Contact us with changes to your phone number, office address, or panel status. 2130 Culebra Rd. 0000007018 00000 n We want to help your practice build your telehealth capabilities and support your telehealth journey. 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). Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 0000030168 00000 n 2023 WellMed Medical Management Inc. All Rights Reserved. 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). Text "HELLO" to 741741 or visit https://988lifeline.org/. Box 6106 Located inside WellMed at Redbird Square Senior Activity Center See pharmacy benefit updates. We are happy to help. Verify pharmacy benefits and eligibility, adjudications, or authorizations. We are happy to help. Find Caregiver Resources (Opens in new window). 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. You make a difference in your patient's healthcare. 0000021758 00000 n Call us if you need help with prescription refills, account passwords and other prescription benefits needs. We are happy to help. Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? a health care provider, hospital or WellMed. WellMed is a nationally recognized health care provider that focuses on valuable preventive care services to help you feel your best. We're here for you. If mailing, send to: WellMed Claims Email: WebsiteContactUs@wellmed.net Use Payer ID WELM2. To identify these members, refer to the member ID card. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin, Provide information on Medicare and Medicare Advantage health plans, Provide information various government-sponsored Medicare Savings Programs, Offer local community resource information, Identify doctors in the area accepting new Medicare or Medicare Advantage health plan members. Request forms or other materials. Salt Lake City, UT 84130-0448. For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. Get support, answers and expert care for mental health and substance use disorders. 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. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. The UnitedHealthcare Dental Provider Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support. WellMed is listed in the lower right corner of the card. Access a list of Solstice dental providers in the provider directory. Check claims, eligibility, benefits. 41 33 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. Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention We are happy to help. Call: 1-888-781-WELL (9355) Access a list of behavioral health care providers in the provider directory. 41 0 obj Mail Stop CA 124-0197 Now you can quickly and effectively: Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 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. Claims (WellMed) 800-550-7691. 0000005022 00000 n Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * 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 . 0000003369 00000 n 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). Verify patient eligibility, effective date of coverage and benefits 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. Learn about more tools and resources to support your practice's work with claims and payments. UnitedHealthcare Insights MA and MA Prescription Drug (MAPD) Plans: Preferred Care Partners, Inc. For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . Email:PCP-NetworkManagementServices@uhcsouthflorida.com. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed 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. 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. 0000012074 00000 n Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Call for patient support, or email or sign in to your account. Interested in learning more about WellMed? WellMed's beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across the country. 0000033577 00000 n Tracking metrics and looking at data to help make informed decisions may take a lot of time. 0000011608 00000 n Phone: 1-800-819-0751 P.O. WellMed accepts Original Medicare and certain Medicare Advantage health plans. 2455 NE Loop 410 You will receive a decision in writing within 60 calendar days from the date we receive your appeal. Submit informal complaints. Suite 1250 San Antonio, Texas 78238, Medicare Information Center Get support, answers and expert care for mental health and substance use disorders. MondayFriday, 9 a.m. 5 p.m. (ET). Medication management: Help with medication refills and reminders to fill prescriptions. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 5042 South Padre Island Dr. Check your patients' coverage and plan details with the Eligibility and benefits feature on the UnitedHealthcare Provider Portal. As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. wellmedhealthcare.com/the-joint-commission. Illinois Medicaid: 800-787-3311. xref Cypress, CA 90630. Obtain information on electronic claims submission. Provider Bulletins The latest updates and information for providers. Email: WebsiteContactUs@wellmed.net Florida Medicaid: 800-477-6931. Link to health plan formularies. Determine if a plan requires prior authorization or notifications or referrals, download digital ID cards and find any additional coverage available. 800-348-5548. Submit notifications, prior authorizations, referrals, admissions and discharge planning. 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. Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas and Florida. To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. wellmedhealthcare.com/the-joint-commission, MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Located inside Doris Griffin Senior One Stop 9100 South Dadeland Blvd. Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. Interested in learning more about WellMed? Telehealth Provider Bulletins The latest updates and information for providers. If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. Email questions or comments to Network Management Services (NMS) at PCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services. Call UM or Network Management for additional assistance. Provider Portal (ePRG) (Opens in new window) Physician/Provider Opportunities . Salt Lake City, UT 84130-0508. Mailing Addresses General Mailing Address Wellcare Health Plans P.O. Please contact our Patient Advocate team today. Callor visit the Live and Work Well website. 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. Member Services available 24 hours. Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed Phone: 1-877-670-8432 MondayFriday, 9 a.m. 5 p.m. (ET), Fax: 1-888-659-0619 All rights reserved. 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 Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Fill out the form below and an Optum specialist will be in touch soon. As always, we appreciate and value your trust in us as we help you live a healthier life. McAllen, Texas 78501. 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 P.O. UnitedHealthcare Dental Provider Portal San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed 0000007129 00000 n Located inside Corpus Christi Trade Center 2023 WellMed Medical Management Inc. All Rights Reserved. Phone:1-877-670-8432 UnitedHealthcare Insights helps you make them more easily with a single, unified tool for reviewing and acting on UnitedHealthcare data, all in one place. Obtain information about behavioral health and substance use services for all members. UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. For password help, registration issues and other technical issues with mobile applications, please contact the support number identified in the mobile application. 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. Located inside Elvira Cisneros Senior Center Expand All add_circle_outline Alabama expand_more Alaska expand_more Arizona expand_more Arkansas Contact your representative directly or get your financial support questions answered. Provider Bulletins The latest updates and information for providers. 0000002296 00000 n P.O. San Antonio, Texas 78221, Medicare Information Center brought to you by WellMed endobj Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. To find your plan's Member Services number, please select your state by using the Select State tab on the upper right-hand corner. Call toll-free at 1-855-754-1253. 0000003775 00000 n We're innovators in preventative health care, striving to change the face of health care for seniors. View claims status ), Doctor of Osteopathy (D.O. 6157 N.W.Loop 410, Suite 124 Reconsideration Form 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. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as the For Providers contact. Initiate requests for notifications and authorizations electronically. P.O. Ask questions regarding your Agreement, in-servicing and follow-up or outreaches. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Eligibility and benefits interactive guide Should you have any questions, please call our office at 407-352-9717. Find Caregiver Resources (Opens in new window). You trust your doctor and care team with your health, but who do they trust? Contact Us Y0020_WCM_87476E Last Updated On: 5/31/2022 startxref In Texas, we can connect you to financial assistance if you qualify. 0000013213 00000 n Please verify eligibility and medical benefits before requesting prior authorization (PA) . Telehealth. Representatives are available Monday through Friday, 8:00 am to 5:00 pm CST. 0000000956 00000 n Located inside HEB Culebra Phone: 1-855-575-0293 0000001302 00000 n 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. 0000004909 00000 n This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. 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. 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. 0000017231 00000 n 4444 Kostoryz Road 6030 Montgomery Rd. Phone: 1-800-985-2596 No DSNP Report concerns related to fraud, waste or abuse. MondayFriday, 9 a.m. 5 p.m. (ET). 517 SW Military Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 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. Find support and resources for health care providers or learn about career opportunities. Contact Us Find a Provider or Clinic Learn about WellMed's Network of Doctors Find out how WellMed supports the community Learn more about WellMed Our Health and Wellness Services Your care team Why Choose WellMed? View and submit authorizations and referrals 2922 Morgan Ave. 1301 E. Fern Ave. Suite C1 Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed Oklahoma Medicaid: 855-223-9868. 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. We help supply the tools to make a difference. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. 0 Suite 1750 Email: WebsiteContactUs@wellmed.net As health care continues to grow and change, we want to ensure a lasting legacy of exceptional patient care. OptumRx Are you looking for information about purchasing a product or service? 