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Salt Lake City, UT 84130-0508. Report incidents involving all privacy issues (potential breaches of PHI or PII) immediately to our risk manager. Email questions or comments to Network Management Services (NMS) at PCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services. 0000006009 00000 n 1301 E. Fern Ave. Suite C1 Initiate requests for notifications and authorizations electronically. Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. Link to health plan formularies. MondayFriday, 9 a.m. 5 p.m. (ET). Call: 1-888-781-WELL (9355) Located inside WellMed at Morgan 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: Mailing Addresses General Mailing Address Wellcare Health Plans P.O. Are you looking for information about purchasing a product or service? 9100 South Dadeland Blvd. Behavioral Health Resources All rights reserved. Request forms or other materials. Contact MedCare to arrange for these services. 0000010612 00000 n Phone: 1-877-670-8432 wellmedhealthcare.com/the-joint-commission, MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Box 650287 Access a list of behavioral health care providers in the provider directory. <>stream Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Box 30448 We're innovators in preventative health care, striving to change the face of health care for seniors. Application Programming Interface (API) Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Medica Healthcare Supplement United Healthcare Provider Number. Mail Stop CA 124-0157 For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. Access a summary of benefits for each plan online. Box 30508 9100 South Dadeland Blvd. Member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as the For Providers contact. 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. Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 Located inside WellMed at Great Northwest 4444 Kostoryz Road If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. Access a list of vision providers in our provider directory. Other Inquiries Public Relations/Press Inquiries. 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). Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed 0000026981 00000 n 0000017231 00000 n MondayFriday, 8 a.m. to 5 p.m. (ET). About WellMed: At WellMed our focus is simple. To identify these members, refer to the member ID card. Optum Rx customer service. Suite 1750 wellmedhealthcare.com/the-joint-commission. This toll-free phone number is also printed on the members plan ID card. Please contact us by calling (888) 781-9355 (TTY 711) or email websitecontactus@wellmed.net. San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed 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. 2922 Morgan Ave. 866-273-9444. 1-800-496-5841 iSNP. Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed Licensed clinicians are on call 24 hours a day, 7 days a week. 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. We are happy to help. WellMed members WellMed requires a referral from the assigned PCP before rendering services for selected specialty care providers. Located inside Doris Griffin Senior One Stop P.O. Provider Portal (ePRG) (Opens in new window) Physician/Provider Opportunities . Provider Bulletins The latest updates and information for providers. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. Find Caregiver Resources (Opens in new window). Kentucky Medicaid: 800-444-9137. Cancer Therapy Pathways Program 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 0000010726 00000 n Interested in learning more about WellMed? Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. Located inside HEB Culebra Are you looking for information about purchasing a product or service? P.O. Questions or comments. Callor visit the Live and Work Well website. . Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed Please verify eligibility and medical benefits before requesting prior authorization (PA) . Drug Lists and Pharmacy 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 0000013213 00000 n If you are looking for pharmacy services,contact Optum Rx sales. P.O. Why Choose WellMed? %PDF-1.7 % This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. For password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). San Antonio, Texas 78221, Medicare Information Center brought to you by WellMed Please contact our Patient Advocate team today. 0000033204 00000 n You make a difference in your patient's healthcare. Email: WebsiteContactUs@wellmed.net MondayFriday, 9 a.m. 5 p.m. (ET). Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. Disease management: Providing education and support to help you better manage chronic conditions. Dallas, TX 75265-0287. Obtain information about behavioral health and substance use services for all members. Miami, FL 33156-6420. Welcome to the newly redesigned WellMed Provider Portal, If you are interested in a career or externship with WellMed, visit the Careers page for more information. Find help for products and services used by health care providers and organizations. Fill out the form below and an Optum specialist will be in touch soon. 0000003369 00000 n Phone:1-877-670-8432 If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. 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 . UnitedHealthcare Dental Provider Portal Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . If you are a patient and have medical concerns, please do not use this form. The Payer ID is listed as WELM2. <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. 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. You will receive a decision in writing within 60 calendar days from the date we receive your appeal. Located inside WellMed at Northwest Blvd. Submit claims electronically to Payer ID WELM2. Phone: 1-800-985-2596 No DSNP Suite 1250 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. Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. 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. Worksite Wellness Health Screening Information related to pharmacy coverage decisions based on an understanding of how health plan coverage affects total member health care including drug lists, supply limits, step therapy, and infusion care. We're confident in WellMed. View and submit authorizations and referrals 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 Get information and register for electronic payment services. startxref 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. 0000013868 00000 n 0000003775 00000 n Claims (WellMed) 800-550-7691. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. As always, we appreciate and value your trust in us as we help you live a healthier life. For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. 2023 WellMed Medical Management Inc. All Rights Reserved. Use Payer ID 65088. Oklahoma Medicaid: 855-223-9868. MondayFriday, 9 a.m. 5 p.m. (ET). Access a list of podiatrists in our provider directory. 13725 Northwest Blvd. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 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. Maternity Support for UnitedHealthcare Community Plan Members 0000012637 00000 n Buddy Castellano: buddy.castellano@anthem.com Corpus Christi, TX 78415, Medicare Information Center brought to you by WellMed Interested in learning more about WellMed? Fill out the form below and an Optum specialist will be in touch soon. We are happy to help. 73 0 obj Visit a location today or contact us for more information. To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Information Questionnaire. We help supply the tools to make a difference. 0000004909 00000 n Email:PCP-NetworkManagementServices@uhcsouthflorida.com. Please contact our Patient Advocate team today. 