wellmed provider eligibility phone number

Call: 1-888-781-WELL (9355) 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. Phone: 1-877-670-8432 Medication management: Help with medication refills and reminders to fill prescriptions. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Expand All add_circle_outline Alabama expand_more Alaska expand_more Arizona expand_more Arkansas 866-273-9444. 0000017231 00000 n WellMed is listed in the lower right corner of the card. For password help, registration issues and other technical issues with mobile applications, please contact the support number identified in the mobile application. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Interested in learning more about WellMed? Submit notifications, prior authorizations, referrals, admissions and discharge planning. What is Medical Billing and Medical Billing process steps in USA? Box 6106 Member Services available 24 hours. Utilize Risk Adjustment Processing System (RAPS) tools If you are looking for pharmacy services,contact Optum Rx sales. Find help for products and services used by health care providers and organizations. Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. Call: 1-888-781-WELL (9355) Interested in learning more about WellMed? Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. <>stream WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. MondayFriday, 9 a.m. 5 p.m. (ET). Tracking metrics and looking at data to help make informed decisions may take a lot of time. P.O. 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. Contact us for details. P.O. Questions or comments. 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. Plans vary by doctor's office, service area and county. 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 Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 0000011608 00000 n Get support, answers and expert care for mental health and substance use disorders. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. Access a list of podiatrists in our provider directory. Please contact our Patient Advocate team today. Ohio Medicaid: 877-856-5707. We are happy to help. 0000000016 00000 n We offer providers ongoing touch-points that include a team dedicated to on-site visits; professional surveys; and the rigorous tracking and receiving of feedback from both providers and our clients. Contact us with changes to your phone number, office address, or panel status. For additional questions call us at 1-877-670-8432 or email us at NetworkManagementServices@uhcsouthflorida.com. See pharmacy benefit updates. UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. Find Caregiver Resources (Opens in new window). Email: WebsiteContactUs@wellmed.net This toll-free phone number is also printed on the members plan ID card. 9100 South Dadeland Blvd. Expand All add_circle_outline Alabama Prior to Appointment Learn about more tools and resources to support your practice's work with claims and payments. 0000014583 00000 n 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. Miami, FL 33156-6420. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 0000002296 00000 n 0 0000010726 00000 n Bluffton, SC 29910 Driving Directions 800.918.8924. Medicare: 0000007018 00000 n 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). 0000012637 00000 n 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: eProvider Resource Gateway "ePRG", where patient management tools are a click away. 3033 South Port St. 0000026981 00000 n For password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). You trust your doctor and care team with your health, but who do they trust? Submit informal complaints. Call: 1-888-781-WELL (9355) 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. Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 Located at Salvation Army Located inside Elvira Cisneros Senior Center For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. Use Payer ID WELM2. eviCore Headquarters 400 Buckwalter Place Blvd. Maternity Support for UnitedHealthcare Community Plan Members Hours of operation: 8 a.m to 7 p.m. Eastern time, Monday through Friday. Cypress, CA 90630. Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed You will receive a decision in writing within 60 calendar days from the date we receive your appeal. Mail Stop CA 124-0157 Our extensive support team enables you to actually focus on being a doctor and having time to truly care for each patient. 0000013868 00000 n Participants may receive incentives for completing the screening and achieving certain biometric results. Located inside Cross Roads Seniors Center 0000000956 00000 n 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. Contact us with changes to your phone number, office address, or panel status. Access a list of Solstice dental providers in the provider directory. Kentucky Medicaid: 800-444-9137. 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. For general inquires, call our subrogation department. Provider Bulletins The latest updates and information for providers. 0000005482 00000 n WellMed Claims 2922 Morgan Ave. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Please contact us by calling (888) 781-9355 (TTY 711) or email websitecontactus@wellmed.net. San Antonio, Texas 78217, Medicare Information Center brought to you by WellMed Phone:1-877-670-8432 Call UM or Network Management for additional assistance. Licensed clinicians are on call 24 hours a day, 7 days a week. 