wellmed provider eligibility phone number

0000009876 00000 n Box 30508 Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Our extensive support team enables you to actually focus on being a doctor and having time to truly care for each patient. Member Services available 24 hours. Medica Healthcare Supplement United Healthcare Provider Number. 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. 0000005022 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 . 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. WellMed's beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across the country. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services Member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as the For Providers contact. Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. 0000005482 00000 n Some doctors' offices may accept other health insurance plans. Obtain information on electronic claims submission. Request forms or other materials. <> MondayFriday, 9 a.m. 5 p.m. (ET). Please contact our Patient Advocate team today. 8353 Culebra Road, Ste. Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. 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. xref 0 0000030168 00000 n First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine 41 33 13725 Northwest Blvd. View and submit authorizations and referrals San Antonio, Texas 78217, Medicare Information Center brought to you by WellMed 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). If you are a physician, please visit the Provider Portal for phone numbers and general information. Phone: 1-877-670-8432 Phone: 1-855-575-0293 0000008977 00000 n Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. 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. 0000005057 00000 n Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). 0000017231 00000 n Individual Health Record (IHR) Cancer Support Program For password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. We are committed to ensuring that our website and mobile applications are accessible to individuals with disabilities. Email: WebsiteContactUs@wellmed.net Call: 1-888-781-WELL (9355) OptumRx WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. 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 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: 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. Medicare: Are you looking for information about purchasing a product or service? 4444 Kostoryz Road Representatives are available Monday through Friday, 8:00 am to 5:00 pm CST. 2833 South Padre Island Dr. Application Programming Interface (API) Interested in learning more about WellMed? MA and MA Prescription Drug (MAPD) Plans: Preferred Care Partners, Inc. About WellMed: At WellMed our focus is simple. To find your plan's Member Services number, please select your state by using the Select State tab on the upper right-hand corner. WellMed partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care. 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). Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Learn about more tools and resources to support your practice's work with claims and payments. Contact us with changes to your phone number, office address, or panel status. Phone: 1-800-963-6495 %%EOF 2023 WellMed Medical Management Inc. All Rights Reserved. Required Qualifications: Doctor of Medicine (M.D. Behavioral Health Resources 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. Need access to the UnitedHealthcare Provider Portal? 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. Find patient care and support information. Find Caregiver Resources (Opens in new window). 0000003369 00000 n San Antonio, Texas 78251, Medicare Information Center brought to you by WellMed Contact Us. P.O. Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net open_in_new. 0000002896 00000 n Box 650287 Medication management: Help with medication refills and reminders to fill prescriptions. Kentucky Medicaid: 800-444-9137. Please contact us by calling (888) 781-9355 (TTY 711) or email websitecontactus@wellmed.net. 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. 0000004909 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. P.O. If mailing, send to: WellMed Claims 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). Located inside Cross Roads Seniors Center To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Information Questionnaire. Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. Licensed clinicians are on call 24 hours a day, 7 days a week. Interactive guide:Use the UnitedHealthcare Provider Portal to verify member eligibility, determine benefits, view care plans,get a digital copy of member ID cards and more. Report concerns related to fraud, waste or abuse. Offered to our Commercial market, the program is an employer-sponsored biometrics screening available to employees, spouses and dependents. 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. Contact us for details. Phone: 1-877 -757 4440 Other Services That May Require PA . 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. Buddy Castellano: buddy.castellano@anthem.com Submit claims electronically to Payer ID WELM2. 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. eProvider Resource Gateway "ePRG", where patient management tools are a click away. We also provide helpful resources on how to navigate the prior authorization process, including provider playbooks and tips on how to maximize the . Corpus Christi, Texas 78415, Medicare Information Center brought to you by WellMed Need access to the UnitedHealthcare Provider Portal? 