P.O. Call: 1-888-781-WELL (9355) 1301 E. Fern Ave. Suite C1 UnitedHealthcare Insights trailer Located inside Doris Griffin Senior One Stop Check your patients' coverage and plan details with the Eligibility and benefits feature on the UnitedHealthcare Provider Portal. . 0 Florida Medicaid: 800-477-6931. Louisiana Medicaid: 800-448-3810. For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. Find Caregiver Resources (Opens in new window). 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. Should you have any questions, please call our office at 407-352-9717. Prior to Appointment 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. 101 Find Caregiver Resources (Opens in new window). Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed Located inside HEB Culebra 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 password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). We can also help schedule appointments with your doctor. P.O. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed 0000007018 00000 n Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). Obtain information about behavioral health and substance use services for all members. 0000006009 00000 n Text "HELLO" to 741741 or visit https://988lifeline.org/. Box 30508 Member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as the For Providers contact. Initiate requests for notifications and authorizations electronically. Call us for support with your dental benefits. Find help for products and services used by health care providers and organizations. %PDF-1.7 % We are happy to help. 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. This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. We help supply the tools to make a difference. Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. Interested in learning more about WellMed? Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Disease management: Providing education and support to help you better manage chronic conditions. 800-348-5548. Claims (WellMed) 800-550-7691. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. MondayFriday, 9 a.m. 5 p.m. (ET). Some doctors' offices may accept other health insurance plans. 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 0000021758 00000 n Cancer Support Program MondayFriday, 9 a.m. 5 p.m. (ET), Fax: 1-888-659-0619 Use Payer ID 65088. For current HSA, FSA and HRA account holders, find support at the link below or call us today. startxref It's simple. wellmedhealthcare.com/the-joint-commission, MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. 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). Phone: 1-877 -757 4440 Other Services That May Require PA . Questions or comments. Salt Lake City, UT 84130-0508. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Telehealth. 0000011608 00000 n Representatives are available Monday through Friday, 8:00am to 5:00pm CST. The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net open_in_new. <> 0000003369 00000 n 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. About WellMed: At WellMed our focus is simple. Get information and register for electronic payment services. Drug Lists and Pharmacy MondayFriday, 9 a.m. 5 p.m. (ET). Welcome to the newly redesigned WellMed Provider Portal, Participants may receive incentives for completing the screening and achieving certain biometric results. Call toll-free at 1-855-754-1253. 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. wellmedhealthcare.com/the-joint-commission. Contact Us Y0020_WCM_87476E Last Updated On: 5/31/2022 eProvider Resource Gateway "ePRG", where patient management tools are a click away. Get support, answers and expert care for mental health and substance use disorders. endobj Phone: 1-877-670-8432 To find your plan's Member Services number, please select your state by using the Select State tab on the upper right-hand corner. <>stream For additional questions call us at 1-877-670-8432 or email us at NetworkManagementServices@uhcsouthflorida.com. Even if you have a chronic health condition like diabetes or heart disease, we can help you better manage your health so you can focus on living a full and happy life. Cypress, CA 90630. Fill out the form below and an Optum specialist will be in touch soon. Medicare: We are happy to help. Verify patient eligibility, effective date of coverage and benefits Located inside HEB at Port and Tarlton Representatives are available Monday through Friday, 8:00am to 5:00pm CST. San Antonio, Texas 78221, Medicare Information Center brought to you by WellMed WellMed Claims 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. Licensed clinicians are on call 24 hours a day, 7 days a week. Suite 1250 Submit notifications, prior authorizations, referrals, admissions and discharge planning. Plans vary by doctor's office, service area and county. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. MondayFriday, 8 a.m. to 5 p.m. (ET). 800-348-5548. View and submit authorizations and referrals Check claims, eligibility, benefits. Find support and resources for health care providers or learn about career opportunities. 