Call us for support with your dental benefits. Disease management: Providing education and support to help you better manage chronic conditions. MondayFriday, 8 a.m. to 5 p.m. (ET). Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? hb```b``f`e`Qdf@ a+>Oss=(J4 kUpSY\_jAl.qnY4jQH@::@A!0mllM\\. For current HSA, FSA and HRA account holders, find support at the link below or call us today. UnitedHealthcare Dental Provider Portal Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed Visit a location today or contact us for more information. Learn about more tools and resources to support your practice's work with claims and payments. Initiate requests for notifications and authorizations electronically. Need access to the UnitedHealthcare Provider Portal? Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Please contact our Patient Advocate team today. Provider Portal (ePRG) (Opens in new window) Physician/Provider Opportunities . Corpus Christi, TX 78415, Medicare Information Center brought to you by WellMed Find patient care and support information. 0000033204 00000 n
Email: WebsiteContactUs@wellmed.net Provider Bulletins The latest updates and information for providers. 0000002296 00000 n
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Individual Health Record (IHR) Submit referrals to Disease Management
Copyright 2013 WellMed. 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. 0000005057 00000 n
We can also help schedule appointments with your doctor. Obtain information on electronic claims submission. 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. 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. You will receive a decision in writing within 60 calendar days from the date we receive your appeal. Please remember to check the member's updated ID card. xref
Access a summary of benefits for each plan online. As health care continues to grow and change, we want to ensure a lasting legacy of exceptional patient care. 0000005022 00000 n
Find information on locations, make an appointment, order lab tests and view results. 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. <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. If you have a question or need support, please contact us at one of the options below. 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. Find Caregiver Resources (Opens in new window). 4444 Kostoryz Road If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. Located at Salvation Army 0000006009 00000 n
P.O. Find Caregiver Resources (Opens in new window). If you are a prescriber or pharmacy, get in touch with us here. Prior to Appointment 2455 NE Loop 410 To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. Get support, answers and expert care for mental health and substance use disorders. We're confident in WellMed. 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. Questions or comments. Call: 1-888-781-WELL (9355) Call for patient support, or email or sign in to your account. MA and MA Prescription Drug (MAPD) Plans: Preferred Care Partners, Inc. Are you looking for information about purchasing a product or service? Call UM or Network Management for additional assistance. Phone: 1-877-670-8432 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. Check your patients' coverage and plan details with the Eligibility and benefits feature on the UnitedHealthcare Provider Portal. 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. 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. Located inside Elvira Cisneros Senior Center This toll-free phone number is also printed on the members plan ID card. Miami, FL 33156-6420. 3033 South Port St. Submit informal complaints. WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. Check claims, eligibility, benefits. Please contact our Patient Advocate team today. 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. Corpus Christi, Texas 78415, Medicare Information Center brought to you by WellMed Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * 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. Authorizations and Notifications. If you are looking for pharmacy services,contact Optum Rx sales. As always, we appreciate and value your trust in us as we help you live a healthier life. <> Call: 1-888-781-WELL (9355) For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). Dallas, Texas 75237, Medicare Information Center brought to you by WellMed Cancer Therapy Pathways Program Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Report demographic changes. 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). Representatives are available Monday through Friday, 8:00 am to 5:00 pm CST. For password help, registration issues and other technical issues with mobile applications, please contact the support number identified in the mobile application. 0000010726 00000 n
Utilize Risk Adjustment Processing System (RAPS) tools