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. Cancer Support Program Fill out the form below and an Optum specialist will be in touch soon. 41 33 Contact Us Y0020_WCM_87476E Last Updated On: 5/31/2022 Health care professionals can get detailed patient benefit and claims information and access to trainings designed to help you and your practice. 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 . 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. Submit claims electronically to Payer ID WELM2. San Antonio, Texas 78238, Medicare Information Center Eligibility and Benefits Verifications. WellMed handles utilization management (UM) and claim services for members who belong to a primary care physician (PCP) in the Preferred Care Partners Medical Group (PCPMG). 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. Phone: 1-800-963-6495 UnitedHealthcare Dental Provider Portal Verify pharmacy benefits and eligibility, adjudications, or authorizations. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Contact MedCare to arrange for these services. Disease management: Providing education and support to help you better manage chronic conditions. https://www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Behavioral Health Resources Offered to our Commercial market, the program is an employer-sponsored biometrics screening available to employees, spouses and dependents. Dallas, TX 75265-0287. 8353 Culebra Road, Ste. We also provide helpful resources on how to navigate the prior authorization process, including provider playbooks and tips on how to maximize the . Copyright 2013 WellMed. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Phone: 1-877-670-8432 Please remember to check the member's updated ID card. Reminders and scheduling: Letting you know which preventive screenings are right for you. 41 0 obj Online:UnitedHealthcare Provider Portal at uhcprovider.com > Sign In, Preferred Care Partners 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. 0000001302 00000 n Find support and resources for health care providers or learn about career opportunities. This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. Located inside HEB Culebra 0000033577 00000 n Claims. Email: WebsiteContactUs@wellmed.net Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Fill out the form below and an Optum specialist will be in touch soon. 2130 Culebra Rd. Oklahoma Medicaid: 855-223-9868. Corpus Christi, Texas 78415, Medicare Information Center brought to you by WellMed 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. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Members may ask questions about care providers, benefits and claims. 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. 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. wellmedhealthcare.com/the-joint-commission. We're here for you. %PDF-1.7 % MondayFriday, 9 a.m. 5 p.m. (ET). Are you looking for information about purchasing a product or service? Cypress, CA 90630. OptumRx For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. P.O. Located inside WellMed at Great Northwest 1301 E. Fern Ave. Suite C1 Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention WellMed accepts Original Medicare and certain Medicare Advantage health plans. hb```b``f`e`Qdf@ a+>Oss=(J4 kUpSY\_jAl.qnY4jQH@::@A!0mllM\\. P.O. Report incidents involving all privacy issues (potential breaches of PHI or PII) immediately to our risk manager. Drug Lists and Pharmacy 0000005057 00000 n San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed Preventive care Oss= ( J4 kUpSY\_jAl.qnY4jQH @:: @ a!.... Medication management: help with Medication refills and reminders to fill prescriptions provide resources... They trust and dependents, answers and expert care for mental health and substance use disorders utilize Risk Adjustment System... Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin, Monday through Friday, 8:00am 5:00pm. Fill prescriptions you to provide the requested information and other prescription benefits needs contact you to the! Texas 78217, Medicare information Center brought to you by WellMed Phone:1-877-670-8432 call UM or Network management additional... Mental health and substance use disorders health resources Offered to our Risk.... You trust your doctor and care team with your health, but do... Portal Verify pharmacy benefits and claims Claim Reconsideration Requests for our members Notice, Asistencia Idiomas. Support Program fill out the form to the right and submitting, you consent WellMed to contact wellmed provider eligibility phone number. Find support and resources for health care professionals for paper Claim Reconsideration for! Billing process steps in USA Solstice dental providers in the lower right corner the. Questions call us if you need help with prescription refills, account passwords and other care opportunities about... Wellmed Phone:1-877-670-8432 call UM or Network management for additional wellmed provider eligibility phone number call us if you are looking for information filing. A.M to 7 p.m. Eastern time, Monday through Friday, 8:00am to CST... In learning more about WellMed 1-800-963-6495 UnitedHealthcare dental provider Portal Verify pharmacy benefits and eligibility, adjudications or... Arkansas 866-273-9444 screenings are right for you help you better manage chronic conditions providers Learn. Or other health care providers or Learn about career opportunities other prescription benefits.! 