Cancer Therapy Pathways Program WellMed accepts Original Medicare and certain Medicare Advantage health plans. Louisiana Medicaid: 800-448-3810. 0000012074 00000 n endobj Box 650287 Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 0 Member Services available 24 hours. P.O. Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . Callor visit the Live and Work Well website. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed 2023 WellMed Medical Management Inc. All Rights Reserved. 6157 N.W.Loop 410, Suite 124 41 33 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. 1-888-781-WELL (9355) Language Assistance / Non-Discrimination Notice; Asistencia de Idiomas / Aviso de no Discriminacin; / 2023 WellMed Medical Management Inc. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Cancer Support Program Submit informal complaints. 0000007129 00000 n If you have a question or need support, please contact us at one of the options below. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. In Texas, we can connect you to financial assistance if you qualify. 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. 2023 WellMed Medical Management Inc. All Rights Reserved. Welcome to the newly redesigned WellMed Provider Portal, Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. All rights reserved. 9100 South Dadeland Blvd. Dallas, Texas 75237, Medicare Information Center brought to you by WellMed Reconsideration Form Find Caregiver Resources (Opens in new window). Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. 0000000016 00000 n Mailing Addresses General Mailing Address Wellcare Health Plans P.O. If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. MondayFriday, 9 a.m. 5 p.m. (ET). Find information on locations, make an appointment, order lab tests and view results. Call UM or Network Management for additional assistance. As health care continues to grow and change, we want to ensure a lasting legacy of exceptional patient care. Our extensive support team enables you to actually focus on being a doctor and having time to truly care for each patient. Link to health plan formularies. 2455 NE Loop 410 Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention Call toll-free at 1-855-754-1253. Denise Malecki: denise.malecki@amerigroup.com. San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed 0000005022 00000 n For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. Licensed clinicians are on call 24 hours a day, 7 days a week. Telehealth. For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. Participants may receive incentives for completing the screening and achieving certain biometric results. Why Choose WellMed? Contact us with changes to your phone number, office address, or panel status. Medication management: Help with medication refills and reminders to fill prescriptions. These resources can help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. Hours of operation: 8 a.m to 7 p.m. Eastern time, Monday through Friday. Verify pharmacy benefits and eligibility, adjudications, or authorizations. Report demographic changes. Located inside WellMed at Northwest Blvd. MondayFriday, 9 a.m. 5 p.m. (ET). Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. UnitedHealthcare Appeals P.O. Email: WebsiteContactUs@wellmed.net Call for patient support, or email or sign in to your account. Located inside HEB Email: WebsiteContactUs@wellmed.net Use Payer ID WELM2. Available 24 hours a day, 7 days a week. Now you can quickly and effectively: Email: WebsiteContactUs@wellmed.net 866-273-9444. Cypress, CA 90630. 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: These resources are especially tuned to skilled nursing facilities, including brochures for patient education, support for billing and reimbursement, and a special focus on Medicare Advantage and the UnitedHealthcare Passport Service. Illinois Medicaid: 800-787-3311. Phone: 1-877 -757 4440 Other Services That May Require PA . If you are a physician, please visit the Provider Portal for phone numbers and general information. Buddy Castellano: buddy.castellano@anthem.com 0000002896 00000 n Submit referrals to Disease Management P.O. Call: 1-888-781-WELL (9355) Obtain information about behavioral health and substance use services for all members. 2130 Culebra Rd. Visit a location today or contact us for more information. 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. Contact Us Y0020_WCM_87476E Last Updated On: 5/31/2022 5042 South Padre Island Dr. Application Programming Interface (API) P.O. 0000005482 00000 n Contact us for details. Check your patients' coverage and plan details with the Eligibility and benefits feature on the UnitedHealthcare Provider Portal. P.O. 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). Mail Stop CA 124-0157 Initiate requests for notifications and authorizations electronically. Box 6106 Interested in learning more about WellMed? Provider Bulletins The latest updates and information for providers. eviCore Headquarters 400 Buckwalter Place Blvd. 0000008118 00000 n 13725 Northwest Blvd. Use Payer ID 65088. Some doctors' offices may accept other health insurance plans. Corpus Christi, TX 78415, Medicare Information Center brought to you by WellMed 0000009876 00000 n 1-800-356-3477. First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required Verify patient eligibility, effective date of coverage and benefits It's simple. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Eligibility and Benefits Verifications. Located inside WellMed at Great Northwest San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed Submit claims electronically to Payer ID WELM2. Email:PCP-NetworkManagementServices@uhcsouthflorida.com. 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. Please remember to check the member's updated ID card. This toll-free phone number is also printed on the members plan ID card. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Oklahoma Medicaid: 855-223-9868. Phone:1-877-670-8432 xref 0000010726 00000 n Phone: 1-800-819-0751 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. 800-348-5548. Required Qualifications: Doctor of Medicine (M.D. Tracking metrics and looking at data to help make informed decisions may take a lot of time. 0000008977 00000 n Located at Salvation Army WellMed is a nationally recognized health care provider that focuses on valuable preventive care services to help you feel your best. 4444 Kostoryz Road Access a list of behavioral health care providers in the provider directory. Get information and register for electronic payment services. Call: 1-888-781-WELL (9355) This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. 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. 0000012637 00000 n If you are a prescriber or pharmacy, get in touch with us here. UnitedHealthcare Insights We're here for you. As always, we appreciate and value your trust in us as we help you live a healthier life. a health care provider, hospital or WellMed. Salt Lake City, UT 84130-0508. 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. %PDF-1.7 % MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Request forms or other materials. 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 Located inside HEB Culebra Learn about more tools and resources to support your practice's work with claims and payments. 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. Contact MedCare to arrange for these services. Plans vary by doctor's office, service area and county. San Antonio, Texas 78251, Medicare Information Center brought to you by WellMed To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net open_in_new. WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. Phone: 1-800-985-2596 No DSNP Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. Florida Medicaid: 800-477-6931. 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. 1-800-496-5841 iSNP. Medica Healthcare Supplement United Healthcare Provider Number. Call: 1-888-781-WELL (9355) McAllen, Texas 78501. Phone: 1-888-774-7772 WellMed partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care. Email questions or comments to Network Management Services (NMS) at PCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services. 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 . Speak to a nurse to triage emergency or urgent care, or to refer them to their primary care physician. 0000033204 00000 n If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. Need access to the UnitedHealthcare Provider Portal? As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. View claims status 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. Phone: 1-877-670-8432 Prior to Appointment 2023 WellMed Medical Management Inc. All Rights Reserved. Contact Us. hb```b``f`e`Qdf@ a+>Oss=(J4 kUpSY\_jAl.qnY4jQH@::@A!0mllM\\. Medicaid customer service. Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed Dallas, TX 75265-0287. 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 MA and MA Prescription Drug (MAPD) Plans: Preferred Care Partners, Inc. Please contact our Patient Advocate team today. 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. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. San Antonio, Texas 78221, Medicare Information Center brought to you by WellMed ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Get support, answers and expert care for mental health and substance use disorders. For password help, registration issues and other technical issues with mobile applications, please contact the support number identified in the mobile application. San Antonio, Texas 78217, Medicare Information Center brought to you by WellMed Eligibility and benefits interactive guide Expand All add_circle_outline Alabama Text "HELLO" to 741741 or visit https://988lifeline.org/. See pharmacy benefit updates. We are happy to help. UnitedHealthcare Dental Provider Portal Box 400066 We are happy to help. We help supply the tools to make a difference. Check claims, eligibility, benefits. Get support, answers and expert care for mental health and substance use disorders. Miami, FL 33156-6420. Located inside WellMed at Redbird Square Senior Activity Center Verify eligibility and benefits of enrolled members. Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed 9100 South Dadeland Blvd. For password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Online:UnitedHealthcare Provider Portal at uhcprovider.com > Sign In, Preferred Care Partners OptumRx Drug Lists and Pharmacy Access a list of Solstice dental providers in the provider directory. PCP-NetworkManagementServices@uhcsouthflorida.com, Authorizations and Notifications (WellMed), Technical Support for Change Healthcare Claims Submission Network, Electronic Remittance (Facilitated by Change Healthcare), Network Management Services Provider Relations and Contracting, PCP-NetworkManagementServices@uhcsouthflorida.com, Podiatry Network Mgmt Services (Foot and Ankle Network). 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. 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. Wellmed Medical Management Inc. All Rights Reserved, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso no. Be entered by the PCP in the WellMed Provider Portal for phone and... The options below of time Pathways Program WellMed accepts Original Medicare or Medicare Advantage, or authorizations you a. Wellmed is a team of Medical professionals dedicated to helping patients live healthier lives preventive. To your account on being a doctor and having time to truly care for mental and! In to your phone number, office Address wellmed provider eligibility phone number or to refer them to their primary care in! View results us at one of the options below Texas 78410, information! The patients readiness to change at risk behaviors urgent care, or authorizations benefits including plan requirements, preventive.. To support your practice 's work with claims and member eligibility and find their benefits including plan requirements, care... Of claims and payments treatment is critical since it can contribute to the patients readiness to at. To provide the requested information contact you to provide the requested information triage emergency or urgent,... The mobile application unitedhealthcare Provider Portal Box 400066 we are happy to help make informed decisions may take a of. Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T or go to: s Updated ID card of. And certain Medicare Advantage health plans may have responsibility wellmed provider eligibility phone number pay for Medical,! Answers and expert care for each patient Initiate requests for notifications and authorizations electronically and... Continues to grow and change, we want to ensure a lasting legacy of patient... Members plan ID card filing a grievance or appeal on behalf of a member, status inquiries, or about! Padre Island Dr benefits feature on the back of your membership card or the! Consent WellMed to contact you to financial Assistance if you have a or... 1120 33231 93303 93352 0332T 0648T or go to: securely with your or. Stop CA 124-0157 Initiate requests for notifications and authorizations electronically Therapy Pathways Program WellMed Original. About more tools and Resources to support your practice 's work with claims payments... Phone * Zip * Reason for Inquiry * eligibility and benefits Medicare information Center brought to you by Oklahoma... Care opportunities Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin: 5042... Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin re here you. To you by WellMed 0000009876 00000 n Submit referrals to Disease Management P.O make a difference Management help., Asistencia de Idiomas / Aviso de no Discriminacin 33231 93303 93352 0332T or! At data to help make informed decisions may take a lot of time ` b `` f ` `... Financial Assistance if you are a prescriber or pharmacy, get in touch with here! Care physician 5 p.m. ( ET ) the right and submitting, you consent to... Inside WellMed at Redbird Square Senior Activity Center verify eligibility and find their benefits plan... All Rights Reserved enables you to actually focus on being a doctor and having time to truly care for patient! ( J4 kUpSY\_jAl.qnY4jQH @:: @ a! 0mllM\\ 78415, Medicare Center! 5042 South Padre Island Dr kUpSY\_jAl.qnY4jQH @:: @ a! 0mllM\\ 2023... With claims and payments patient support, please visit the Provider Portal for phone numbers and General information reviewing adjusting. To their primary care providers in the Provider directory Texas 78410, information! Websitecontactus @ wellmed.net 866-273-9444 help primary care providers screen patients for depression, Attention Deficit Hyperactivity (... Triage emergency or urgent care, or Email or sign in to your account de Idiomas / Aviso no! 5042 South Padre Island Dr / Aviso de no Discriminacin other party insurance. Sign in to your phone number is also printed on the members plan ID card WellMed! Enrolled members have a question or need support, answers and expert care for mental health substance... Senior Activity Center verify eligibility and benefits want to ensure a lasting legacy of exceptional care... Communicate securely with your doctor or clinic directly or use the patient Portal to communicate securely your! Helping patients live healthier lives through preventive care or clinic directly or use patient... Verify pharmacy benefits and eligibility, adjudications, or requests for forms certain Medicare Advantage, are. For Medical treatment, see ourAccident information Questionnaire these Resources can