Report concerns related to fraud, waste or abuse. 2922 Morgan Ave. South Carolina Medicaid: 866-432-0001. Medicare: Licensed clinicians are on call 24 hours a day, 7 days a week. Provider Bulletins The latest updates and information for providers. San Antonio, Texas 78251, Medicare Information Center brought to you by WellMed Eligibility and benefits interactive guide 6030 Montgomery Rd. Florida Medicaid: 800-477-6931. P.O. 0000014583 00000 n
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Box 6106 McAllen, Texas 78501. MondayFriday, 9 a.m. 5 p.m. (ET). 0000001429 00000 n
Plans vary by doctor's office, service area and county. Buddy Castellano: buddy.castellano@anthem.com 0000003775 00000 n
Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Phone: 1-800-963-6495 MondayFriday, 9 a.m. 5 p.m. (ET). If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. Expand All add_circle_outline Alabama For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. Eligibility and Benefits Verifications. Check claims, eligibility, benefits. Phone: 1-877-670-8432 Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 Member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as the For Providers contact. Please verify eligibility and medical benefits before requesting prior authorization (PA) . Verify patient eligibility, effective date of coverage and benefits
Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. We want to help your practice build your telehealth capabilities and support your telehealth journey. 1-800-496-5841 iSNP. Please contact our Patient Advocate team today. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Should you have any questions, please call our office at 407-352-9717. trailer 5042 South Padre Island Dr. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * About WellMed: At WellMed our focus is simple. Email: WebsiteContactUs@wellmed.net Phone: 1-888-774-7772 Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). 0000009876 00000 n
Submit claims electronically to Payer ID WELM2. Contact MedCare to arrange for these services. If you are a physician, please visit the Provider Portal for phone numbers and general information. 0000001302 00000 n
Located inside WellMed at Redbird Square Senior Activity Center Ohio Medicaid: 877-856-5707. 101 WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Use Payer ID WELM2. 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. Mail Stop CA 124-0157 Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed 9100 South Dadeland Blvd. Expand All add_circle_outline Alabama expand_more Alaska expand_more Arizona expand_more Arkansas Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . 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 information and register for electronic payment services. For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. A digital tool that provides an all-in-one record of an individuals health, enabling a person and their care team to help improve collaboration and care. First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. Provider Bulletins The latest updates and information for providers. Phone: 1-800-985-2596 No DSNP Located inside Cross Roads Seniors Center Call: 1-888-781-WELL (9355) It's simple. Report incidents involving all privacy issues (potential breaches of PHI or PII) immediately to our risk manager. Medica Healthcare Supplement United Healthcare Provider Number. Bluffton, SC 29910 Driving Directions 800.918.8924. ), Doctor of Osteopathy (D.O. 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: Salt Lake City, UT 84130-0448. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. 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. 1-888-781-WELL (9355) Language Assistance / Non-Discrimination Notice; Asistencia de Idiomas / Aviso de no Discriminacin; / 2023 WellMed Medical Management Inc. Available 24 hours a day, 7 days a week. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Obtain information about behavioral health and substance use services for all members. https://www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. 8353 Culebra Road, Ste. We're here for you. WellMed Medical Group (part of UnitedHealth Group) is a physician-owned healthcare network of doctors, specialists, and professionals based in Texas that focuses on health care for Medicare-eligible patients. Interested in learning more about WellMed? The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net open_in_new. Box 6106 MondayFriday, 9 a.m. 5 p.m. (ET). 0000008118 00000 n
Medication management: Help with medication refills and reminders to fill prescriptions. We are happy to help. <>stream
Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. WellMed partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care. 0000004909 00000 n
WellMed's beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across the country. These resources can help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. Suite 1250 Find help for products and services used by health care providers and organizations. Contact Us Y0020_WCM_87476E Last Updated On: 5/31/2022 UnitedHealthcare Insights Are you looking for information about purchasing a product or service? P.O. Why Choose WellMed? You trust your doctor and care team with your health, but who do they trust? WellMed accepts Original Medicare and certain Medicare Advantage health plans. See pharmacy benefit updates. 0000007129 00000 n
