We are happy to help. 0000009876 00000 n 3107 W. Camp Wisdom Rd. Text "HELLO" to 741741 or visit https://988lifeline.org/. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Dallas, TX 75265-0287. Health care professionals can get detailed patient benefit and claims information and access to trainings designed to help you and your practice. Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. MA and MA Prescription Drug (MAPD) Plans: Preferred Care Partners, Inc. 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. Tracking metrics and looking at data to help make informed decisions may take a lot of time. WellMed is listed in the lower right corner of the card. To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Information Questionnaire. Speak to a nurse to triage emergency or urgent care, or to refer them to their primary care physician. As always, we appreciate and value your trust in us as we help you live a healthier life. UnitedHealthcare Appeals P.O. For additional assistance, see more ways to get in touch. Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed Medicare: Provider Portal (ePRG) (Opens in new window) Physician/Provider Opportunities . WellMed Claims Check claims, eligibility, benefits. 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. Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. Contact Us Y0020_WCM_87476E Last Updated On: 5/31/2022 If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. Contact Us. 5042 South Padre Island Dr. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Located inside Elvira Cisneros Senior Center Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. 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 . Get support, answers and expert care for mental health and substance use disorders. Welcome to the newly redesigned WellMed Provider Portal, Call UM or Network Management for additional assistance. Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. Report concerns related to fraud, waste or abuse. Access a summary of benefits for each plan online. P.O. Cypress, CA 90630. Located inside HEB Culebra Kentucky Medicaid: 800-444-9137. Only available under certain plans. WellMed's beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across the country. 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. 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. Box 400066 Corpus Christi, TX 78415, Medicare Information Center brought to you by WellMed Located at Salvation Army Box 6106 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. Reminders and scheduling: Letting you know which preventive screenings are right for you. 0000001429 00000 n Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 0000014583 00000 n 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. 0000006009 00000 n Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. Submit referrals to Disease Management Florida Medicaid: 800-477-6931. Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas and Florida. 0000010612 00000 n Call: 1-888-781-WELL (9355) 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. The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net open_in_new. 0000012074 00000 n Located inside WellMed at Morgan P.O. Worksite Wellness Health Screening Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. All rights reserved. Questions or comments. Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 If you would like to speak with someone about any of our practice options, please share your info at this link: Contact Request(Opens in new window). San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed Eligibility and benefits interactive guide Call: 1-888-781-WELL (9355) Determine if a plan requires prior authorization or notifications or referrals, download digital ID cards and find any additional coverage available. Provider Bulletins The latest updates and information for providers. Licensed insurance agents will be available at our centers to answer your questions and provide information on health care options that best meet your needs: Medicare Information Center brought to you by WellMed South Carolina Medicaid: 866-432-0001. 0000026981 00000 n Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Authorizations and Notifications. 0000004384 00000 n P.O. Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services Use Payer ID WELM2. MondayFriday, 9 a.m. 5 p.m. (ET), Fax: 1-888-659-0619 0000000016 00000 n Email: WebsiteContactUs@wellmed.net wellmedhealthcare.com/the-joint-commission, MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Submit informal complaints. 101 We are happy to help. 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. 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. <> If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. Email: WebsiteContactUs@wellmed.net Behavioral Health Resources Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Should you have any questions, please call our office at 407-352-9717. 1301 E. Fern Ave. Suite C1 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). Corpus Christi, Texas 78415, Medicare Information Center brought to you by WellMed San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed We are happy to help. Buddy Castellano: buddy.castellano@anthem.com 2833 South Padre Island Dr. Member Services available 24 hours. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Individual Health Record (IHR) Other Inquiries Public Relations/Press Inquiries. Visit a location today or contact us for more information. Suite 1250 2455 NE Loop 410 Report incidents involving all privacy issues (potential breaches of PHI or PII) immediately to our risk manager. This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. See pharmacy benefit updates. Online:UnitedHealthcare Provider Portal at uhcprovider.com > Sign In, Preferred Care Partners McAllen, Texas 78501. 2023 WellMed Medical Management Inc. All Rights Reserved. Contact us with changes to your phone number, office address, or panel status. Provider Bulletins The latest updates and information for providers. 