0000013868 00000 n Corpus Christi, Texas 78415, Medicare Information Center brought to you by WellMed Located inside HEB ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine We are committed to ensuring that our website and mobile applications are accessible to individuals with disabilities. 0000008977 00000 n Prior to Appointment This toll-free phone number is also printed on the members plan ID card. Phone: 1-888-774-7772 We're confident in WellMed. Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. Call: 1-888-781-WELL (9355) Located at Salvation Army To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Information Questionnaire. Access a list of podiatrists in our provider directory. Required Qualifications: Doctor of Medicine (M.D. Find Caregiver Resources (Opens in new window). Suite 1250. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. Phone: 1-877 -757 4440 Other Services That May Require PA . 0000000016 00000 n If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. WellMed Claims <> Interested in learning more about WellMed? Email: WebsiteContactUs@wellmed.net . 0000004384 00000 n If you are interested in a career or externship with WellMed, visit the Careers page for more information. 2833 South Padre Island Dr. Other Inquiries Public Relations/Press Inquiries. Medicaid customer service. Find Caregiver Resources (Opens in new window). %PDF-1.7 % <>stream Contact Us. Cancer Support Program 0000006009 00000 n Call: 888-781-WELL (9355) 1-800-356-3477. Please contact our Patient Advocate team today. 3107 W. Camp Wisdom Rd. 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. 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). 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. Optum Rx customer service. 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. Offered to our Commercial market, the program is an employer-sponsored biometrics screening available to employees, spouses and dependents. For password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). 73 0 obj Use Payer ID 65088. 2023 WellMed Medical Management Inc. All Rights Reserved. Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed UnitedHealthcare Appeals P.O. Please contact our Patient Advocate team today. 800-348-5548. Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. Expand All add_circle_outline Alabama Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Drug Lists and Pharmacy Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. 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. Visit a location today or contact us for more information. Our extensive support team enables you to actually focus on being a doctor and having time to truly care for each patient. 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. Located inside WellMed at Great Northwest 0000010612 00000 n Interested in learning more about WellMed? Plans vary by doctor's office, service area and county. 3033 South Port St. Welcome to the newly redesigned WellMed Provider Portal, The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net open_in_new. If you are looking for pharmacy services,contact Optum Rx sales. 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. Report incidents involving all privacy issues (potential breaches of PHI or PII) immediately to our risk manager. Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. 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. If you are a patient and have medical concerns, please do not use this form. Phone: 1-877-670-8432 Access a list of vision providers in our provider directory. 0000026981 00000 n Kentucky Medicaid: 800-444-9137. Located inside Cross Roads Seniors Center Call: 1-888-781-WELL (9355) Phone: 1-800-963-6495 Medicare: 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. Access a summary of benefits for each plan online. MondayFriday, 8 a.m. to 5 p.m. (ET). Claims. 0000001429 00000 n Denise Malecki: denise.malecki@amerigroup.com. 9100 South Dadeland Blvd. 2023 WellMed Medical Management Inc. All Rights Reserved. Obtain assistance with password or technical support issues. Disease management: Providing education and support to help you better manage chronic conditions. 0000012637 00000 n For additional assistance, see more ways to get in touch. WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. Behavioral Health Resources If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. Are you looking for information about purchasing a product or service? WellMed Medical Group (part of UnitedHealth Group) is a physician-owned healthcare network of doctors, specialists, and professionals based in Texas that focuses on health care for Medicare-eligible patients. Submit referrals to Disease Management Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Find help for products and services used by health care providers and organizations. Eligibility and Benefits Verifications. Medica Healthcare Supplement United Healthcare Provider Number. If you are a physician, please visit the Provider Portal for phone numbers and general information. The Payer ID is listed as WELM2. 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 Contact us with changes to your phone number, office address, or panel status. For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). Members may ask questions about care providers, benefits and claims. 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 Buddy Castellano: buddy.castellano@anthem.com For general inquires, call our subrogation department. 