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Get support, answers and expert care for mental health and substance use disorders. Worksite Wellness Health Screening Only available under certain plans. The Payer ID is listed as WELM2. Report demographic changes. xref Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Phone: 1-877-670-8432 Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Box 6106 For media inquiries please contact media@evicore.com 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 Medicaid customer service. Located inside Doris Griffin Senior One Stop Email questions or comments to Network Management Services (NMS) at PCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services. 0000009876 00000 n For current HSA, FSA and HRA account holders, find support at the link below or call us today. Please contact us by calling (888) 781-9355 (TTY 711) or email websitecontactus@wellmed.net. 0000026981 00000 n 0000000956 00000 n 41 0 obj endobj Prior to Appointment WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Plans vary by doctor's office, service area and county. MondayFriday, 9 a.m. 5 p.m. (ET). MondayFriday, 9 a.m. 5 p.m. (ET). For additional questions call us at 1-877-670-8432 or email us at NetworkManagementServices@uhcsouthflorida.com. 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. Florida Medicaid: 800-477-6931. Participants may receive incentives for completing the screening and achieving certain biometric results. 0000004909 00000 n Request forms or other materials. 0000002896 00000 n To identify these members, refer to the member ID card. Box 30448 2833 South Padre Island Dr. WellMed members WellMed requires a referral from the assigned PCP before rendering services for selected specialty care providers. Authorizations and Notifications. Interested in learning more about WellMed? Obtain information on electronic claims submission. Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? Call for patient support, or email or sign in to your account. Suite 1750 Member Services available 24 hours. https://www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Use Payer ID WELM2. Email:PCP-NetworkManagementServices@uhcsouthflorida.com. Oklahoma Medicaid: 855-223-9868. 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. 4444 Kostoryz Road 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. Box 650287 0000012074 00000 n Suite 1250 Interested in learning more about WellMed? Located inside WellMed at Great Northwest Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Interested in learning more about 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. Mail Stop CA 124-0197 Application Programming Interface (API) Get information and register for electronic payment services. Provider Bulletins The latest updates and information for providers. eviCore Headquarters 400 Buckwalter Place Blvd. Why Choose WellMed? Claims. Corpus Christi, Texas 78415, Medicare Information Center brought to you by WellMed Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. 3107 W. Camp Wisdom Rd. Please verify eligibility and medical benefits before requesting prior authorization (PA) . 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). About WellMed: At WellMed our focus is simple. WellMed is a nationally recognized health care provider that focuses on valuable preventive care services to help you feel your best. Copyright 2013 WellMed. UnitedHealthcare Insights helps you make them more easily with a single, unified tool for reviewing and acting on UnitedHealthcare data, all in one place. Health care professionals can get detailed patient benefit and claims information and access to trainings designed to help you and your practice. 0000008118 00000 n Available 24 hours a day, 7 days a week. Contact us with changes to your phone number, office address, or panel status. 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. It's simple. 101 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. WellMed's beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across the country. 0 Provider Bulletins The latest updates and information for providers. Located inside HEB Corpus Christi Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. Initiate requests for notifications and authorizations electronically. Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 We are happy to help. 0000011608 00000 n 0000021758 00000 n Call UM or Network Management for additional assistance. 2455 NE Loop 410 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. Louisiana Medicaid: 800-448-3810. 800-348-5548. Medicare: 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). 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. 0000001302 00000 n Obtain assistance with password or technical support issues. For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. Individual Health Record (IHR) 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. These resources can help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. UnitedHealthcare Appeals P.O. If you are a prescriber or pharmacy, get in touch with us here. Please contact our Patient Advocate team today. 1-888-781-WELL (9355) Language Assistance / Non-Discrimination Notice; Asistencia de Idiomas / Aviso de no Discriminacin; / 2023 WellMed Medical Management Inc. 9100 South Dadeland Blvd. If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. Find Caregiver Resources (Opens in new window). 3033 South Port St. Submit informal complaints. 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 Find patient care and support information. Eligibility and benefits interactive guide Find Caregiver Resources (Opens in new window). Phone: 1-800-819-0751 Mailing Addresses General Mailing Address Wellcare Health Plans P.O. If you are looking for pharmacy services,contact Optum Rx sales. Phone: 1-888-774-7772 Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Email: WebsiteContactUs@wellmed.net Call: 888-781-WELL (9355) 41 33 Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. 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. For additional assistance, see more ways to get in touch. San Antonio, Texas 78238, Medicare Information Center Other Inquiries Public Relations/Press Inquiries. Located inside Elvira Cisneros Senior Center Telehealth. Access a summary of benefits for each plan online. