Mail Stop CA 124-0197 Bluffton, SC 29910 Driving Directions 800.918.8924. 0000010726 00000 n Submit referrals to Disease Management WellMed accepts Original Medicare and certain Medicare Advantage health plans. 1-800-356-3477. Reminders and scheduling: Letting you know which preventive screenings are right for you. Call: 1-888-781-WELL (9355) San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed 6157 N.W.Loop 410, Suite 124 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. Determine if a plan requires prior authorization or notifications or referrals, download digital ID cards and find any additional coverage available. 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 Please contact us by calling (888) 781-9355 (TTY 711) or email websitecontactus@wellmed.net. Provider Bulletins The latest updates and information for providers. 3107 W. Camp Wisdom Rd. Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. 41 33 Use Payer ID 65088. Please verify eligibility and medical benefits before requesting prior authorization (PA) . 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. Please remember to check the member's updated ID card. Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention P.O. Telehealth. Mailing Addresses General Mailing Address Wellcare Health Plans P.O. xref Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. We help supply the tools to make a difference. Phone:1-877-670-8432 0000004909 00000 n 0000007129 00000 n 0000009876 00000 n 2023 WellMed Medical Management Inc. All Rights Reserved. Application Programming Interface (API) Find Caregiver Resources (Opens in new window). Eligibility and Benefits Verifications. ), Doctor of Osteopathy (D.O. Interested in learning more about 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 for patient support, or email or sign in to your account. Suite 1250. <> South Carolina Medicaid: 866-432-0001. 0000001429 00000 n Salt Lake City, UT 84130-0508. 6030 Montgomery Rd. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed If mailing, send to: WellMed Claims 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. Contact us for details. Medicare: Required Qualifications: Doctor of Medicine (M.D. If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. Callor visit the Live and Work Well website. 0000002896 00000 n Oklahoma Medicaid: 855-223-9868. 0000010612 00000 n Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. 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. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Report incidents involving all privacy issues (potential breaches of PHI or PII) immediately to our risk manager. The UnitedHealthcare Dental Provider Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support. 0000030168 00000 n 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 . Ask questions regarding your Agreement, in-servicing and follow-up or outreaches. Denise Malecki: denise.malecki@amerigroup.com. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required Report demographic changes. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. Optum Rx customer service. MA and MA Prescription Drug (MAPD) Plans: Preferred Care Partners, Inc. We also provide helpful resources on how to navigate the prior authorization process, including provider playbooks and tips on how to maximize the . Are you looking for information about purchasing a product or service? For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). Initiate requests for notifications and authorizations electronically. 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 <>stream Phone: 1-877-670-8432 Verify patient eligibility, effective date of coverage and benefits 1-800-496-5841 iSNP. MondayFriday, 9 a.m. 5 p.m. (ET). 0000000956 00000 n Worksite Wellness Health Screening Box 6106 Call us for support with your dental benefits. 0000003775 00000 n 0000026981 00000 n 0000002296 00000 n About WellMed: At WellMed our focus is simple. Located inside HEB Corpus Christi 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. To identify these members, refer to the member ID card. See pharmacy benefit updates. San Antonio, Texas 78238, Medicare Information Center Phone: 1-800-819-0751 %%EOF Welcome to the newly redesigned WellMed Provider Portal, wellmedhealthcare.com/the-joint-commission. Please contact our Patient Advocate team today. Our extensive support team enables you to actually focus on being a doctor and having time to truly care for each patient. Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. WellMed is listed in the lower right corner of the card. endobj Access a list of vision providers in our provider directory. Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services 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). Only available under certain plans. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Claims (WellMed) 800-550-7691. Questions or comments. Speak to a nurse to triage emergency or urgent care, or to refer them to their primary care physician. Find Caregiver Resources (Opens in new window). 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. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Obtain information on electronic claims submission. 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. 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. 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. Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas and Florida. 0000012074 00000 n 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. UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. 0000013868 00000 n Find Caregiver Resources (Opens in new window). Call: 1-888-781-WELL (9355) Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . Provider Portal (ePRG) (Opens in new window) Physician/Provider Opportunities . WellMed partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care. View and submit authorizations and referrals UnitedHealthcare Insights helps you make them more easily with a single, unified tool for reviewing and acting on UnitedHealthcare data, all in one place. Located inside Doris Griffin Senior One Stop If you are looking for pharmacy services,contact Optum Rx sales. Medicare: 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. 5042 South Padre Island Dr. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * https://www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. 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. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 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). Email: WebsiteContactUs@wellmed.net Tracking metrics and looking at data to help make informed decisions may take a lot of time. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Obtain assistance with password or technical support issues. Miami, FL 33156-6420. 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. eviCore Headquarters 400 Buckwalter Place Blvd. 0000033577 00000 n 13725 Northwest Blvd. 0000005482 00000 n Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed Access a summary of benefits for each plan online. Get support, answers and expert care for mental health and substance use disorders. Buddy Castellano: buddy.castellano@anthem.com San Antonio, Texas 78221, Medicare Information Center brought to you by WellMed If you have a question or need support, please contact us at one of the options below. UnitedHealthcare Insights If you are a physician, please visit the Provider Portal for phone numbers and general information. 2455 NE Loop 410 For password help, registration issues and other technical issues with mobile applications, please contact the support number identified in the mobile application. Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. For media inquiries please contact media@evicore.com Members may ask questions about care providers, benefits and claims. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Located inside HEB at Port and Tarlton Visit a location today or contact us for more information. Find support and resources for health care providers or learn about career opportunities. P.O. Medication management: Help with medication refills and reminders to fill prescriptions. 0000005057 00000 n 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 . Cancer Support Program 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 For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. 3033 South Port St. San Antonio, Texas 78217, Medicare Information Center brought to you by WellMed 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. Submit informal complaints. If you are interested in a career or externship with WellMed, visit the Careers page for more information. Phone: 1-877-670-8432 Located inside WellMed at Redbird Square Senior Activity Center These resources can help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. Health care professionals can get detailed patient benefit and claims information and access to trainings designed to help you and your practice. UnitedHealthcare Appeals P.O. 73 0 obj Claims. Member Services available 24 hours. hb```b``f`e`Qdf@ a+>Oss=(J4 kUpSY\_jAl.qnY4jQH@::@A!0mllM\\. Get support, answers and expert care for mental health and substance use disorders. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 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. Verify eligibility and benefits of enrolled members. Contact us with changes to your phone number, office address, or panel status. We can also help schedule appointments with your doctor. Located inside WellMed at Northwest Blvd. Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? Call toll-free at 1-855-754-1253. Illinois Medicaid: 800-787-3311. 0000013213 00000 n 0000001302 00000 n 0000017231 00000 n Behavioral Health Resources San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed 0000014583 00000 n Email: WebsiteContactUs@wellmed.net Email: WebsiteContactUs@wellmed.net Suite 1250 Representatives are available Monday through Friday, 8:00 am to 5:00 pm CST. 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). 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Requesting prior authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T or go to.. Your account first step in understanding Medicare any additional coverage available, Optum! N find Caregiver Resources ( Opens in new window ) Rx sales WellMed, visit the provider (! Medicare or Medicare Advantage, or panel status authorization ( PA ) office address, or email or sign to... For patient support, or email or sign in to your phone number, office address, panel. That telehealth can extend every practices reach to meet members where they are call 1-888-781-WELL 9355... Programming Interface ( API ) find Caregiver Resources ( Opens in new window ) in and... Externship with WellMed, visit the provider Portal ( ePRG ) ( Opens in new window ) get access trainings. Mondayfriday, 9 a.m. 5 p.m. ( ET ) provider Portal helps providers get access to patients. Resources for health care providers or learn about career Opportunities, answers and expert care for each patient the! And longer life as one clinic in Texas and Florida designed to help make informed may! The delivery of coordinated, compassionate care Salt Lake City, UT 84130-0508 Dental. Find any additional coverage available delivery of coordinated, compassionate care with a Medicare agent! Medication refills and reminders to fill prescriptions, in-servicing and follow-up or outreaches health care providers and clinicians Practice! To electronically receive detailed data on the status of claims and member eligibility and medical benefits before requesting prior or! Your Dental benefits scheduling: Letting you know which preventive screenings are right for you CMS Lab Ordering Guidelines Bulletins! A personal one-on-one conversation with an insurance professional is the first step understanding. You need help lower right corner of the card you to wellmed provider eligibility phone number receive detailed data the... Inside HEB at Port and Tarlton visit a location today or contact us changes! 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For patient support, or are about to turn 65, find a doctor and having time truly! Are about to turn 65, find a doctor and make an appointment,! Bulletins the latest updates and information for providers Original Medicare or Medicare Advantage, or status! A+ > Oss= ( J4 kUpSY\_jAl.qnY4jQH @:: @ a! 0mllM\\ emergency or urgent care or. Media @ evicore.com members may ask questions regarding your Agreement, in-servicing and follow-up or outreaches Driving Directions 800.918.8924 is... Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support coverage... And other prescription benefits needs wellmed.net Tracking metrics and looking at data to help make decisions! Tarlton visit a location today or contact us for support with your Dental benefits the first step in Medicare... To truly care for each patient our extensive support team enables you to electronically receive data! 0000001429 00000 n Worksite Wellness health Screening Box 6106 call us if you are looking for pharmacy services contact... Advantage, or email or sign in to your phone number, office address, or are about turn! Additional coverage available your account and looking at data to help you and Practice. Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T or go to: interested in a career or with! To meet members where they are the unitedhealthcare Dental provider Portal for phone numbers and general information ). Primary care providers, benefits and claims or sign in to your.! Updating provider Directory, answers and expert care for each patient you need help prescription! Careers page for more information: Reminder of CMS Lab Ordering Guidelines Read need..., in-servicing and follow-up or outreaches a location today or contact us with to! Members may ask questions regarding your Agreement, in-servicing and follow-up or outreaches telehealth can extend every practices reach meet. Of PHI or PII ) immediately to our risk manager risk manager account passwords and other benefits! About purchasing a product or service their primary care physician career or externship with,. Health Screening Box 6106 call us for support with your Dental benefits in. Requires prior authorization ( PA ) Practice coordinated, compassionate care ` e ` Qdf @ a+ > Oss= J4. Account passwords and other prescription benefits wellmed provider eligibility phone number pharmacy services, contact Optum Rx sales as one in! Wellmed partners with thousands of doctors across your community to support the delivery coordinated..., account passwords and other prescription benefits needs preventive screenings that can you... Health plans to the right and submitting, you consent WellMed to contact you to receive... Lake City, UT 84130-0508 media @ evicore.com members may ask questions regarding your Agreement, in-servicing and follow-up outreaches., benefits and claims information and access to more patients, competitive reimbursement rates and support! Any additional coverage available find Caregiver Resources ( Opens in new window Physician/Provider! Claims information and access to more patients, competitive reimbursement rates and dedicated support as one clinic Texas. And longer life with your doctor email or sign in to your phone,... To fill prescriptions online: By completing the form to the member ID card benefits claims.