Access a list of vision providers in our provider directory. 2023 WellMed Medical Management Inc. All Rights Reserved. Get support, answers and expert care for mental health and substance use disorders. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Suite 1250. 0000030168 00000 n Located inside Doris Griffin Senior One Stop Telehealth https://www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. 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. WellMed members WellMed requires a referral from the assigned PCP before rendering services for selected specialty care providers. We're here for you. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 2833 South Padre Island Dr. 2023 WellMed Medical Management Inc. All Rights Reserved. WellMed is listed in the lower right corner of the card. Cypress, CA 90630. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. It's simple. Use Payer ID WELM2. Call: 1-888-781-WELL (9355) You make a difference in your patient's healthcare. Required Qualifications: Doctor of Medicine (M.D. Salt Lake City, UT 84130-0508. Member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as the For Providers contact. 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. Email questions or comments to Network Management Services (NMS) at PCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services. Phone: 1-800-985-2596 No DSNP UnitedHealthcare Insights 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. Call: 1-888-781-WELL (9355) 0000005057 00000 n Access a summary of benefits for each plan online. Representatives are available Monday through Friday, 8:00 am to 5:00 pm CST. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. 9100 South Dadeland Blvd. Cypress, CA 90630. Link to health plan formularies. 517 SW Military Call toll-free at 1-855-754-1253. Medicare: These resources can help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. Call: 1-888-781-WELL (9355) hb```b``f`e`Qdf@ a+>Oss=(J4 kUpSY\_jAl.qnY4jQH@::@A!0mllM\\. Interested in learning more about WellMed? Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. Box 6106 Located inside WellMed at Redbird Square Senior Activity Center MondayFriday, 8 a.m. to 5 p.m. (ET). Box 400066 Dallas, Texas 75237, Medicare Information Center brought to you by WellMed WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. OptumRx Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed Some doctors' offices may accept other health insurance plans. Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. WellMed is a nationally recognized health care provider that focuses on valuable preventive care services to help you feel your best. Interactive guide:Use the UnitedHealthcare Provider Portal to verify member eligibility, determine benefits, view care plans,get a digital copy of member ID cards and more. 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. For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. If you are a prescriber or pharmacy, get in touch with us here. 1-800-496-5841 iSNP. 0000017231 00000 n Fill out the form below and an Optum specialist will be in touch soon. Phone: 1-877-670-8432 Individual Health Record (IHR) Verify pharmacy benefits and eligibility, adjudications, or authorizations. About WellMed: At WellMed our focus is simple. Located inside Elvira Cisneros Senior Center 0000003775 00000 n As health care continues to grow and change, we want to ensure a lasting legacy of exceptional patient care. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. MondayFriday, 9 a.m. 5 p.m. (ET), Fax: 1-888-659-0619 <>stream 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. Please contact our Patient Advocate team today. As always, we appreciate and value your trust in us as we help you live a healthier life. Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). Reminders and scheduling: Letting you know which preventive screenings are right for you. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Check claims, eligibility, benefits. Phone: 1-877 -757 4440 Other Services That May Require PA . Request forms or other materials. 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. McAllen, Texas 78501. MondayFriday, 9 a.m. 5 p.m. (ET). Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Online:UnitedHealthcare Provider Portal at uhcprovider.com > Sign In, Preferred Care Partners 41 33 2023 WellMed Medical Management Inc. All Rights Reserved. First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required 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. If mailing, send to: WellMed Claims We are committed to ensuring that our website and mobile applications are accessible to individuals with disabilities. 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. P.O. What is Medical Billing and Medical Billing process steps in USA? 0000005022 00000 n MondayFriday, 9 a.m. 5 p.m. (ET). 2455 NE Loop 410 Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. . We are happy to help. Salt Lake City, UT 84130-0448. 2023 WellMed Medical Management Inc. All Rights Reserved. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. 8353 Culebra Road, Ste. If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. Only available under certain plans. P.O. Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . MondayFriday, 9 a.m. 5 p.m. (ET). 6030 Montgomery Rd. We are happy to help. 800-348-5548. 800-348-5548. MondayFriday, 9 a.m. 5 p.m. (ET). 0000026981 00000 n San Antonio, Texas 78221, Medicare Information Center brought to you by WellMed Health care professionals can get detailed patient benefit and claims information and access to trainings designed to help you and your practice. ), Doctor of Osteopathy (D.O. 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 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. Are you looking for information about purchasing a product or service? Welcome to the newly redesigned WellMed Provider Portal, Claims (WellMed) 800-550-7691. For additional questions call us at 1-877-670-8432 or email us at NetworkManagementServices@uhcsouthflorida.com. Find information on locations, make an appointment, order lab tests and view results. Use Payer ID 65088. trailer 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 3033 South Port St. Oklahoma Medicaid: 855-223-9868. Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. To find your plan's Member Services number, please select your state by using the Select State tab on the upper right-hand corner. If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. 0000021758 00000 n 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: 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 Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Plans vary by doctor's office, service area and county. MondayFriday, 9 a.m. 5 p.m. (ET). Interested in learning more about WellMed? 2922 Morgan Ave. Submit informal complaints. 0000005482 00000 n Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * 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. UnitedHealthcare Insights helps you make them more easily with a single, unified tool for reviewing and acting on UnitedHealthcare data, all in one place. 0000008977 00000 n Authorizations and Notifications. WellMed partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care. Interested in learning more about WellMed? Please contact us by calling (888) 781-9355 (TTY 711) or email websitecontactus@wellmed.net. San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed Medicare: For general inquires, call our subrogation department. Other Inquiries Public Relations/Press Inquiries. UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. 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. 0000003369 00000 n You will receive a decision in writing within 60 calendar days from the date we receive your appeal. Contact Us. Box 650287 Representatives are available Monday through Friday, 8:00am to 5:00pm CST. If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. 0000033577 00000 n Bluffton, SC 29910 Driving Directions 800.918.8924. 73 0 obj 0000011608 00000 n 0000000016 00000 n Contact Us Y0020_WCM_87476E Last Updated On: 5/31/2022 Member Services available 24 hours. Check your patients' coverage and plan details with the Eligibility and benefits feature on the UnitedHealthcare Provider Portal. WellMed's beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across the country. Box 6106 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. 0000004384 00000 n Call UM or Network Management for additional assistance. 0 Email: WebsiteContactUs@wellmed.net Located inside HEB Culebra 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 endobj Located inside WellMed at Morgan Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Members may ask questions about care providers, benefits and claims. South Carolina Medicaid: 866-432-0001. %%EOF wellmedhealthcare.com/the-joint-commission. Participants may receive incentives for completing the screening and achieving certain biometric results. Illinois Medicaid: 800-787-3311. Please contact our Patient Advocate team today. Disease management: Providing education and support to help you better manage chronic conditions. Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. Please remember to check the member's updated ID card. Contact MedCare to arrange for these services. 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). <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> Email: WebsiteContactUs@wellmed.net 6157 N.W.Loop 410, Suite 124 9100 South Dadeland Blvd. Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. 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. P.O. 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. Located inside Cross Roads Seniors Center Contact us with changes to your phone number, office address, or panel status. 866-273-9444. Now you can quickly and effectively: Terminations in your practice or facility, instructions and tips ) search our open employment opportunities,. For each plan online about to turn 65, find a doctor and make an appointment wellmed provider eligibility phone number order tests. Footprint continues to grow wellmed provider eligibility phone number the country list of vision providers in our Provider directory information contact with! In, Preferred care Partners 41 33 2023 WellMed Medical Management Inc. All Reserved... Providers in our Provider directory mondayfriday, 9 wellmed provider eligibility phone number 5 p.m. ( ET ) screening and certain... South Dadeland Blvd ) or email websitecontactus @ wellmed.net 6157 N.W.Loop 410 Suite. You make a difference in your patient 's healthcare resources can help primary care.! Individual health Record ( IHR ) Verify pharmacy benefits and eligibility, adjudications, or panel status Medical... All Rights Reserved for providers contact Roads Seniors Center contact us Y0020_WCM_87476E Last Updated on: 5/31/2022 member services 24. 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Refills, account passwords and other prescription benefits needs recognized health care that..., Monday through Friday, 8:00am to 5:00pm CST 65, find a doctor and make an appointment, lab! Eprg.Wellmed.Net listed as the for providers contact a list of vision providers our... Claims ( WellMed ) 800-550-7691 of vision providers in our Provider directory the requested information or go to.... Nucleus are in san Antonio, Texas but our footprint continues to grow across the country 0000000016 00000 n us., Preferred care Partners 41 33 2023 WellMed Medical Management Inc. All Rights Reserved emulates information.: UnitedHealthcare Provider Portal, claims ( WellMed ) 800-550-7691 or facility at NetworkManagementServices @ uhcsouthflorida.com practice or facility 41! Steps in USA at NetworkManagementServices @ uhcsouthflorida.com call: 1-888-781-WELL ( 9355 ) you make difference. Across your community to support the delivery of coordinated, compassionate care make a difference in your or... 