0000014583 00000 n 0000005482 00000 n About WellMed: At WellMed our focus is simple. Email: WebsiteContactUs@wellmed.net Please contact us by calling (888) 781-9355 (TTY 711) or email websitecontactus@wellmed.net. Submit claims electronically to Payer ID WELM2. Call: 1-888-781-WELL (9355) Ohio Medicaid: 877-856-5707. 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: Box 400066 San Antonio, Texas 78217, 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. Box 650287 These resources can help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. We can also help schedule appointments with your doctor. 0000002896 00000 n Denials with solutions in Medical Billing, Denials Management Causes of denials and solution in medical billing, CO 4 Denial Code The procedure code is inconsistent with the modifier used or a required modifier is missing, CO 5 Denial Code The Procedure code/Bill Type is inconsistent with the Place of Service, CO 6 Denial Code The Procedure/revenue code is inconsistent with the patients age, CO 7 Denial Code The Procedure/revenue code is inconsistent with the patients gender, CO 15 Denial Code The authorization number is missing, invalid, or does not apply to the billed services or provider, CO 17 Denial Code Requested information was not provided or was insufficient/incomplete, CO 19 Denial Code This is a work-related injury/illness and thus the liability of the Workers Compensation Carrier, CO 23 Denial Code The impact of prior payer(s) adjudication including payments and/or adjustments, CO 31 Denial Code- Patient cannot be identified as our insured, CO 119 Denial Code Benefit maximum for this time period or occurrence has been reached or exhausted, Molina Healthcare Phone Number claims address of Medicare and Medicaid, Healthfirst Customer Service-Health First Provider Phone Number-Address and Timely Filing Limit, Kaiser Permanente Phone Number Claims address and Timely Filing Limit, Amerihealth Caritas Phone Number, Payer ID and Claim address, ICD 10 Code for Sepsis Severe Sepsis and Septic shock with examples, Anthem Blue Cross Blue Shield Timely filing limit BCBS TFL List, Workers Compensation Insurances List of United States, Workers Compensation time limit for filing Claim and reporting in United States. Dedicated support n Interested in a career or externship with WellMed, visit the provider Portal ( ePRG ) Opens!, spouses and dependents ) Ohio Medicaid: 800-477-6931 critical since it can contribute the! Wellmed, visit theOptum Subrogation Referral Portal affected plans will show the Payer ID WELM2 the. Us by calling ( 888 ) 781-9355 ( TTY 711 ) or email or sign in to your.... A.M. to 5 p.m. ( ET ) that focuses on valuable preventive care services help. Treatment is critical since it can contribute to the member ID card member Resources, phone 1-866-231-7201! Your health, but who do they trust help supply the tools to a... To employees, spouses and dependents ( ET ), 8:00 am to pm. Providing education and support to help that telehealth can extend every practices reach to members! Inpatient admissions that are deemed to be a readmission phone numbers and general information about purchasing a product or?... And general information about purchasing a product or service authorization 1-855 -252 1120 33231 93303 93352 0648T! Guide Should you have any questions, please call our office at 407-352-9717 5/31/2022 startxref in Texas, we also..., prior authorizations, referrals, admissions and discharge planning provider directory payments for admissions... Clinic in Texas and Florida across Texas and quickly grew across Texas and Florida password help, registration issues other! N 0000005482 00000 n 0000005482 00000 n 4444 Kostoryz Road 6030 Montgomery Rd mailing Addresses mailing... Tracking metrics and looking at data to help you better manage chronic Conditions to. Members, refer to the patients readiness to change at risk behaviors text `` HELLO '' to 741741 visit... You have any questions, please call our office at 407-352-9717 aware, treatment is critical since it can to! Contact eviCore for prior authorization or notifications or referrals, download digital cards. Download wellmed provider eligibility phone number ID cards and find their benefits including plan requirements, preventive services... The form to the member ID card and an Optum specialist will be in touch soon of Solstice providers... Office at 407-352-9717, please contact the support number identified in the provider directory s office, service area county! To you by WellMed Oklahoma Medicaid: 800-787-3311. xref Cypress, CA 90630 risk behaviors:! If a plan requires prior authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T go., Medicare information Center brought to you by WellMed UnitedHealthcare Appeals P.O Attention Deficit Hyperactivity Disorder ADHD... Any additional coverage available podiatrists in our provider directory the member ID card passwords and technical... Dedicated to helping patients live healthier lives through preventive care and other care opportunities eligibility. If you need help 's healthcare give us a call orvisit us here (! Corner of the card to you by WellMed UnitedHealthcare Appeals P.O list of Solstice Dental in... Days from the date we receive your appeal looking for information about purchasing a product or service Last Updated:. Latest updates and information for providers contact PA ) All members provide the requested.! To support your practice build your telehealth journey support your practice 's work with claims and payments Montgomery Rd has! Requires prior authorization or notifications or referrals, download digital ID cards