2130 Culebra Rd. 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. OptumRx 0000014583 00000 n 0000000956 00000 n Email questions or comments to Network Management Services (NMS) at PCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services. Located inside Corpus Christi Trade Center San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed 1301 E. Fern Ave. Suite C1 Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed We can also help schedule appointments with your doctor. Call: 1-888-781-WELL (9355) 2023 UnitedHealthcare | All Rights Reserved, Eligibility and Benefits Resources for Providers, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources, Eligibility and benefits interactive guide, Maternity Support for UnitedHealthcare Community Plan Members. Our extensive support team enables you to actually focus on being a doctor and having time to truly care for each patient. Some doctors' offices may accept other health insurance plans. Cancer Support Program Suite 1750 <> If you have a question or need support, please contact us at one of the options below. Online:UnitedHealthcare Provider Portal at uhcprovider.com > Sign In, Preferred Care Partners Access a list of Solstice dental providers in the provider directory. Located inside HEB Located inside Cross Roads Seniors Center Check your patients' coverage and plan details with the Eligibility and benefits feature on the UnitedHealthcare Provider Portal. Medicare: Telehealth 0000006009 00000 n 517 SW Military 0000002296 00000 n Maternity Support for UnitedHealthcare Community Plan Members You make a difference in your patient's healthcare. For media inquiries please contact media@evicore.com Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas and Florida. View claims status If you are a prescriber or pharmacy, get in touch with us here. Contact us for details. 6030 Montgomery Rd. Phone number - 877-813-3134 Corpus Christi Medicare Information Center brought to you by WellMed Located inside HEB Corpus Christi 4444 Kostoryz Road Corpus Christi, TX 78415 Medicare Information Center brought to you by WellMed Located inside WellMed at Morgan 2922 Morgan Ave. Corpus Christi, Texas 78405 Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention Located inside WellMed at Morgan P.O. In Texas, we can connect you to financial assistance if you qualify. Dallas, TX 75265-0287. 0000001302 00000 n Buddy Castellano: buddy.castellano@anthem.com . Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * McAllen, Texas 78501. Request forms or other materials. UnitedHealthcare Insights 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. Plans vary by doctor's office, service area and county. Mailing Addresses General Mailing Address Wellcare Health Plans P.O. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. Member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as the For Providers contact. Illinois Medicaid: 800-787-3311. Box 30448 Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 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. MondayFriday, 9 a.m. 5 p.m. (ET). 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. endobj Provider Bulletins The latest updates and information for providers. 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). Are you looking for information about purchasing a product or service? 0000013868 00000 n Get support, answers and expert care for mental health and substance use disorders. Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. San Antonio, Texas 78238, Medicare Information Center Submit claims electronically to Payer ID WELM2. Get information and register for electronic payment services. 0000030168 00000 n Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Contact us with changes to your phone number, office address, or panel status. Find Caregiver Resources (Opens in new window). Member Services available 24 hours. 0000004384 00000 n 9100 South Dadeland Blvd. Email: WebsiteContactUs@wellmed.net Access a list of podiatrists in our provider directory. Medication management: Help with medication refills and reminders to fill prescriptions. Callor visit the Live and Work Well website. 8353 Culebra Road, Ste. If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. We're confident in WellMed. 0000033577 00000 n WellMed Claims Call us if you need help with prescription refills, account passwords and other prescription benefits needs. For current HSA, FSA and HRA account holders, find support at the link below or call us today. Located inside Elvira Cisneros Senior Center Obtain assistance with password or technical support issues. Suite 1250. Box 6106 If you are a patient and have medical concerns, please do not use this form. Mail Stop CA 124-0197 Box 30508 0000003775 00000 n 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. 0000005482 00000 n Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 We're here for you. We also provide helpful resources on how to navigate the prior authorization process, including provider playbooks and tips on how to maximize the . Email: WebsiteContactUs@wellmed.net 0000017231 00000 n 3107 W. Camp Wisdom Rd. Obtain information about behavioral health and substance use services for all members. Report demographic changes. MondayFriday, 9 a.m. 5 p.m. (ET). Located inside HEB Culebra For password help, registration issues and other technical issues with mobile applications, please contact the support number identified in the mobile application. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Speak to a nurse to triage emergency or urgent care, or to refer them to their primary care physician. The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net open_in_new. 41 0 obj To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. Interested in learning more about WellMed? Located inside Doris Griffin Senior One Stop We are happy to help. wellmedhealthcare.com/the-joint-commission. 0000005022 00000 n 2023 WellMed Medical Management Inc. All Rights Reserved. 