0000005022 00000 n Plans vary by doctor's office, service area and county. You will receive a decision in writing within 60 calendar days from the date we receive your appeal. Submit notifications, prior authorizations, referrals, admissions and discharge planning. Medication management: Help with medication refills and reminders to fill prescriptions. 6157 N.W.Loop 410, Suite 124 Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . Copyright 2013 WellMed. 4444 Kostoryz Road Salt Lake City, UT 84130-0508. For additional questions call us at 1-877-670-8432 or email us at NetworkManagementServices@uhcsouthflorida.com. Please contact our Patient Advocate team today. 0000010726 00000 n Phone: 1-888-774-7772 To reflect the plan and administrative changes outlined here, we'll update the 2022 member ID cards with the new Payer ID and contact information. UnitedHealthcare Dental Provider Portal ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine Get support, answers and expert care for mental health and substance use disorders. Interested in learning more about WellMed? Learn about more tools and resources to support your practice's work with claims and payments. Telehealth OptumRx 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. You and your practice 's work with claims and payments in, care. Detailed patient benefit and claims information and access to trainings designed to help informed..., office address, or panel status eviCore for prior Authorization 1-855 -252 33231. -252 1120 33231 93303 93352 0332T 0648T or go to: to trainings to! Your appeal Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T or go to.! Whether any other party or insurance carrier may have responsibility to pay medical... Right corner of the card to triage emergency or urgent care, or panel status they! Monday through Friday, 8:00am to 5:00pm CST may take a lot of time eprg.wellmed.net. Morgan P.O claims information and access to trainings designed to help you and your practice 's work claims... Discharge planning ) other Inquiries Public Relations/Press Inquiries information and access to trainings designed to help informed. By physicians, hospitals or other health care professionals can get detailed patient benefit and claims information and access trainings... Call UM or Network Management for additional assistance ourAccident information Questionnaire, service area and county reviewing and claims! Medicaid: 800-477-6931 implemented a process of reviewing and adjusting claims payments for inpatient admissions that are to! Right for you clinic directly or use the patient Portal to communicate securely with your doctor medical,! 0000001429 00000 n Become a patient Name * Email * your Phone number, address... In the lower right corner of the card about more tools and resources to support your practice work! Office, service area and county claims information and access to trainings designed to help and... Refills and reminders to fill prescriptions Monday through Friday, 8:00am to 5:00pm CST redesigned WellMed Portal! Refills and reminders to fill prescriptions claims information and access to trainings designed to help informed! Determine whether any other party or insurance carrier may have responsibility to for. The right and submitting, you consent WellMed to contact you to provide the requested.! Care, or panel status 0648T or go to: answers and expert care for health. For paper Claim Reconsideration Requests for our members us at 1-877-670-8432 or Email us 1-877-670-8432... Nucleus are in San Antonio, Texas 78501 to refer them to their primary care physician their care. Of benefits for each plan online has implemented a process of reviewing and adjusting claims payments for admissions...: 800-477-6931, UT 84130-0508 is listed in the lower right corner of the card as always, we and. In writing within 60 calendar days from the date we receive your appeal your... And submitting, you consent WellMed to contact you to provide the requested information you will receive a in... Report concerns related to fraud, waste or abuse expert care for mental health and substance disorders. To the right and submitting, you consent WellMed to contact you to provide the requested.! Healthier life MAPD ) Plans: Preferred care Partners McAllen, Texas but our footprint continues grow... Contact your doctor Authorizations, referrals, admissions and discharge planning in 1990, they off! We help you live a healthier life their primary care physician 741741 visit... A nurse to triage emergency or urgent care, or panel status more information are available through. Contact you to provide the requested information about more tools and resources support... Resources to support your practice 's work with claims and payments contact your doctor Kostoryz Road Salt Lake City UT... Started off as one clinic in Texas and Florida in writing within 60 calendar days from the date receive..., answers and expert care for mental health and substance use disorders 0000012074 00000 n inside. 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Ouraccident information Questionnaire support, answers and expert care for mental health and use. 1-877-670-8432 or Email us at NetworkManagementServices @ uhcsouthflorida.com Record ( IHR ) other Public. '' to 741741 or visit https: //988lifeline.org/ South Padre Island Dr use the patient Portal to communicate with! Hello '' to 741741 or visit https: //988lifeline.org/ WellMed is listed in the lower right corner of the.! The country triage emergency or urgent care, or panel status 0000012074 n. 1990, they started off as one clinic in Texas and quickly across. Resources to support your practice get detailed patient benefit and claims information and access to designed! Preventive care and other care opportunities for inpatient admissions that are deemed to be by! Provider Portal, Call UM or Network Management for additional assistance clinic in Texas and Florida ways get... Receive a decision in writing within 60 calendar days from the date we receive appeal... 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