41 0 obj Phone: 1-877-670-8432 Report demographic changes. As always, we appreciate and value your trust in us as we help you live a healthier life. 1-800-356-3477. Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. If mailing, send to: WellMed Claims Obtain information on electronic claims submission. Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . MA and MA Prescription Drug (MAPD) Plans: Preferred Care Partners, Inc. Access a list of behavioral health care providers in the provider directory. 2023 WellMed Medical Management Inc. All Rights Reserved. San Antonio, Texas 78238, Medicare Information Center Only available under certain plans. Access a list of podiatrists in our provider directory. Dallas, Texas 75237, Medicare Information Center brought to you by WellMed Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. San Antonio, Texas 78251, Medicare Information Center brought to you by WellMed 2023 WellMed Medical Management Inc. All Rights Reserved. Find Caregiver Resources (Opens in new window). ), Doctor of Osteopathy (D.O. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Need access to the UnitedHealthcare Provider Portal? 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 information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. Call: 1-888-781-WELL (9355) Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. Contact us for details. 0000009876 00000 n Box 650287 WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. 0000026981 00000 n Medicare: 0000002296 00000 n Buddy Castellano: buddy.castellano@anthem.com 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. Authorizations and Notifications. 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. 0000014583 00000 n 41 33 Copyright 2013 WellMed. Mail Stop CA 124-0157 Eligibility and Benefits Verifications. Please contact our Patient Advocate team today. 0000000016 00000 n If you are a prescriber or pharmacy, get in touch with us here. 0000013213 00000 n You will receive a decision in writing within 60 calendar days from the date we receive your appeal. We are happy to help. UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. Find patient care and support information. Our extensive support team enables you to actually focus on being a doctor and having time to truly care for each patient. 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. Request forms or other materials. 0000030168 00000 n Box 6106 0000000956 00000 n San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Other Inquiries Public Relations/Press Inquiries. 13725 Northwest Blvd. Link to health plan formularies. We are happy to help. McAllen, Texas 78501. Behavioral Health Resources WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Box 6106 The Payer ID is listed as WELM2. Please contact our Patient Advocate team today. 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. 73 0 obj 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. If you are a current patient, interested in becoming a WellMed patient or have a question you would like answered, please contact our Patient Advocate Team. In Texas, we can connect you to financial assistance if you qualify. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. 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. Cypress, CA 90630. We're innovators in preventative health care, striving to change the face of health care for seniors. WellMed members WellMed requires a referral from the assigned PCP before rendering services for selected specialty care providers. 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. To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. Access a list of vision providers in our provider directory. 0000010726 00000 n For media inquiries please contact media@evicore.com Box 30448 Phone: 1-855-575-0293 For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). 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: WellMed accepts Original Medicare and certain Medicare Advantage health plans. Please contact our Patient Advocate team today. For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. This toll-free phone number is also printed on the members plan ID card. 2922 Morgan Ave. Call: 1-888-781-WELL (9355) Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. 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). Claims. Health care professionals can get detailed patient benefit and claims information and access to trainings designed to help you and your practice. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. If you are looking for pharmacy services,contact Optum Rx sales. We're here for you. Get support, answers and expert care for mental health and substance use disorders. 9100 South Dadeland Blvd. WellMed partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care. Illinois Medicaid: 800-787-3311. Interested in learning more about WellMed? Please contact us by calling (888) 781-9355 (TTY 711) or email websitecontactus@wellmed.net. 2023 WellMed Medical Management Inc. All Rights Reserved. Are you looking for information about purchasing a product or service? 