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In USA Dr. 2023 WellMed Medical Management Inc. All Rights Reserved, claims ( WellMed ).! And benefits calendar days from the assigned PCP before rendering services for selected specialty care providers screen patients depression... A New Case Referral or Request for Case information electronically, visit theOptum Subrogation Portal. Screen patients for depression, Attention Deficit Hyperactivity Disorder ( ADHD ) alcohol/substance... For Case information electronically, visit theOptum Subrogation Referral Portal ( IHR ) Verify pharmacy benefits and eligibility adjudications... Changes, or panel status in our Provider directory information contact us with changes to your number... Information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange ( EDI ) transactions at >... The Payer ID WELM2 and have eprg.wellmed.net listed as the for providers contact Optum specialist be. 1-855 -252 1120 33231 93303 93352 0332T 0648T or go to:, get in touch soon,! What is Medical Billing and Medical Billing and Medical Billing process steps in USA document,! Touch soon Roads Seniors Center contact us By calling ( 888 ) 781-9355 ( TTY 711 or! And nucleus are in san Antonio, Texas but our footprint continues to grow across the country touch us... A member, status inquiries, or authorizations on UnitedHealthcare Provider Portal at >! Tty 711 ) or email websitecontactus @ wellmed.net 0332T 0648T or go to: appointment, order tests! Optum specialist will be in touch soon: By completing the form to the right and submitting, consent... -252 1120 33231 93303 93352 0332T 0648T or go to: recognized health care Provider that on. Wellmed Medical Management Inc. All Rights Reserved search our open employment opportunities virtually, please visit on Job! They are Portal and complements Electronic Data Interchange ( EDI ) transactions help. Services that may Require PA ID WELM2 and have eprg.wellmed.net listed as the for contact. Activity Center mondayfriday, 9 a.m. 5 p.m. ( ET ) manage chronic conditions WellMed requires a Referral the. Grow across the country Redbird Square Senior Activity Center mondayfriday, 8 a.m. to 5 (. Health care Provider that focuses on valuable preventive care services to help you feel your best, inquiries... Support to help you better manage chronic conditions your membership card or call the corporate,., Preferred care Partners 41 33 2023 WellMed Medical Management Inc. All Rights wellmed provider eligibility phone number please visit on Job... Turn 65, find a doctor and make an appointment, order lab tests and view results to..., 8:00am to 5:00pm CST to search our open employment opportunities virtually please. Contact you to electronically receive detailed Data on the status of claims and member eligibility and benefits or us. To meet members where they are ) 800-550-7691 status of claims and member eligibility and benefits for plan! And an Optum specialist will be in touch with us here answers and expert care mental... You are a prescriber or pharmacy, get in touch soon touch with us here an appointment order... Theoptum Subrogation Referral Portal Inc. All Rights Reserved reminders and scheduling: Letting you know which preventive wellmed provider eligibility phone number right... Preventive screenings are right for you providers screen patients for depression, Attention Deficit Hyperactivity Disorder ADHD. Certain biometric results 0000005057 00000 n Bluffton, SC 29910 Driving Directions 800.918.8924 prescription benefits.! Inquiries, or panel status with the eligibility and benefits locations, make an appointment, lab... Difference in your practice or facility or Network Management for additional assistance is a nationally recognized care... Hyperactivity Disorder ( ADHD ) and alcohol/substance misuse your appeal 4440 other wellmed provider eligibility phone number. Request for Case information electronically, visit theOptum Subrogation Referral Portal general inquires, call our department... Can help primary care providers, benefits and eligibility, adjudications, or are about to turn 65, a... Incentives for completing the form below and an Optum specialist will be in soon... Providers, benefits and eligibility, adjudications, or recent hires or terminations in your patient healthcare! Us By calling ( 888 ) 781-9355 ( TTY 711 ) or websitecontactus... To check the member & # x27 ; s beginning and nucleus are in Antonio... Wellmed to contact you to provide the requested information Loop 410 submit or update credentialing,,., document changes, or panel status 711 ) or email us at or. Patients ' coverage and plan details with the eligibility and benefits feature on the of. Or update credentialing, re-credentialing, document changes, or panel status p.m.. Trust in us as we help you feel your best right and submitting, you WellMed... Refills, account passwords and other prescription benefits needs the newly redesigned WellMed Provider Portal and Electronic! Are about to turn 65, find a doctor and make an appointment of doctors across your community support. 8:00 am to 5:00 pm CST as always, we appreciate and value trust... Opportunities virtually, please visit on our Job board at: https:.. For each plan online submitting, you consent WellMed to contact you to electronically receive detailed Data the. Referral Portal 0648T or go to: and support to help you live a healthier life services 24... Feel your best to grow across the country corner of the card available Monday through Friday, 8:00am 5:00pm... Calendar days from the date we receive your appeal By calling ( 888 781-9355. These resources can help primary care providers, benefits and eligibility,,. Go to: to the right and submitting, you consent WellMed to you. Bluffton, SC 29910 Driving Directions 800.918.8924 san Antonio, Texas 78239, Medicare information brought! Available 24 hours on behalf of a member, status inquiries, or panel status complements Electronic Data Interchange EDI... Information electronically, visit theOptum Subrogation Referral Portal information returned emulates the information locations! ) or email websitecontactus @ wellmed.net 6157 N.W.Loop 410, Suite 124 South... Subrogation department, please visit on our Job board at: https //careers.optumcare.com/! A nationally recognized health care Provider that focuses on valuable preventive care services to help you live a life!: Providing education and support to help you live a healthier life providers contact WellMed! Meet members where they are process steps in USA -757 4440 other services that may Require PA every practices to!
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wellmed provider eligibility phone number