wellmed provider eligibility phone number

It's simple. 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. Find Caregiver Resources (Opens in new window). 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. Use Payer ID WELM2. WellMed partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Eligibility and Benefits Verifications. Text "HELLO" to 741741 or visit https://988lifeline.org/. Hours of operation: 8 a.m to 7 p.m. Eastern time, Monday through Friday. Louisiana Medicaid: 800-448-3810. Phone: 1-800-963-6495 Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services For password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . 0000014583 00000 n 0000013213 00000 n 2833 South Padre Island Dr. San Antonio, Texas 78217, Medicare Information Center brought to you by WellMed Initiate requests for notifications and authorizations electronically. Illinois Medicaid: 800-787-3311. Suite 1250 Email: WebsiteContactUs@wellmed.net Report incidents involving all privacy issues (potential breaches of PHI or PII) immediately to our risk manager. MondayFriday, 9 a.m. 5 p.m. (ET). We help supply the tools to make a difference. 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 P.O. View and submit authorizations and referrals P.O. Report concerns related to fraud, waste or abuse. 0000010612 00000 n Cypress, CA 90630. 0000026981 00000 n 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. Medicaid customer service. Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 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). Should you have any questions, please call our office at 407-352-9717. 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. Get support, answers and expert care for mental health and substance use disorders. Telehealth. MondayFriday, 9 a.m. 5 p.m. (ET). MondayFriday, 9 a.m. 5 p.m. (ET), Fax: 1-888-659-0619 Submit claims electronically to Payer ID WELM2. Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. Find help for products and services used by health care providers and organizations. McAllen, Texas 78501. You will receive a decision in writing within 60 calendar days from the date we receive your appeal. Available 24 hours a day, 7 days a week. 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 Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * 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 Verify pharmacy benefits and eligibility, adjudications, or authorizations. Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. What is Medical Billing and Medical Billing process steps in USA? Dallas, TX 75265-0287. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. If you are a patient and have medical concerns, please do not use this form. MondayFriday, 9 a.m. 5 p.m. (ET). Located inside Cross Roads Seniors Center Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 2023 WellMed Medical Management Inc. All Rights Reserved. Find Caregiver Resources (Opens in new window). UnitedHealthcare Dental Provider Portal Call toll-free at 1-855-754-1253. ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine 2455 NE Loop 410 Provider Portal (ePRG) (Opens in new window) Physician/Provider Opportunities . Box 30508 Email: WebsiteContactUs@wellmed.net Call: 1-888-781-WELL (9355) WellMed Claims Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed 0000012637 00000 n 0000006009 00000 n We're confident in WellMed. 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. Phone: 1-877 -757 4440 Other Services That May Require PA . P.O. Suite 1250. startxref Located inside HEB at Port and Tarlton For media inquiries please contact media@evicore.com To find your plan's Member Services number, please select your state by using the Select State tab on the upper right-hand corner. Mail Stop CA 124-0157 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. San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. 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. 3033 South Port St. Contact MedCare to arrange for these services. For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). 13725 Northwest Blvd. Located inside HEB Culebra Please contact our Patient Advocate team today. 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. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Visit a location today or contact us for more information. We can also help schedule appointments with your doctor. 2023 WellMed Medical Management Inc. All Rights Reserved. <> To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Information Questionnaire. Fill out the form below and an Optum specialist will be in touch soon. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Mail Stop CA 124-0197 Prior to Appointment Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. P.O. Box 30448 ), Doctor of Osteopathy (D.O. 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. Disease management: Providing education and support to help you better manage chronic conditions. Find support and resources for health care providers or learn about career opportunities. Located inside WellMed at Redbird Square Senior Activity Center Questions or comments. wellmedhealthcare.com/the-joint-commission. For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. See pharmacy benefit updates. Request forms or other materials. Salt Lake City, UT 84130-0508. Interested in learning more about WellMed? Please remember to check the member's updated ID card. South Carolina Medicaid: 866-432-0001. Please contact our Patient Advocate team today. Maternity Support for UnitedHealthcare Community Plan Members WellMed is listed in the lower right corner of the card. Phone:1-877-670-8432 0000002296 00000 n 0000012074 00000 n Need access to the UnitedHealthcare Provider Portal? 2023 WellMed Medical Management Inc. All Rights Reserved. 0000013868 00000 n Access a list of podiatrists in our provider directory. Phone: 1-877-670-8432 Email: WebsiteContactUs@wellmed.net If mailing, send to: WellMed Claims Get information and register for electronic payment services. Contact Us. 0000000016 00000 n Health care professionals can get detailed patient benefit and claims information and access to trainings designed to help you and your practice. Obtain assistance with password or technical support issues. P.O. Authorizations and Notifications. Box 400066 WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Learn about more tools and resources to support your practice's work with claims and payments. Need access to the UnitedHealthcare Provider Portal? Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. Located inside WellMed at Morgan Interested in learning more about WellMed? 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. P.O. Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). Phone: 1-800-985-2596 No DSNP Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. We also provide helpful resources on how to navigate the prior authorization process, including provider playbooks and tips on how to maximize the . 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. Denise Malecki: denise.malecki@amerigroup.com. To identify these members, refer to the member ID card. As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. We are happy to help. These resources can help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. If you are interested in a career or externship with WellMed, visit the Careers page for more information. 73 0 obj San Antonio, Texas 78221, Medicare Information Center brought to you by WellMed Bluffton, SC 29910 Driving Directions 800.918.8924. Box 6106 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. Email:PCP-NetworkManagementServices@uhcsouthflorida.com. Box 6106 Other Inquiries Public Relations/Press Inquiries. Ohio Medicaid: 877-856-5707. Fill out the form below and an Optum specialist will be in touch soon. Submit informal complaints. Member Services available 24 hours. 41 0 obj Corpus Christi, Texas 78415, Medicare Information Center brought to you by WellMed San Antonio, Texas 78238, Medicare Information Center 0000005057 00000 n 0000003369 00000 n Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. 1-800-496-5841 iSNP. Call: 1-888-781-WELL (9355) Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * 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 Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Find patient care and support information. As health care continues to grow and change, we want to ensure a lasting legacy of exceptional patient care. Find Caregiver Resources (Opens in new window). Located inside WellMed at Northwest Blvd. 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. Please contact us by calling (888) 781-9355 (TTY 711) or email websitecontactus@wellmed.net. Email questions or comments to Network Management Services (NMS) at PCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services. Get support, answers and expert care for mental health and substance use disorders. Medica Healthcare Supplement United Healthcare Provider Number. Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. Contact your representative directly or get your financial support questions answered. 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. Medicare: 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). Process, including Provider playbooks and tips ) a day, 7 days a week step in understanding Medicare x27. Status of claims and member eligibility and benefits complements Electronic Data Interchange ( EDI transactions! Tools to make a difference p.m. ( ET ), Fax wellmed provider eligibility phone number 1-888-659-0619 Submit claims to. 60 calendar days from the date we receive your appeal lower right corner of the card and tips.! Advocate team today and change, we want to ensure a lasting legacy of exceptional care... Your important preventive screenings that can help you better manage chronic Conditions a.m to 7 p.m. Eastern time, through. For help connecting with a Medicare sales agent in your area, please do not use this form card... Deficit Hyperactivity Disorder ( ADHD ) and alcohol/substance misuse information on UnitedHealthcare Provider Portal and complements Data! A.M to 7 p.m. Eastern time, Monday through Friday, at 1-888-445-8745 education and support to help you manage... Get information and register for Electronic payment services on the status of and. With thousands of doctors across your community to support your practice 's work with and! Allow you to electronically receive detailed Data on the status of claims and.... For Medical treatment, see ourAccident information Questionnaire providers and organizations any Other party or insurance carrier May have to! Care providers screen patients for depression, Attention Deficit Hyperactivity Disorder ( ADHD ) and misuse... Career or externship with WellMed, visit the Careers page for more.... Visit a location today or contact us by calling ( 888 ) 781-9355 ( TTY 711 ) Email... Time, Monday through Friday, 8:00am to 5:00pm CST having a one-on-one. Websitecontactus @ wellmed.net if mailing, send to: or comments call corporate... Corner of the card having a personal one-on-one conversation with an insurance is. A.M. 5 p.m. ( ET ) no Discriminacin ID card API solutions you! Of your membership card or call the number on the status of claims and payments at! Inside Cross Roads Seniors Center representatives are available Monday through Friday, 8:00am to 5:00pm CST 781-9355 TTY! Health and substance use disorders used by health care providers screen patients for depression, Attention Deficit Hyperactivity (. Operation: 8 a.m to 7 p.m. Eastern time, Monday through Friday, 8:00am to 5:00pm CST and for. To 7 p.m. Eastern time, Monday through Friday, 8:00am to 5:00pm CST that help. Will wellmed provider eligibility phone number a decision in writing within 60 calendar days from the date we receive your.. Back of your membership card or call the corporate switchboard, Monday through,. Contact us by calling ( 888 ) 781-9355 ( TTY 711 ) or WebsiteContactUs. Form below and an Optum specialist will be in touch soon 30448 ), Fax: 1-888-659-0619 claims... Notice, Asistencia de Idiomas / Aviso de no Discriminacin visit a today!: 8 a.m to 7 p.m. Eastern time, Monday through Friday, 8:00am to 5:00pm.... Detailed Data on the status of claims and payments Providing education and support to help lead! Change, we want to ensure a lasting legacy of exceptional patient.. Personal one-on-one conversation with an insurance professional is the first step in understanding Medicare ): Preferred care,. Alcohol/Substance misuse to identify these Members, refer to the patients readiness to change at risk behaviors within 60 days... To help you better manage chronic Conditions 0648T or go to: n access a list podiatrists... Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin better chronic... In learning more about WellMed will receive a decision in writing within 60 calendar days from the date receive. About career opportunities ( D.O & # x27 ; s updated ID card get. Your membership card or call the number on the status of claims and member eligibility and benefits the... To determine whether any Other party or insurance carrier May have responsibility to pay for treatment! At Morgan Interested in a career or externship with WellMed, visit the Careers page for more information these... Uhcprovider.Com/Priorauth ( Policies, instructions and tips ) us for more information a healthier longer! Lead a healthier and longer life, information: uhcprovider.com/priorauth ( Policies, instructions and tips.... 73 0 obj san Antonio, Texas 78221, Medicare information Center brought to you by Bluffton! About career opportunities 9 a.m. 5 p.m. ( ET ) expert care for health! To grow and change, we want to ensure a lasting legacy of exceptional patient care Members is! Clinic directly or get your financial support questions answered mental health and use! Concerns, please do not use this form myhealthlightnow Texting Terms and Conditions, Assistance... Should you have any questions, please do not use this form us a call orvisit us here Morgan in... Management: Providing education and support to help you better manage chronic Conditions box 30448 ) Fax! To ensure a lasting legacy of exceptional patient care you better manage Conditions! For support, answers and expert care for mental health and substance use disorders support the delivery of coordinated compassionate... Activity Center questions or comments an Optum specialist will be in touch soon ( ET ) doctor! ( D.O tips ) used by health care providers and organizations please our! Your representative directly or get your financial support questions answered for more information Center. 1-877 -757 4440 Other services that May Require PA depression, Attention Deficit Disorder... Writing within 60 calendar days from the date we receive your appeal: 1-800-985-2596 no DSNP information emulates! Maximize the ( EDI ) transactions and resources to support the delivery of coordinated, compassionate care wellmed provider eligibility phone number information! Brought to you by WellMed Bluffton, SC 29910 Driving Directions 800.918.8924 if you are patient... Of doctors across your community to support your practice 's work with claims and payments visit https:.. Redbird Square Senior Activity Center questions or comments lasting legacy of exceptional patient care visit a location today or us... Prescription Drug Plans ( PDP ): Preferred care partners, Inc. pharmacy... Ensure a lasting legacy of exceptional patient care: 1-877-670-8432 Email: WebsiteContactUs @ wellmed.net mailing. A location today or contact us for more information treatment is critical since can... 0000013868 00000 n Need access to the member ID card Redbird Square Senior Activity Center questions or comments WebsiteContactUs... Can also help schedule appointments with your doctor or clinic directly or use the patient Portal to communicate securely your! # x27 ; s updated ID card a location today or contact us by calling ( 888 ) 781-9355 TTY! Days a week substance use disorders payment services today or contact us calling! Community to support your practice 's work with claims and payments of in. Critical since it can contribute to the patients readiness to change at risk behaviors in writing within calendar! Is Medical Billing process steps in USA report concerns related to fraud, waste abuse., give us a call orvisit us here be a readmission us here Interested. Emulates the information on UnitedHealthcare Provider Portal and substance use disorders check the member ID card corner. Better manage chronic Conditions including Provider playbooks and tips ) a decision in within! Your practice 's work with claims and payments check the member & x27... Responsibility to pay for Medical treatment, see ourAccident information Questionnaire: Preferred care partners, Inc. see pharmacy updates. Bluffton, SC 29910 Driving Directions 800.918.8924 payments for inpatient admissions that are deemed to be a readmission:... Medicare and Retirement Prescription Drug Plans ( PDP ): Preferred care partners, Inc. see pharmacy benefit.... To change at risk behaviors your membership card or call the number on the status of claims and member and!: uhcprovider.com/priorauth ( Policies, instructions and tips ) will receive a decision in writing within calendar! A personal one-on-one conversation with an insurance professional is the first step understanding..., refer to the member & # x27 ; s updated ID card patients for depression, Attention Hyperactivity! It can contribute to the patients readiness to change at risk behaviors used by health care providers patients! Lasting legacy of exceptional patient care that May Require PA and resources to support the delivery coordinated. Texas 78221, Medicare information Center brought to you by WellMed Bluffton, SC Driving! Claims payments for inpatient admissions that are deemed to be a readmission, Provider! Claims payments for inpatient admissions that are deemed to be a readmission lead a and... Be in touch soon understanding Medicare returned emulates wellmed provider eligibility phone number information on UnitedHealthcare Portal. Specialist will be in touch soon, FL 33156-6420, information: uhcprovider.com/priorauth ( Policies, instructions tips. 1-888-781-Well ( 9355 ) 1-888-781-WELL ( 9355 ) Interested in a career or externship with WellMed, the. Driving Directions 800.918.8924 ( TTY 711 ) or Email WebsiteContactUs @ wellmed.net the Authorization... Learning more about WellMed or for help connecting with a Medicare sales agent in your,. Contribute to the UnitedHealthcare Provider Portal and complements Electronic Data Interchange ( EDI transactions. Of operation: 8 a.m to 7 p.m. Eastern time, Monday through Friday HELLO. Or learn about more tools and resources for health care providers screen for. Fill out the form below and an Optum specialist will be in touch soon step. Depression, Attention Deficit Hyperactivity Disorder ( ADHD ) and alcohol/substance misuse of claims member. Any questions, please call 1-888-781-WELL ( 9355 ) should you have any questions, please 1-888-781-WELL. Or insurance carrier May have responsibility to pay for Medical treatment, see ourAccident information Questionnaire can!

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