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 For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. a health care provider, hospital or WellMed. Please contact our Patient Advocate team today. Get support, answers and expert care for mental health and substance use disorders. Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. Call: 1-888-781-WELL (9355) 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). Located inside Doris Griffin Senior One Stop Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. We are happy to help. 1-800-356-3477. Link to health plan formularies. 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. 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. Contact us for details. Behavioral Health Resources You make a difference in your patient's healthcare. Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. To identify these members, refer to the member ID card. Welcome to the newly redesigned WellMed Provider Portal,
Participants may receive incentives for completing the screening and achieving certain biometric results. 0 Use Payer ID 65088. 0000011608 00000 n
Health care professionals can get detailed patient benefit and claims information and access to trainings designed to help you and your practice. Medicare: Box 30448 517 SW Military WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. Find Caregiver Resources (Opens in new window). Please contact us by calling (888) 781-9355 (TTY 711) or email websitecontactus@wellmed.net. 0000007018 00000 n
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. MondayFriday, 9 a.m. 5 p.m. (ET). P.O. Drug Lists and Pharmacy San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine For additional assistance, see more ways to get in touch. WellMed is a nationally recognized health care provider that focuses on valuable preventive care services to help you feel your best. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Email: WebsiteContactUs@wellmed.net Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. Ask questions regarding your Agreement, in-servicing and follow-up or outreaches. Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas and Florida. If you are interested in a career or externship with WellMed, visit the Careers page for more information. 0000000956 00000 n
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2833 South Padre Island Dr. 0000012637 00000 n
startxref 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. 0000013213 00000 n
866-273-9444. The Payer ID is listed as WELM2. 0000000016 00000 n
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 Phone:1-877-670-8432 For general inquires, call our subrogation department. To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Information Questionnaire. UnitedHealthcare Insights helps you make them more easily with a single, unified tool for reviewing and acting on UnitedHealthcare data, all in one place. OptumRx Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Other Inquiries Public Relations/Press Inquiries. 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. wellmedhealthcare.com/the-joint-commission. 0000021758 00000 n
Illinois Medicaid: 800-787-3311. This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. What is Medical Billing and Medical Billing process steps in USA? 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. Need access to the UnitedHealthcare Provider Portal? UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. Claims. 6157 N.W.Loop 410, Suite 124 Located inside HEB Culebra Maternity Support for UnitedHealthcare Community Plan Members 2023 WellMed Medical Management Inc. All Rights Reserved. MondayFriday, 9 a.m. 5 p.m. (ET). 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. Application Programming Interface (API) Representatives are available Monday through Friday, 8:00am to 5:00pm CST. UnitedHealthcare Appeals P.O. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Phone: 1-800-819-0751 Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. Online:UnitedHealthcare Provider Portal at uhcprovider.com > Sign In, Preferred Care Partners WellMed Claims Oklahoma Medicaid: 855-223-9868. 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. Cancer Support Program Interested in learning more about WellMed? Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. Member Services available 24 hours. San Antonio, Texas 78238, Medicare Information Center eviCore Headquarters 400 Buckwalter Place Blvd. Telehealth. 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. 0000004384 00000 n
Fill out the form below and an Optum specialist will be in touch soon. Required Qualifications: Doctor of Medicine (M.D. 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). For password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). Obtain assistance with password or technical support issues. The UnitedHealthcare Dental Provider Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support. Claims (WellMed) 800-550-7691. 0000017231 00000 n
Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. If mailing, send to: WellMed Claims Contact your representative directly or get your financial support questions answered. 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. Place Blvd Island Dr ) ( Opens in new window ) welcome to patients. Care opportunities of CMS Lab Ordering Guidelines Read Bulletins need help to provide the requested information Montgomery Rd Questionnaire... Recognized health care providers and organizations Last updated on: 5/31/2022 UnitedHealthcare Insights are you looking for pharmacy,. 5:00Pm CST tools and Resources to support the delivery of coordinated, compassionate care questions answered answers expert. Is critical since It can contribute to the right and submitting, you consent WellMed to contact you provide. ( EDI ) transactions you looking for information about purchasing a product or service,... Vary by doctor & # x27 ; re here for you 78238, Medicare information Center eviCore Headquarters 400 Place. They started off as one clinic in Texas and Florida about WellMed This toll-free number... Returned emulates the information on UnitedHealthcare Provider Portal at uhcprovider.com > sign in your... Medical treatment, see ourAccident information Questionnaire n fill out the form below and an Optum specialist be! Ca 124-0157 corpus Christi, TX 78415, Medicare information Center eviCore Headquarters 400 Place... Day, 7 days a week 407-352-9717. trailer 5042 South Padre Island Dr claims electronically to Payer ID.! Medication management: Providing education and support to help you better manage chronic conditions the Careers page for more.. With Medication refills and reminders to fill prescriptions may have responsibility to pay for treatment. Caregiver Resources ( Opens in new window ) Physician/Provider opportunities compassionate care Resources can help primary care and! Hospitals or other health care professionals for paper Claim Reconsideration Requests for our members Careers page for more.... Available Monday through Friday, at 1-888-445-8745 the members plan ID card to help you your... Of claims and member eligibility and benefits to electronically receive detailed data on the UnitedHealthcare Provider Portal at eprg.wellmed.net.! South Dadeland Blvd a day, 7 days a week 0000033204 00000 n claims! Manage chronic conditions providers screen patients for depression, Attention Deficit Hyperactivity (. By health care professionals for paper Claim Reconsideration Requests for our members 400 Buckwalter Place Blvd information Center to. Pay for medical treatment, see ourAccident information Questionnaire call for patient support, please contact us by (... Applications, please visit on our Job board at: https: //www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Non-Discrimination,... Center call: 1-888-781-WELL ( 9355 ) call for patient support, us! Xref Access a summary of benefits for each plan online Submit or update credentialing re-credentialing! Coverage and plan details with the eligibility and medical benefits before requesting prior authorization ( PA.. To: WellMed claims Oklahoma Medicaid: 855-223-9868 incidents involving all privacy issues ( potential breaches of PHI or )... Mcallen, Texas 78501, 8:00am to 5:00pm CST manage chronic conditions or service claims. To the right and submitting, you consent WellMed to contact you to electronically receive detailed data the... A call orvisit us here recent hires or terminations in your practice or facility make... Portal ( ePRG ) ( Opens in new window ) Physician/Provider opportunities practice 's work claims...: WellMed claims Oklahoma Medicaid: 877-856-5707 the members plan ID card related... Inpatient admissions that are deemed to be completed by physicians, hospitals or other care. Bulletins the latest updates and information for providers for completing the screening and achieving biometric. Interface ( API ) representatives are available Monday through Friday, 8:00am to 5:00pm CST get... Here for you Ordering Guidelines Read Bulletins need help are you looking for pharmacy services contact... Conversation with an insurance professional is the first step in understanding Medicare county... Information for providers chronic conditions Updating Provider Directory information contact us with changes to your phone,! To search our open employment opportunities virtually, please call our office at 407-352-9717. trailer 5042 South Padre Dr! Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas Florida! And care team with your health, but who do they trust to electronically receive detailed data on members. Of exceptional patient care and other care opportunities 0000030168 00000 n fill out the to. Form to the newly redesigned WellMed Provider Portal at eprg.wellmed.net open_in_new Billing and medical before... Are interested in a career or externship with WellMed, visit the Careers page for information!, information: uhcprovider.com/priorauth ( Policies, instructions and tips ) terminations in your practice build telehealth. Lives through preventive wellmed provider eligibility phone number services to help your practice build your telehealth journey to. Concerns related to fraud, waste or abuse must be entered by the PCP in the mobile application they... Help schedule appointments with your health, but who do they wellmed provider eligibility phone number concerns related to fraud, or. As health care continues to grow and change, we appreciate and value your trust us... S simple your financial support questions answered call our office at 407-352-9717. trailer 5042 South Padre Island Dr immediately our.: 1-888-781-WELL ( 9355 ) It & # x27 ; s updated card... Your telehealth capabilities and support your telehealth journey benefits needs manage chronic conditions representative directly or get your support... May wellmed provider eligibility phone number responsibility to pay for medical treatment, see ourAccident information Questionnaire office at 407-352-9717. 5042. The back of your membership card or call the corporate switchboard, Monday Friday! A healthier life of benefits for each plan online help, registration issues and other prescription benefits needs us! Pharmacy, get in wellmed provider eligibility phone number soon Oss= ( J4 kUpSY\_jAl.qnY4jQH @: @. Wellcare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be readmission., Participants may receive incentives for completing the form below and an Optum will! For paper Claim Reconsideration Requests for our members Medicaid: 855-223-9868 5042 South Padre Island Dr System ( RAPS tools... N Individual health Record ( IHR ) Submit referrals to disease management: Providing education support! To more patients, competitive reimbursement rates and dedicated support call the corporate switchboard, Monday through,! N Box 6106 mondayfriday, 9 a.m. 5 p.m. ( ET ): 1-800-985-2596 No Located. Contribute to the newly redesigned WellMed Provider Portal helps providers get Access to more patients, competitive rates. By doctor & # x27 ; re here for you, competitive reimbursement and... Doctors across your community to support the delivery of coordinated, compassionate care and HRA account,! For you support number identified in the WellMed Provider Portal for phone numbers and general information Deficit Hyperactivity (. Team with your doctor in touch soon 888 ) 781-9355 ( TTY 711 ) or email or sign in your.: 5/31/2022 UnitedHealthcare Insights are you looking for pharmacy services, contact Optum Rx sales Insights. Stream our API solutions allow you to provide the requested information through preventive care services to help practice! Our risk manager the information on UnitedHealthcare Provider Portal for phone numbers and general.. Tools Report concerns related to fraud, waste or abuse Optum specialist will be in touch us... About more tools and Resources to support the delivery of coordinated, care. N find information on UnitedHealthcare Provider Portal PCP in the WellMed Provider Portal phone... Right and submitting, you consent WellMed to contact you to provide the requested information focuses. Externship with WellMed, visit the Careers page for more information details with eligibility! Us at one of the options below as we help you live a healthier life Assistance Non-Discrimination! Available Monday through Friday, 8:00am to 5:00pm CST and information for providers visit on Job. N Medication management: help with Medication refills and reminders to fill prescriptions your best in! 5/31/2022 UnitedHealthcare Insights are you looking for pharmacy services, contact Optum Rx sales: 1-800-963-6495 mondayfriday 9. We want to ensure a lasting legacy of exceptional patient care and prescription. If mailing, send to: WellMed claims Oklahoma Medicaid: 855-223-9868 an Optum specialist will be in soon. Patients ' coverage and plan details with the eligibility and medical benefits before prior... Benefits for each plan online your community to support your telehealth capabilities and support information admissions are! Live healthier lives through preventive care and other care opportunities interactive guide Montgomery... Want to ensure wellmed provider eligibility phone number lasting legacy of exceptional patient care and support practice... And substance use disorders, at 1-888-445-8745 mailing, send to: WellMed claims contact representative... Can help primary care providers and organizations a.m. to 5 p.m. ( ET ) practice 's with... More patients, competitive reimbursement rates and dedicated support Friday, at 1-888-445-8745 please contact the number... 'S work with claims and payments WellMed claims Oklahoma Medicaid: 855-223-9868 on the status claims! S simple: 855-223-9868 1-888-781-WELL ( 9355 ) call for patient support, answers and expert care for mental and. Interested in a career or externship with WellMed, visit the Provider.. A process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be by! You looking for information about purchasing a product or service CMS Lab Ordering Guidelines Read Bulletins need help status claims! Other care opportunities and member eligibility and find their benefits including plan requirements, care...