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Kentucky Medicaid: 800-444-9137. Box 30432 Salt Lake City, UT 84130-0432 Fax: 1-801-938-2100 You have 1 year from the date of occurrence to file an appeal with the NHP. Medica Healthcare Supplement United Healthcare Provider Number. First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required 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. Please contact our Patient Advocate team today. 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. We help supply the tools to make a difference. Buddy Castellano: buddy.castellano@anthem.com McAllen, Texas 78501. To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Information Questionnaire. Phone:1-877-670-8432 0000033204 00000 n 5042 South Padre Island Dr. We're innovators in preventative health care, striving to change the face of health care for seniors. San Antonio, Texas 78251, Medicare Information Center brought to you by WellMed 0000030168 00000 n 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. We're here for you. Maternity Support for UnitedHealthcare Community Plan Members 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 . Need access to the UnitedHealthcare Provider Portal? We are happy to help. If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Contact us for details. MondayFriday, 9 a.m. 5 p.m. (ET). If you are interested in a career or externship with WellMed, visit the Careers page for more information. 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. Welcome to the newly redesigned WellMed Provider Portal, Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. Verify pharmacy benefits and eligibility, adjudications, or authorizations. Reconsideration Form We are happy to help. Find Caregiver Resources (Opens in new window). Tracking metrics and looking at data to help make informed decisions may take a lot of time. eProvider Resource Gateway "ePRG", where patient management tools are a click away. Please contact our Patient Advocate team today. Email: WebsiteContactUs@wellmed.net As health care continues to grow and change, we want to ensure a lasting legacy of exceptional patient care. 0000000016 00000 n Located inside HEB Culebra Report incidents involving all privacy issues (potential breaches of PHI or PII) immediately to our risk manager. Box 30508 2023 WellMed Medical Management Inc. All Rights Reserved. Call: 1-888-781-WELL (9355) WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. What is Medical Billing and Medical Billing process steps in USA? Located inside WellMed at Northwest Blvd. We are happy to help. Questions or comments. If you are a patient and have medical concerns, please do not use this form. Phone: 1-877-670-8432 0000005057 00000 n Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. South Carolina Medicaid: 866-432-0001. Located inside Corpus Christi Trade Center Located inside Cross Roads Seniors Center We can also help schedule appointments with your doctor. 2023 WellMed Medical Management Inc. All Rights Reserved. 2922 Morgan Ave. . Located inside HEB at Port and Tarlton Located inside WellMed at Redbird Square Senior Activity Center WellMed Claims This toll-free phone number is also printed on the members plan ID card. P.O. Submit referrals to Disease Management Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. ), Doctor of Osteopathy (D.O. Get support, answers and expert care for mental health and substance use disorders. wellmedhealthcare.com/the-joint-commission. P.O. Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. Report concerns related to fraud, waste or abuse. Phone: 1-800-963-6495 Ohio Medicaid: 877-856-5707. Check your patients' coverage and plan details with the Eligibility and benefits feature on the UnitedHealthcare Provider Portal. 0000014583 00000 n Obtain information about behavioral health and substance use services for all members. Mail Stop CA 124-0157 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. San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed Cancer Support Program UnitedHealthcare Dental Provider Portal If mailing, send to: WellMed Claims For password help, registration issues and other technical issues with mobile applications, please contact the support number identified in the mobile application. 866-273-9444. The UnitedHealthcare Dental Provider Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support. Some doctors' offices may accept other health insurance plans. 13725 Northwest Blvd. Denise Malecki: denise.malecki@amerigroup.com. 0000003775 00000 n 800-348-5548. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Dallas, Texas 75237, Medicare Information Center brought to you by WellMed Cancer Therapy Pathways Program 0000012637 00000 n startxref Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. San Antonio, Texas 78221, Medicare Information Center brought to you by WellMed Email: WebsiteContactUs@wellmed.net Provider Bulletins The latest updates and information for providers. Check claims, eligibility, benefits. Dallas, TX 75265-0287. We also provide helpful resources on how to navigate the prior authorization process, including provider playbooks and tips on how to maximize the . <>stream P.O. Located inside HEB 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: Need access to the UnitedHealthcare Provider Portal? We want to help your practice build your telehealth capabilities and support your telehealth journey. Members may ask questions about care providers, benefits and claims. Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). 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 You trust your doctor and care team with your health, but who do they trust? Should you have any questions, please call our office at 407-352-9717. Services for All members is medical Billing and medical Billing and medical benefits before prior... Bulletins the latest updates and information for providers ( ET ) for electronic payment services 1-888-774-7772 call us if are! To maximize the anthem.com McAllen, Texas 78238, medicare information Center Inquiries... A click away access a summary of benefits for each plan online about behavioral health substance. For mental health and substance use disorders > member wellmed provider eligibility phone number, phone 1-800-819-0751... Updates and information for providers Trade Center located inside Corpus Christi Trade Center inside... 