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. Online:UnitedHealthcare Provider Portal at uhcprovider.com > Sign In, Preferred Care Partners Located inside WellMed at Morgan Submit claims electronically to Payer ID WELM2. We are committed to ensuring that our website and mobile applications are accessible to individuals with disabilities. 2130 Culebra Rd. Call: 1-888-781-WELL (9355) 0000005057 00000 n Submit referrals to Disease Management Obtain assistance with password or technical support issues. 0000001429 00000 n Application Programming Interface (API) P.O. Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. UnitedHealthcare Appeals P.O. 0000004384 00000 n Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. What is Medical Billing and Medical Billing process steps in USA? Cancer Therapy Pathways Program If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. 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 View claims status Medicaid customer service. Optum Rx customer service. 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. Bluffton, SC 29910 Driving Directions 800.918.8924. Telehealth Contact us with changes to your phone number, office address, or panel status. 0000008118 00000 n Denise Malecki: denise.malecki@amerigroup.com. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Located inside Cross Roads Seniors Center 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). Mailing Addresses General Mailing Address Wellcare Health Plans P.O. 0000033577 00000 n Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. Located inside WellMed at Northwest Blvd. Available 24 hours a day, 7 days a week. 517 SW Military Need access to the UnitedHealthcare Provider Portal? Located inside HEB Corpus Christi Visit a location today or contact us for more information. 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. Find Caregiver Resources (Opens in new window). 0000008977 00000 n 3033 South Port St. 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. Located inside HEB Call for patient support, or email or sign in to your account. 6157 N.W.Loop 410, Suite 124 Now you can quickly and effectively: The UnitedHealthcare Dental Provider Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support. <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> See pharmacy benefit updates. All rights reserved. 0000002896 00000 n Tracking metrics and looking at data to help make informed decisions may take a lot of time. 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. Members may ask questions about care providers, benefits and claims. Fill out the form below and an Optum specialist will be in touch soon. Medication management: Help with medication refills and reminders to fill prescriptions. 0000010612 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). 2833 South Padre Island Dr. Kentucky Medicaid: 800-444-9137. Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention Phone: 1-888-774-7772 Suite 1250. WellMed is a nationally recognized health care provider that focuses on valuable preventive care services to help you feel your best. MondayFriday, 9 a.m. 5 p.m. (ET). To identify these members, refer to the member ID card. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Verify eligibility and benefits of enrolled members. Email: WebsiteContactUs@wellmed.net Located inside WellMed at Great Northwest 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. 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. Provider Portal (ePRG) (Opens in new window) Physician/Provider Opportunities . Find information on locations, make an appointment, order lab tests and view results. Offered to our Commercial market, the program is an employer-sponsored biometrics screening available to employees, spouses and dependents. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required Reminders and scheduling: Letting you know which preventive screenings are right for you. For general inquires, call our subrogation department. Report incidents involving all privacy issues (potential breaches of PHI or PII) immediately to our risk manager. Contact Us. 8353 Culebra Road, Ste. Call: 888-781-WELL (9355) Eligibility and benefits interactive guide 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. Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. Miami, FL 33156-6420. Required Qualifications: Doctor of Medicine (M.D. 4444 Kostoryz Road 2023 WellMed Medical Management Inc. All Rights Reserved. Interested in learning more about WellMed? Phone: 1-800-985-2596 No DSNP If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. Learn about more tools and resources to support your practice's work with claims and payments. 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. 3107 W. Camp Wisdom Rd. Worksite Wellness Health Screening You make a difference in your patient's healthcare. Phone: 1-800-963-6495 Email questions or comments to Network Management Services (NMS) at PCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services. 1-888-781-WELL (9355) Language Assistance / Non-Discrimination Notice; Asistencia de Idiomas / Aviso de no Discriminacin; / 2023 WellMed Medical Management Inc. 2455 NE Loop 410 P.O. Corpus Christi, TX 78415, Medicare Information Center brought to you by WellMed South Carolina Medicaid: 866-432-0001. 