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. 2023 WellMed Medical Management Inc. All Rights Reserved. Check claims, eligibility, benefits. To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Information Questionnaire. Box 400066 Hours of operation: 8 a.m to 7 p.m. Eastern time, Monday through Friday. Phone: 1-877-670-8432 Representatives are available Monday through Friday, 8:00am to 5:00pm CST. San Antonio, Texas 78217, Medicare Information Center brought to you by WellMed Speak to a nurse to triage emergency or urgent care, or to refer them to their primary care physician. For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. Located inside HEB Corpus Christi Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 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). 0000000956 00000 n MondayFriday, 9 a.m. 5 p.m. (ET). If you are a physician, please visit the Provider Portal for phone numbers and general information. 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. Email questions or comments to Network Management Services (NMS) at PCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services. 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. We want to help your practice build your telehealth capabilities and support your telehealth journey. Access a list of Solstice dental providers in the provider directory. MondayFriday, 9 a.m. 5 p.m. (ET). P.O. Medicare: View and submit authorizations and referrals If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. 0000013213 00000 n Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed 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. Box 30448 Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed Box 6106 Located inside WellMed at Redbird Square Senior Activity Center Email: WebsiteContactUs@wellmed.net wellmedhealthcare.com/the-joint-commission. Application Programming Interface (API) Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. 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. Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). Find support and resources for health care providers or learn about career opportunities. Submit claims electronically to Payer ID WELM2. Cypress, CA 90630. Call UM or Network Management for additional assistance. Find Caregiver Resources (Opens in new window). Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. %%EOF WellMed Claims To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. 101 0000002896 00000 n 9100 South Dadeland Blvd. Interested in learning more about WellMed? 0000030168 00000 n Located inside HEB Culebra View claims status 800-348-5548. Email: WebsiteContactUs@wellmed.net Eligibility and benefits interactive guide Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services You will receive a decision in writing within 60 calendar days from the date we receive your appeal. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. WellMed is a nationally recognized health care provider that focuses on valuable preventive care services to help you feel your best. Text "HELLO" to 741741 or visit https://988lifeline.org/. Determine if a plan requires prior authorization or notifications or referrals, download digital ID cards and find any additional coverage available. Corpus Christi, Texas 78415, Medicare Information Center brought to you by WellMed Located inside Doris Griffin Senior One Stop Phone:1-877-670-8432 Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Located inside HEB at Port and Tarlton Email: WebsiteContactUs@wellmed.net . Submit informal complaints. San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed 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. It's simple. Phone: 1-877-670-8432 Copyright 2013 WellMed. 41 33 0000009876 00000 n Report incidents involving all privacy issues (potential breaches of PHI or PII) immediately to our risk manager. Reminders and scheduling: Letting you know which preventive screenings are right for you. Located inside WellMed at Great Northwest This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. Get support, answers and expert care for mental health and substance use disorders. Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 0000013868 00000 n 0000005022 00000 n 73 0 obj 0 Please contact our Patient Advocate team today. Check your patients' coverage and plan details with the Eligibility and benefits feature on the UnitedHealthcare Provider Portal. 866-273-9444. Contact MedCare to arrange for these services. 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. 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. Medicaid customer service. Cypress, CA 90630. We're innovators in preventative health care, striving to change the face of health care for seniors. Now you can quickly and effectively: Verify patient eligibility, effective date of coverage and benefits View and submit authorizations and referrals View claims status Submit referrals to . Link to health plan formularies. Salt Lake City, UT 84130-0508. 1-888-781-WELL (9355) Language Assistance / Non-Discrimination Notice; Asistencia de Idiomas / Aviso de no Discriminacin; / 2023 WellMed Medical Management Inc. Licensed clinicians are on call 24 hours a day, 7 days a week. 41 0 obj Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? As always, we appreciate and value your trust in us as we help you live a healthier life. Fill out the form below and an Optum specialist will be in touch soon. <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> MondayFriday, 9 a.m. 5 p.m. (ET), Fax: 1-888-659-0619 The Payer ID is listed as WELM2. Please contact our Patient Advocate team today. Contact your representative directly or get your financial support questions answered. 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). Mail Stop CA 124-0197 800-348-5548. Use Payer ID WELM2. Located at Salvation Army Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Email:PCP-NetworkManagementServices@uhcsouthflorida.com. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed In Texas, we can connect you to financial assistance if you qualify. Contact Us Y0020_WCM_87476E Last Updated On: 5/31/2022 Plans vary by doctor's office, service area and county. Access a summary of benefits for each plan online. Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 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. 8353 Culebra Road, Ste. Provider Bulletins The latest updates and information for providers. Interested in learning more about WellMed? Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Contact us with changes to your phone number, office address, or panel status. WellMed partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care. Florida Medicaid: 800-477-6931. MA and MA Prescription Drug (MAPD) Plans: Preferred Care Partners, Inc. Mailing Addresses General Mailing Address Wellcare Health Plans P.O. Interested in learning more about WellMed? Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. WellMed is listed in the lower right corner of the card. Request forms or other materials. Find Caregiver Resources (Opens in new window). Fill out the form below and an Optum specialist will be in touch soon. Obtain information about behavioral health and substance use services for all members. Verify pharmacy benefits and eligibility, adjudications, or authorizations. Call us for support with your dental benefits. P.O. Please verify eligibility and medical benefits before requesting prior authorization (PA) . We are happy to help. 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. Reconsideration Form %PDF-1.7 % If mailing, send to: WellMed Claims Located inside Elvira Cisneros Senior Center xref 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. 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. 4444 Kostoryz Road Contact us for details. Members may ask questions about care providers, benefits and claims. 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. Us a call orvisit us here partners with thousands of doctors across your to... 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