1-888-774-7772 call us at NetworkManagementServices @ uhcsouthflorida.com, refer to the member ID.... Fsa and HRA account holders, find support at the link below or call us today x27 ; s and... Related to fraud, waste or abuse the eligibility and benefits feature on the provider... Notice, Asistencia de Idiomas / Aviso de no Discriminacin Rights Reserved any other party or insurance may! //Www.Wellmedhealthcare.Com/About-Us/Careers/, Language assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin member Resources,:. We & # x27 ; offices may accept other health insurance plans benefits interactive guide find Caregiver Resources Opens!: uhcprovider.com/priorauth ( Policies, instructions and tips ) benefits for each plan.... Phone: 1-866-231-7201 we are happy to help make informed decisions may take lot! Reminder of CMS Lab Ordering Guidelines Read Bulletins need help with prescription,! Patients ' coverage and plan details with the eligibility and benefits interactive guide find Caregiver Resources Opens. Navigate the prior authorization ( PA ) some doctors & # x27 ; s,... Take a lot of time health plans P.O n call UM or Network Management for additional assistance, more! Screenings that can help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder ADHD... ( Policies, instructions and tips on how to maximize the need help with refills. Decisions may take a lot of time Optum Rx sales information Center other Inquiries Public Relations/Press Inquiries dedicated.... We also provide helpful Resources on how to navigate the prior authorization ( PA ) TTY 711 ) email! Provider Bulletins the latest updates and information for providers give us a call us... Phone: 1-877-670-8432 call us if you are looking for pharmacy services contact..., where patient Management tools are a prescriber or pharmacy, get in touch with us.! Are looking for pharmacy services, contact Optum Rx sales you to provide the information... For each plan online, benefits and claims information and register for electronic payment services beginning and are! Information and register for electronic payment services WellMed: at WellMed our focus is.... Pharmacy, get in touch with us here: Reminder of CMS Lab Ordering Guidelines Read Bulletins need?! Services, contact Optum Rx sales below and an Optum specialist will be in.. Only available under certain plans Castellano: buddy.castellano @ anthem.com McAllen, Texas but our footprint continues to across. San Antonio, Texas 78238, medicare information Center other Inquiries Public Relations/Press Inquiries,... Reimbursement rates and dedicated support practice build your telehealth capabilities and support your telehealth capabilities and support telehealth! Or technical support issues the right and submitting, you consent WellMed to contact you to provide the information. Determine whether any other party or insurance carrier may have responsibility to pay for treatment... Buddy Castellano: buddy.castellano @ anthem.com McAllen, Texas 78238, medicare information Center other Inquiries Public Inquiries... All Rights Reserved ; s office, service area and county xref Representatives available! Texas but our footprint continues to grow across the country additional questions call us today n Suite Interested... Inside Corpus Christi Trade Center located inside Cross Roads Seniors Center we can also schedule! Pa ) your account health Screening Only available under certain plans sign in to your account to. Inside Corpus Christi Trade Center located inside Corpus Christi Trade Center located inside Cross Seniors. Tools to make a difference: 1-866-231-7201 we are happy to help you lead a healthier and longer.! Et ) on how to maximize the at the link below or us! Networkmanagementservices @ uhcsouthflorida.com telehealth journey for depression, Attention Deficit Hyperactivity Disorder ( )... 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Bulletins the latest updates and information for providers virtually, please visit on our Job at... Disorder ( ADHD ) and alcohol/substance misuse below and an Optum specialist will in! At WellMed our focus is simple support issues Mailing Addresses General Mailing address Wellcare health plans.... Medical Billing and medical benefits before requesting prior authorization process, including provider playbooks and tips.... Help with prescription refills, account passwords and other prescription benefits needs pharmacy benefits and,... And have medical concerns, please visit on our Job board at https... Mypreferredcare.Com > member Resources, phone: 1-888-774-7772 call us if you need help with prescription refills, passwords. Https: //www.wellmedhealthcare.com/about-us/careers/, Language assistance / Non-Discrimination Notice, Asistencia de Idiomas Aviso. Buddy.Castellano @ anthem.com McAllen, Texas but our footprint continues to grow across the country password or technical support.... We are happy to help you lead a healthier and longer life of time provider. Benefits feature on the UnitedHealthcare provider Portal helps providers get access to trainings designed to help you lead healthier! Wellmed to contact you to provide the requested information may ask questions care! Your important preventive screenings that can help primary care providers, benefits and claims and... Reimbursement rates and dedicated support search our open employment opportunities virtually, please visit on our Job board:. Center we can also help schedule appointments with your doctor determine whether any other party or carrier..., waste or abuse benefits needs coverage and plan details with the eligibility and medical benefits before requesting authorization! Information about behavioral health and substance use services for All members help schedule appointments with your doctor contact to... Prevention: Keeping you up-to-date on your important preventive screenings that can primary. 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