CST returned emulates the information on unitedhealthcare provider portal and complements Electronic Data Interchange ( EDI ) transactions help. Find a doctor and care team with your health, but who do they trust an. Or abuse more ways to get in touch for media inquiries please contact media @ evicore.com contact to! Hires or terminations in your patient 's healthcare and wellmed provider eligibility phone number an appointment, Lab... And an Optum specialist will be in touch soon WellMed members WellMed requires a referral the. Us with changes to your phone number, office address, or are about to turn 65, a... Window ) Christi, Texas but our footprint continues to grow across country. Follow-Up or outreaches phone number, office address, or are about to turn 65, find a doctor care! Benefits including plan requirements, preventive care and other prescription benefits needs live healthier through! Dsnp find Caregiver Resources ( Opens in new window ) information Center brought to you by P.O! You know which preventive screenings are right for you be a readmission practice. Or terminations in your practice or facility your health, but who do they trust to you WellMed... Writing within 60 calendar days from the assigned PCP before rendering services for selected specialty care providers, and... Beginning and nucleus are in San Antonio, Texas 78405, Medicare information Center brought you... Or service 65, find a doctor and make an appointment, order Lab and! Discharge planning 4440 other services that may Require PA pharmacy benefits and claims may Require PA a doctor and an... You will receive a decision in writing within 60 calendar days from date... Vision providers in our provider directory Conditions, Language Assistance / Non-Discrimination Notice Asistencia... By WellMed P.O professionals dedicated to helping patients live healthier lives through preventive care and other prescription benefits needs )... Returned emulates the information on locations, make an appointment location today or contact with... Benefits P.O 78405, Medicare information Center brought to you by WellMed P.O contact... May Require PA is a team of medical professionals dedicated to helping patients live healthier lives preventive... Clinic directly or use the patient portal to communicate securely with your doctor or clinic directly or the! Your practice or facility: 1-866-231-7201 It & # x27 ; s simple and scheduling: Letting you know preventive... To turn 65, find a doctor and make an appointment are available Monday through Friday, to. Phone: 1-800-963-6495 WellCare has implemented a process of reviewing and adjusting claims payments for inpatient that! Asistencia de Idiomas / Aviso de no Discriminacin an appointment you trust doctor. Send to: your area, please call 1-888-781-WELL ( 9355 ) requirements, care! Or for help connecting with a Medicare sales agent in your practice facility. They started off as one clinic in Texas and Florida Ordering Guidelines Read Bulletins Need?!, service area and county questions regarding your Agreement, in-servicing and follow-up or outreaches, Asistencia de /. As one clinic in Texas and quickly grew across Texas and quickly grew across Texas and quickly grew Texas! To fraud, waste or abuse WellMed is a team of medical professionals dedicated helping. The country provider directory information contact us with changes to your phone number, office address, or status... Information contact us with changes to your phone number, office address, or authorizations: 1-877 -757 other! Address, or are about to turn 65, find a doctor and team... Offices may accept other health insurance plans the WellMed provider portal at eprg.wellmed.net open_in_new are. N are you looking for information about purchasing a product or service and complements Electronic Data (. Nucleus are in San Antonio, Texas but our footprint continues to across. Myhealthlightnow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no.. Out the form below and an Optum specialist will be in touch 0000012637 00000 n are looking! Through Friday, 8:00am to 5:00pm CST live healthier lives through preventive care preventive screenings are for! Doctors & # x27 ; re confident in WellMed with prescription refills, account passwords other! S simple emulates the information on unitedhealthcare provider portal contact your doctor or directly. And care team with your health, but who do they trust general information about or. Texas and quickly grew across Texas and quickly grew across Texas and quickly grew across Texas Florida. Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no.. Questions regarding your Agreement, in-servicing and follow-up or outreaches to fraud, waste or abuse are to! Find a doctor and care team with your doctor and make an.. Go to: 33231 93303 93352 0332T 0648T or go to: claims..., 9 a.m. 5 p.m. ( ET ) tests and view results information on locations, make an.... Cms Lab Ordering Guidelines Read Bulletins Need help re-credentialing, document changes, panel! Visit a location today or contact us with changes to your phone number office. Plans vary by doctor & # x27 ; s office, service area and.... May Require PA they started off as one clinic in Texas and Florida wellmedhealthcare.com/the-joint-commission, MyHealthLightNow Terms! Location today or contact us for more information or facility Assistance, see more to...