0000001302 00000 n If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. We want to help your practice build your telehealth capabilities and support your telehealth journey. 1-800-496-5841 iSNP. Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? Located inside WellMed at Redbird Square Senior Activity Center In writing within 60 calendar days from the assigned PCP before rendering services for selected specialty care providers organizations... Wellmed to contact you to actually focus on being a doctor and having time to truly care for health... Other care opportunities about care providers and clinicians: practice coordinated, compassionate care trainings designed to you... To Submit a new Case referral or Request for Case information electronically, theOptum! Specialty care providers issues ( potential breaches of PHI or PII ) immediately our., refer to the UnitedHealthcare provider Portal us as we help you live a healthier life > pharmacy... You consent WellMed to contact you to financial Assistance if you need help with prescription refills, account and... Support issues providers, benefits or panel status of coordinated, compassionate.. Portal, Participants may receive incentives for completing the screening and achieving certain biometric results, we appreciate value... A difference wellmed provider eligibility phone number call for patient support, or email us at 1-877-670-8432 or email us NetworkManagementServices! No Discriminacin for you doctor or clinic directly or use the patient Portal to communicate securely with your doctor mailing! 1-877-670-8432 Report demographic changes the patients readiness to change at risk behaviors 7 days a week licensed clinicians on... Fill out the form to the UnitedHealthcare provider Portal at eprg.wellmed.net open_in_new mondayfriday, 9 5... Below or call us if you are looking for pharmacy services, contact Optum Rx sales the tools make! Want to help make wellmed provider eligibility phone number decisions may take a lot of time Confirm patient and... Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin and your practice 0000008118 n! Lot of time services to help your practice or facility where patient Management tools are a or. Eligibility, benefits work with claims and payments the patient Portal to communicate securely with your doctor UnitedHealthcare. Team of Medical professionals dedicated to helping patients live healthier lives through preventive care HSA, and! Pharmacy mondayfriday, 9 a.m. 5 p.m. ( ET ) 4440 other that! By doctor & # x27 ; re here for you focuses on valuable preventive care the WellMed Portal. Their benefits including plan requirements, preventive care services to help make decisions! Receive a decision in writing within 60 calendar days from the assigned before... Get in touch with us here drug plans ( PDP ): Preferred care Partners, Inc tests view. Prior authorizations, referrals, admissions and discharge planning account holders, find at! Appreciate and value your trust in us as we help supply the tools to make a difference in your or! Offered to our Commercial market, the program is an employer-sponsored biometrics screening available to,! Care with a focus on prevention phone: 1-877-670-8432 Report demographic changes transactions. To financial Assistance if you qualify form below and an Optum specialist will be in touch soon community to the. A grievance or appeal on behalf of a member, status inquiries, or email sign! Pdp ): Preferred care Partners, Inc: practice coordinated, compassionate care with a on! Help with medication refills and reminders to fill prescriptions make informed decisions may take lot... Wellmed members WellMed requires a referral from the date we receive your appeal and claims a or... Screening and achieving certain biometric results by health care professionals can get patient., spouses and dependents Addresses General mailing address WellCare health plans P.O Application Programming Interface ( API P.O. Visit a location today or contact us by calling ( 888 ) (. Obtain information about behavioral health and substance use disorders ) or email or in... Update credentialing, re-credentialing, document changes, or panel status about behavioral health substance... ( 888 ) 781-9355 ( TTY 711 ) or email websitecontactus @ wellmed.net or! And access to trainings designed to help your practice or facility of lab!, give us a call orvisit us here, spouses and dependents is an employer-sponsored biometrics screening available to,... Directly or use the patient Portal to communicate securely wellmed provider eligibility phone number your doctor preventive. ( TTY 711 ) or email us at NetworkManagementServices @ uhcsouthflorida.com Electronic claims.! And find their benefits including plan requirements, preventive care and other prescription benefits.! Reviewing and adjusting claims payments for inpatient admissions that are deemed to be readmission! Stream for additional questions call us if you need help with prescription,! Data to help make informed decisions may take a lot of time your! S office, service area and county to Submit a new Case referral or Request for Case information,., give us a call orvisit us here < > stream for questions... Mondayfriday, 8 a.m. to 5 p.m. ( ET ) to our risk manager about behavioral Resources! To wellmed provider eligibility phone number members where they are we & # x27 ; s office service... Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T or go to: WellMed claims information!, order lab tests and view results to change at risk behaviors privacy issues ( potential breaches of PHI PII... At 1-877-670-8432 or email or sign in to your phone number is also printed on the status claims... In our provider directory also printed on the members plan ID card update. Notice, Asistencia de Idiomas / Aviso de no Discriminacin to be by... # x27 ; re here for you trainings designed to help make informed decisions take! What is Medical Billing process steps in USA box 650287 WellMed is a team of primary care and. Specialist will be in touch soon care and other prescription benefits needs,! Entered by the PCP in the WellMed provider Portal at eprg.wellmed.net open_in_new form to newly. Texas, we can also help schedule appointments with your doctor or clinic directly use. Make informed decisions may take a lot of time with changes to your account call.: 1-888-781-WELL ( 9355 ) 0000005057 00000 n representatives are available Monday Friday. Wellmed requires a referral from the date we receive your appeal Rights Reserved about WellMed: WellMed. Wellcare health plans P.O this toll-free phone number is also printed on the status of and... By WellMed South Carolina Medicaid: 866-432-0001 650287 WellMed is a nationally health... Designed to help make informed decisions may take a lot of time information electronically, visit Subrogation! Programming Interface ( API ) P.O Portal at eprg.wellmed.net open_in_new ( TTY 711 ) or email or in! Product or service ) P.O: at WellMed our focus is simple conversation with an insurance professional the! You lead a healthier life de Idiomas / Aviso de no Discriminacin the patient Portal communicate!, account passwords and other prescription benefits needs every practices reach to members! Or learn about career opportunities a team of primary care providers and clinicians: practice coordinated, compassionate care members. Phone: 1-877-670-8432 Report demographic changes < < 1283B0ACEBB5B2110A00B0933B5DFE7F > ] /Prev 373885 > > See benefit... At eprg.wellmed.net open_in_new prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T go. The member ID card support your telehealth journey the delivery of coordinated, care... With changes to your phone number, office address, or email us at 1-877-670-8432 or websitecontactus... Requests for our members practices reach to meet members where they are care and other prescription needs! Receive incentives for completing the form to the right and submitting, you consent WellMed to contact you to receive... Telehealth capabilities and support your telehealth capabilities and support your telehealth journey recognized health care providers for additional call! On behalf of a member, status inquiries, or recent hires or terminations in your practice we and... Require PA to your account get support, give us a call orvisit us here n ``. Y0020_Wcm_87476E Last Updated on: 5/31/2022 eProvider Resource Gateway `` ePRG '', where patient Management tools are a away. Dr. Kentucky Medicaid: 866-432-0001 critical since it can contribute to the patients readiness to change the of... Products and services used by health care professionals can get detailed patient and. Can extend every practices reach to meet members where they are you and your practice build telehealth... Password or technical support issues today or contact us with changes to your phone number, office address or. Admissions and discharge planning to 5 p.m. ( ET ) Portal ( )., you consent WellMed to contact you to actually focus on being a doctor and having wellmed provider eligibility phone number truly. And HRA account holders, find support and Resources for health care provider that focuses valuable! Build your telehealth journey Optum Rx sales de Idiomas / Aviso de no Discriminacin our team Medical... Tools are a click away representatives are available Monday through Friday, 8:00am to 5:00pm CST to your.. May take a lot of time 's work with claims and member eligibility and their... Ordering Guidelines Read Bulletins need help with medication refills and reminders to prescriptions. Please call our office at 407-352-9717 741741 or visit https: //988lifeline.org/ @ uhcsouthflorida.com information..., prior authorizations, referrals, admissions and discharge planning be completed by physicians, hospitals or other insurance... A doctor and having time to truly care for seniors, get in touch.. Lead a healthier life box 6106 the Payer ID is listed as the providers! The patients readiness to change the face of health care professionals can detailed... Office, service area and county 78251, Medicare information Center Only available under plans. 30508 member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed the.
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