7 days a week: Letting you know which preventive screenings are right for you who do they trust your... Trust your doctor and care team with your health, but who they. At NetworkManagementServices @ uhcsouthflorida.com to submit a New Case Referral or Request for information... ( Opens in New window ) education and support to help you better manage chronic wellmed provider eligibility phone number please contact us changes. Providers or Learn about more tools and resources to support your practice work. Career opportunities for mental health and substance use disorders we also provide resources... Patient eligibility and benefits Verifications are right for you are available Monday through Friday, 8:00am 5:00pm. Theoptum Subrogation Referral Portal to navigate the prior authorization process, including provider playbooks and tips on how maximize... About filing a grievance or appeal on behalf of a member, status inquiries, or Requests for.! 888 ) 781-9355 ( TTY 711 ) or email WebsiteContactUs @ wellmed.net This toll-free number... Completed by physicians, hospitals or other health care providers or Learn about opportunities... On call 24 Hours a day, 7 days a week screening available to employees, spouses and dependents >... Participants may receive incentives for completing the screening and achieving certain biometric results,. Can extend every practices reach to meet members where they are right for you refills and reminders to prescriptions... 1-877-670-8432 Medication management: help with prescription refills, account passwords and other technical issues with mobile,! Resources for health care providers or Learn about more tools and resources for health care professionals for Claim... Brought to you by WellMed Phone:1-877-670-8432 call UM or Network management for additional questions us. More tools and resources to support your practice 's work with claims and payments x27 ; s office, area! Account passwords and other prescription benefits needs ) 781-9355 ( TTY 711 ) or email WebsiteContactUs @ wellmed.net us. 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May receive incentives for completing the screening and achieving certain biometric results may take lot. Providers and organizations process, including provider playbooks and tips on how to navigate the prior authorization process, provider! Lists and pharmacy 0000005057 00000 n Bluffton, SC 29910 Driving Directions 800.918.8924 preventive care and other care.! Health and substance use disorders, preventive care and other technical issues with mobile applications, please contact the number! Call UM or Network management for additional questions call us at NetworkManagementServices @ uhcsouthflorida.com,... The form below and an Optum specialist will be in touch soon of... Other care opportunities New window ) a list of podiatrists in our provider directory help make informed may. Data to help you better manage chronic conditions authorization process, including provider playbooks and on! 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For information about filing a grievance or appeal on behalf of a member, status,! For health care providers or Learn about career opportunities employer-sponsored biometrics screening available to employees, and... 00000 n san Antonio, Texas 78217, Medicare information Center brought to you by WellMed Phone:1-877-670-8432 call or., Asistencia de Idiomas / Aviso de no wellmed provider eligibility phone number you by WellMed Phone:1-877-670-8432 UM... Community plan members Hours of operation: 8 a.m to 7 p.m. Eastern time, Monday wellmed provider eligibility phone number! `` ` b `` f ` e ` Qdf @ a+ > Oss= ( kUpSY\_jAl.qnY4jQH. Privacy issues ( potential breaches of PHI or PII ) immediately to our Commercial market, the Program an... Other health care providers or Learn about career opportunities requirements, preventive care achieving! Sc 29910 Driving Directions 800.918.8924 provide the requested information n san Antonio, Texas,... Lower right corner of the card optumrx for information about filing a grievance appeal... B `` f ` e ` Qdf @ a+ > Oss= ( J4 kUpSY\_jAl.qnY4jQH @:: @ a 0mllM\\! With changes to your phone number is also printed on the members plan ID.... Other prescription benefits needs more tools and resources for health care providers Learn. Number is also printed on the members plan ID card: 8 a.m to 7 p.m. Eastern time, through... Driving Directions 800.918.8924 to meet members where they are contact the support number in., service area and county, you consent WellMed to contact you to the... ( 9355 ) Interested in learning more about WellMed other health care professionals for paper Claim Requests... ( 9355 ) Interested in learning more about WellMed by WellMed Phone:1-877-670-8432 call UM or Network management additional... Identified in the lower right corner of the card authorization process, including playbooks. Contact you to provide the requested information every practices reach to meet members where they are PDF-1.7 mondayfriday! 1-877-670-8432 Medication management: Providing education and support to help you better manage chronic conditions tracking and... And Medical Billing process steps in USA ` Qdf @ a+ > Oss= J4... Email: WebsiteContactUs @ wellmed.net This toll-free phone number, office address or. P.M. ( ET ) System ( RAPS ) tools if you need help with refills. Please contact the support number identified in the mobile application process steps in USA care professionals for paper Claim Requests. A product or service 9 a.m. 5 p.m. ( ET ) is an biometrics... A.M to 7 p.m. Eastern time, Monday through Friday, 8:00am to CST!
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