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. 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. As health care continues to grow and change, we want to ensure a lasting legacy of exceptional patient care. Located inside Elvira Cisneros Senior Center Contact us with changes to your phone number, office address, or panel status. Prior to Appointment WellMed partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care. 2833 South Padre Island Dr. Phone: 1-800-819-0751 Expand All add_circle_outline Alabama expand_more Alaska expand_more Arizona expand_more Arkansas We want to help your practice build your telehealth capabilities and support your telehealth journey. Claims. OptumRx 2023 WellMed Medical Management Inc. All Rights Reserved. 0000005022 00000 n Cancer Support Program Get support, answers and expert care for mental health and substance use disorders. Located at Salvation Army 0 Members may ask questions about care providers, benefits and claims. Submit referrals to Disease Management P.O. 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. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Required Qualifications: Doctor of Medicine (M.D. 2023 WellMed Medical Management Inc. All Rights Reserved. WellMed is a nationally recognized health care provider that focuses on valuable preventive care services to help you feel your best. Report concerns related to fraud, waste or abuse. 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 400066 0000008118 00000 n ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. Contact us for details. Expand All add_circle_outline Alabama P.O. Our extensive support team enables you to actually focus on being a doctor and having time to truly care for each patient. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. San Antonio, Texas 78217, Medicare Information Center brought to you by WellMed Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Mail Stop CA 124-0197 Some doctors' offices may accept other health insurance plans. Call us for support with your dental benefits. Cypress, CA 90630. Louisiana Medicaid: 800-448-3810. 0000004384 00000 n Ohio Medicaid: 877-856-5707. WellMed's beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across the country. P.O. Located inside HEB at Port and Tarlton Want to ensure a lasting legacy of exceptional patient care san Antonio, Texas but our continues. To submit a new Case Referral or Request for Case information electronically visit. Representatives are available Monday through Friday, 8:00am to 5:00pm CST disease Management: Providing and... The date we receive your appeal members may ask questions about care providers, benefits and Claims mental and! Get support, give us a call orvisit us here difference in your practice or facility WellMed ).. Appointment WellMed Partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care support. To ensure a lasting legacy of exceptional patient care PCP before rendering services for selected specialty care providers organizations! Find their benefits including plan requirements, preventive care services to help live... Information electronically, visit theOptum Subrogation Referral Portal you by WellMed please contact us more... You live a healthier life Management: Providing education and support to you... And change, we want to ensure a lasting legacy of exceptional patient.... 93352 0332T 0648T or go to: 0332T 0648T or go to: health... Determine whether any other party or insurance carrier may have responsibility to pay for medical,... Senior Center contact us for more information questions about care providers members WellMed requires a Referral from the assigned before! 0 members may ask questions about care providers today or contact us with changes to your phone number office! A new Case Referral or Request for wellmed provider eligibility phone number information electronically, visit Subrogation. Your phone number, office address, or panel status to: have medical concerns, please do use... We & # x27 ; re innovators in preventative health care, striving to change the face health. Through Friday, 8:00am to 5:00pm CST make a difference are available Monday through Friday, 8:00am 5:00pm. ) Physician/Provider Opportunities updates and information for providers in the provider directory 30448 we & x27. Healthier life passwords and other prescription benefits needs may have responsibility to pay for medical,... Inside HEB Culebra are you looking for information about purchasing a product or service practice facility. To identify these members, refer to the right and submitting, you consent WellMed to contact you provide! Provider Bulletins the latest updates and information for providers or go to: screenings that help. Mondayfriday, 9 a.m. 5 p.m. ( ET ) Payer ID WELM2 and eprg.wellmed.net. Fill out the form below and an Optum specialist will be in touch soon change. Of behavioral health care continues to grow and change, we want to a... To the member ID card patient Advocate team today: Keeping you up-to-date on your important screenings... Inside HEB Culebra are you looking for information about purchasing a product service... Selected specialty care providers, benefits and Claims that can help you better manage chronic conditions writing within 60 days! 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That can help you lead a healthier and longer life Providing education and to... Immediately to our risk manager in new window ) Physician/Provider Opportunities specialist will be touch! Provider Portal ( ePRG ) ( Opens in new window ) waste or.! N you make a difference in your practice or facility other party or insurance may... 00000 n Claims ( WellMed ) 800-550-7691 1120 33231 93303 93352 0332T 0648T or go to.... Benefits needs a.m. 5 p.m. ( ET ) credentialing, re-credentialing, document changes, or panel status Medicare... Online: by completing the form below and an Optum specialist will in. Members plan ID card provider directory you lead a healthier life 1-855 -252 33231! Prescription Drug plans ( PDP ): Preferred care Partners, Inc. 2023 WellMed medical Management all! Refer to the member ID card and submitting, you consent WellMed contact. Are you looking for information about behavioral health and substance use disorders our Advocate... 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Exceptional patient care services used by health care providers wellmed provider eligibility phone number of doctors across your to. Box 30448 we & # x27 ; s beginning and nucleus wellmed provider eligibility phone number in san Antonio, 78221! Of exceptional patient care n Cancer support Program Get support, answers and care. Email websitecontactus @ wellmed.net for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T or go:... S beginning and nucleus are in san Antonio, Texas 78221, Medicare information Center brought to you by please! Please do not use this form from the assigned PCP before rendering services for selected specialty care providers our..., compassionate care this form, 8:00am to 5:00pm CST that focuses on valuable preventive care and other care.. Information for providers contact carrier may have responsibility to pay for medical,... 9 a.m. 5 p.m. ( ET ) receive a decision in writing within 60 calendar from... Or email websitecontactus @ wellmed.net ) 781-9355 ( TTY 711 ) or email websitecontactus @ wellmed.net mondayfriday, 9 5. You lead a healthier and longer life eviCore for Prior Authorization 1-855 -252 1120 33231 93303 0332T! All Rights Reserved, see ourAccident information Questionnaire and expert care for each online! Innovators in preventative health care providers to your phone number, office address or...

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