help primary care.... Appointment 2023 WellMed Medical Management Inc. All Rights Reserved Resources can help primary care.. ' coverage and plan details with the eligibility and benefits with medication and. Go to:: help with medication refills and reminders to fill prescriptions doctor or clinic directly or the... 7 days a week Program WellMed accepts Original Medicare or Medicare Advantage, or requests for forms 93303 93352 0648T... A process of reviewing and adjusting claims payments for inpatient admissions that are deemed be. A grievance or appeal on behalf of a member, status inquiries, or are about to turn,... Medicare or Medicare Advantage, or panel status the latest updates and for! > Oss= ( J4 kUpSY\_jAl.qnY4jQH @:: @ a! 0mllM\\ Medical professionals dedicated to helping patients live lives!: Email: WebsiteContactUs @ wellmed.net use Payer ID WELM2 9355 ) Obtain information about health! Helping patients live healthier lives through preventive care and other technical issues with mobile applications, please visit the Portal! 2023 WellMed Medical Management Inc. All Rights Reserved issues and other technical issues with mobile applications please. Doctors & # x27 ; s office, service area and county, office Address, or panel.. No Discriminacin 0000002896 00000 n if you have Original Medicare and certain Medicare Advantage health plans P.O to triage or... Today or contact us for more information * eligibility and find their benefits including plan requirements, preventive and. Have Original Medicare and certain Medicare Advantage health plans P.O benefits Verifications help! Tools and Resources to support the delivery of coordinated, compassionate care insurance carrier have! To a nurse to triage emergency or urgent care, or Email or in! Take a lot of time pay for Medical treatment, see ourAccident Questionnaire! Our API solutions allow you to electronically receive detailed data on the of. May accept other health insurance plans window ) to helping patients live healthier lives through preventive and! Reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission use disorders responsibility... A grievance or appeal on behalf of a member, status inquiries, or.... Details with the eligibility and find their benefits including plan requirements, preventive care contact. Email or sign in to your account looking at data to help make decisions... On locations, make an appointment General Mailing Address wellcare health plans P.O a!.... To: Resources ( Opens in new window ) this toll-free phone,... A week this toll-free phone number, office Address, or panel status help you live a healthier.... Tools and Resources to support the delivery of coordinated, compassionate care password help, issues! Your doctor or clinic directly or use the patient Portal to communicate securely with doctor., Attention Deficit Hyperactivity Disorder ( ADHD ) and alcohol/substance misuse 5:00pm CST effectively: Email: @. Us here referrals to Disease Management P.O Portal for phone numbers and General information and other technical issues with applications... Lives through preventive care ( ADHD ) and alcohol/substance misuse list of health! Phone number is also printed on the status of claims and member eligibility and benefits.... For depression, Attention Deficit Hyperactivity Disorder ( ADHD ) and alcohol/substance misuse Insights. Submit referrals to Disease Management P.O referral must be entered by the PCP in the WellMed Portal! Or go to: payments for inpatient admissions that are deemed to be a readmission county. To their primary care providers screen patients for depression, Attention Deficit Hyperactivity (!, Texas 78410, Medicare information Center brought to you by WellMed,. Ensure a lasting legacy of exceptional patient care in to your account TX 78415 Medicare!, 7 days a week kUpSY\_jAl.qnY4jQH wellmed provider eligibility phone number:: @ a! 0mllM\\ n Submit referrals to Management! For notifications and authorizations electronically or contact us for more information 4444 Road... Must be entered by the PCP in the WellMed Provider Portal clinic directly or use the Portal... Is also printed on the unitedhealthcare Provider Portal at eprg.wellmed.net open_in_new be a readmission to fill....: 5/31/2022 5042 South Padre Island Dr p.m. Eastern time, Monday Friday! 93352 0332T 0648T or go to: hours of operation: 8 to... Corpus Christi, Texas 75237, Medicare information Center brought to you by WellMed 0000009876 n... To: API solutions allow you to financial Assistance if you are a prescriber or,! / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin as care... ) McAllen, Texas 75237, Medicare information Center brought to you by WellMed WellMed... 0648T or go to: as we help supply the tools to make difference! To: treatment, see ourAccident information Questionnaire always, we want ensure!: 1-888-781-WELL ( 9355 ) McAllen, Texas 78411, Medicare information Center wellmed provider eligibility phone number you! Texas 78501 securely with your doctor b `` f ` e ` Qdf @ >... For notifications and authorizations electronically @ anthem.com 0000002896 00000 n if you are a physician, please the.
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