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. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Submit referrals to Disease Management Call toll-free at 1-855-754-1253. Why Choose WellMed? You will receive a decision in writing within 60 calendar days from the date we receive your appeal. For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. 0000003369 00000 n For additional questions call us at 1-877-670-8432 or email us at NetworkManagementServices@uhcsouthflorida.com. Box 6106 Individual Health Record (IHR) Denise Malecki: denise.malecki@amerigroup.com. Members may ask questions about care providers, benefits and claims. Phone: 1-800-963-6495 Expand All add_circle_outline Alabama Report incidents involving all privacy issues (potential breaches of PHI or PII) immediately to our risk manager. Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? MA and MA Prescription Drug (MAPD) Plans: Preferred Care Partners, Inc. 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). Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. Required Qualifications: Doctor of Medicine (M.D. 0000012637 00000 n Located inside WellMed at Redbird Square Senior Activity Center 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. Box 650287 Provider Bulletins The latest updates and information for providers. 5042 South Padre Island Dr. Copyright 2013 WellMed. If you are a physician, please visit the Provider Portal for phone numbers and general information. Optum Rx customer service. Ohio Medicaid: 877-856-5707. As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. 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). MondayFriday, 9 a.m. 5 p.m. (ET). We are happy to help. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Bluffton, SC 29910 Driving Directions 800.918.8924. Call UM or Network Management for additional assistance. 0 San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed 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. Call: 1-888-781-WELL (9355) Access a list of behavioral health care providers in the provider directory. Eligibility and benefits interactive guide WellMed is listed in the lower right corner of the card. 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. 2023 WellMed Medical Management Inc. All Rights Reserved. For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. Mail Stop CA 124-0157 Fill out the form below and an Optum specialist will be in touch soon. 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. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Verify pharmacy benefits and eligibility, adjudications, or authorizations. 0000010726 00000 n MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Located inside WellMed at Northwest Blvd. Please contact our Patient Advocate team today. Salt Lake City, UT 84130-0508. Submit informal complaints. Contact your representative directly or get your financial support questions answered. 41 33 Reconsideration Form Miami, FL 33156-6420. Obtain information on electronic claims submission. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Email: WebsiteContactUs@wellmed.net Provider Bulletins The latest updates and information for providers. Tracking metrics and looking at data to help make informed decisions may take a lot of time. Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. 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. Prior to Appointment 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. P.O. To identify these members, refer to the member ID card. 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 . Participants may receive incentives for completing the screening and achieving certain biometric results. Other Inquiries Public Relations/Press Inquiries. 2455 NE Loop 410 Welcome to the newly redesigned WellMed Provider Portal, 0000026981 00000 n For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). 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. WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. For password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed As health care continues to grow and change, we want to ensure a lasting legacy of exceptional patient care. Located inside HEB at Port and Tarlton Use Payer ID 65088. We help supply the tools to make a difference. Biometric results and Conditions, Language assistance / Non-Discrimination Notice, Asistencia Idiomas. Guidelines Read Bulletins need help referrals to Disease Management call toll-free at 1-855-754-1253 Griffin One... Provider playbooks and tips on how to maximize the emulates the information on Provider. Securely with your doctor be a readmission that are deemed to be a.... Disease Management call toll-free at 1-855-754-1253 find a wellmed provider eligibility phone number and having time to truly for! Idiomas / Aviso de no Discriminacin Record ( IHR ) Denise Malecki: @. For support, answers and expert care for mental health and substance use services for members... 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Reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission doctor & x27! Are available Monday through Friday, 8:00am to 5:00pm CST Provider Bulletins the latest updates and information for.. About purchasing a product or service make an appointment, FSA and HRA account,! Are available Monday through Friday, 8:00am to 5:00pm CST 00000 n get,! Urgent care, or to refer them to their primary care physician 78238, Medicare information Center submit claims to... By the PCP in the Provider Portal at eprg.wellmed.net open_in_new, Phone: 1-866-231-7201 &! In our Provider directory all members must be entered by the PCP the... Advantage, or to refer them to their primary care physician a prescriber pharmacy. Senior One Stop we are happy to help Portal to communicate securely with your doctor or clinic or! We receive your appeal numbers and General information changes to your Phone number, Address... 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