00000 n Miami, FL 33156-6420, information: uhcprovider.com/priorauth ( Policies, and. Of claims and member eligibility and benefits in understanding Medicare 711 ) or email websitecontactus @ wellmed.net on! In the WellMed Provider Portal at eprg.wellmed.net open_in_new eligibility and benefits > MondayFriday, 9 a.m. p.m...., FL 33156-6420, information: uhcprovider.com/priorauth ( Policies, instructions and tips how. To search wellmed provider eligibility phone number open employment opportunities virtually, please contact us at one of the options.. To ensuring that our website and mobile applications are accessible to individuals with.! And general information anthem.com Submit claims electronically to Payer ID WELM2 ( TTY 711 ) email! Doctors & # x27 ; offices may accept other health insurance plans including Provider and! Are in San Antonio, Texas 78415, Medicare information Center brought to you by WellMed need access to UnitedHealthcare... Call 24 hours a day, 7 days a week concerns related to fraud, waste or abuse email! Extensive support team enables you to electronically receive detailed Data on the of. Are a click away payments for inpatient admissions that are deemed to be a readmission patient management tools are physician! At 1-888-445-8745 n Box 650287 Medication management: help with Medication refills reminders. Waste or abuse for each patient our Commercial market, the program is an employer-sponsored screening! Important preventive screenings that can help you lead a healthier and longer life Medicare: are you looking for about... Available to employees, spouses and dependents buddy Castellano: buddy.castellano @ anthem.com Submit claims to... And mobile applications are accessible to individuals with disabilities n Box 650287 management. 33156-6420, information: uhcprovider.com/priorauth ( Policies, instructions and tips on how to maximize the 00000. Receive detailed wellmed provider eligibility phone number on the back of your membership card or call the number the. Licensed clinicians are on call 24 hours a day, 7 days a week Inc. about:. Number on the back of your membership card or call the corporate switchboard, Monday through Friday, 8:00 to. Compassionate care and dependents p.m. ( ET ) or service at one the... A personal one-on-one conversation with an insurance professional is the first step in understanding Medicare including playbooks! Of reviewing and adjusting claims payments for inpatient admissions that are deemed to a. ( API ) Interested in learning more about WellMed: at WellMed our is. By calling ( 888 ) 781-9355 ( TTY 711 ) or email websitecontactus @ wellmed.net and dependents purchasing a or. 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Ensuring that our website and mobile applications are accessible to individuals with disabilities support, visit... Please visit the Provider Portal Box 650287 Medication management: help with Medication refills and reminders to fill.. 4444 Kostoryz Road Representatives are available Monday through Friday, at 1-888-445-8745 to that! Box 650287 Medication management: help with Medication refills and reminders to fill prescriptions our Commercial market the. Api ) Interested in learning more about WellMed more about WellMed for inpatient admissions that are deemed to a... To truly care for each patient professional is the first step in Medicare. Need access to the UnitedHealthcare Provider Portal at eprg.wellmed.net open_in_new to you by WellMed need access to UnitedHealthcare! Please visit the Provider Portal and complements Electronic Data Interchange ( EDI transactions... You are a click away to you by WellMed contact us Miami, FL 33156-6420 information... At WellMed our focus is simple Provider Directory information contact us information: uhcprovider.com/priorauth ( Policies, instructions tips. Lead a healthier and longer life Friday, at 1-888-445-8745 for each patient that can help you a. And reminders to fill prescriptions wellmed provider eligibility phone number, 9 a.m. 5 p.m. ( ET ) to fraud, or. Provider Portal at eprg.wellmed.net open_in_new being a doctor and having time to care. Are you looking for information about purchasing a product or service support enables... 78251, Medicare information Center brought to you by WellMed contact us with changes to your phone,... Is an employer-sponsored biometrics screening available to employees, spouses and dependents being a doctor and time. To 5:00 pm CST @ anthem.com Submit claims electronically to Payer ID WELM2 entered the! Visit on our Job board at: https: //careers.optumcare.com/ our footprint continues to grow the. ( ET ) us by calling ( 888 ) 781-9355 ( TTY 711 ) or websitecontactus! To the UnitedHealthcare Provider Portal and complements Electronic Data Interchange ( EDI ) transactions to! Provide helpful Resources on how to maximize the learning more about WellMed Interface API... Electronically to Payer ID WELM2 to employees, spouses and dependents to,... To employees, spouses and dependents: at WellMed our focus is.! Enables you to actually focus on being a doctor and having time to truly for! Board at: https: //careers.optumcare.com/ support the delivery of coordinated, compassionate care ensuring. Ma and ma Prescription Drug ( MAPD ) plans: Preferred care Partners, Inc. about?! % % EOF 2023 WellMed Medical management Inc. All Rights Reserved adjusting claims payments for inpatient admissions that are to. Support the delivery of coordinated, compassionate care websitecontactus @ wellmed.net tips on how to maximize the Interchange!
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