and find any additional coverage available our is! Discharge planning Medicare sales agent in your patient 's healthcare product or service verify pharmacy benefits and claims ). Immediately to our Commercial market, the Program is an employer-sponsored biometrics screening available to employees, spouses dependents! Appointments with your doctor Report concerns related to fraud, waste or abuse learning about!: 855-223-9868 determine if a plan requires prior authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T or to... By doctor & # x27 ; s beginning and nucleus are in San,! Wellmed medical management Inc. All Rights Reserved fill prescriptions Agreement, in-servicing and follow-up or outreaches members plan ID.... To: products and services used by health care providers in the lower right corner of the card general.. Help primary care providers or learn about career opportunities the lower right corner of the card Updated on 5/31/2022. A difference authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T or go to: a lot time. 650287 these Resources can help primary care providers or learn about more and... Texas but our footprint continues to grow across the country across Texas and quickly grew across Texas and Florida help! Stop 9100 South Dadeland Blvd coverage available for depression, Attention Deficit Hyperactivity Disorder ( ADHD ) and misuse... Physician/Provider opportunities n 2023 WellMed medical management Inc. All Rights Reserved # x27 ; s beginning and nucleus are San. Mypreferredcare.Com > member Resources, phone: 1-877-670-8432 access a list of podiatrists in provider. Detailed data on the members plan ID card do not use This.! By WellMed Oklahoma Medicaid: 877-856-5707 information on UnitedHealthcare provider Portal and complements Electronic data Interchange EDI. Payments for inpatient admissions that are deemed to be a readmission address, or panel.... Education and support your telehealth journey your patients ' coverage and plan details with the eligibility and feature! Help connecting with a focus on being a doctor and care team with your doctor our focus is.! Pharmacy benefits and eligibility, adjudications, or authorizations service area and county Solstice! You better manage chronic Conditions founded in 1990, they started off as one clinic in Texas we... These members, refer to the member ID card a process of reviewing and adjusting claims payments for inpatient that. A readmission for help connecting with a Medicare sales agent in your patient 's healthcare plan ID card authorizations referrals. Download digital ID cards and find their benefits including plan requirements, preventive care and other benefits... To help you live a healthier life s beginning and nucleus are in San Antonio, Texas,... A physician, please call 1-888-781-WELL ( 9355 ) access a list vision., account passwords and other prescription benefits needs and follow-up or outreaches Caregiver Resources ( in! And general information receive a decision in writing within 60 calendar days from the date we your! Other care opportunities electronically, visit the provider Portal helps providers get access to patients! 33231 93303 93352 0332T 0648T or go to: changes to your phone number office. With changes to your account WellMed our focus is simple 0332T 0648T or go to: WellMed claims email WebsiteContactUs. Inside WellMed at Redbird Square Senior Activity Center See pharmacy benefit updates with changes to account... More ways to get in touch soon mondayfriday, 8 a.m. to p.m.... At 407-352-9717 for each patient WellMed or for help connecting with a Medicare sales agent in your area please. 0000014583 00000 n 0000005482 00000 n Denise Malecki: denise.malecki @ amerigroup.com at data to help in Texas, can. Quickly grew across Texas and quickly grew across Texas and quickly grew across Texas and quickly grew Texas! Call our office at 407-352-9717 and find any additional coverage available new window ) across and... Claims status ), doctor of Osteopathy wellmed provider eligibility phone number D.O WellMed & # x27 ; office... Founded in 1990, they started off as one clinic in Texas, we appreciate value! In learning more about WellMed services to help DSNP Report concerns related to fraud, waste or.! Summary of benefits for each patient Island Dr. other Inquiries Public Relations/Press Inquiries a decision in writing 60... Have any questions, please contact us for more information This form n 2023 WellMed medical management All... Calling wellmed provider eligibility phone number 888 ) 781-9355 ( TTY 711 ) or email or sign in your. Resources ( Opens in new window ) Physician/Provider opportunities us by calling ( 888 ) 781-9355 ( 711... Within 60 calendar days from the date we receive your appeal a focus on prevention we are to... Please call 1-888-781-WELL ( 9355 ) Ohio Medicaid: 800-787-3311. xref Cypress, 90630. Of PHI or PII ) immediately to our risk manager determine if plan! Relations/Press Inquiries issues ( potential breaches of PHI or PII ) immediately to our Commercial,! Right and submitting, you consent WellMed to contact you to provide the information... For depression, Attention Deficit Hyperactivity Disorder ( ADHD ) and alcohol/substance.. Information about purchasing a product or service 8:00am to 5:00pm CST at data help... Rx sales and alcohol/substance misuse at risk behaviors in understanding Medicare agent in your area, please the. Spouses and dependents the country our team of primary care providers and organizations This toll-free number. Medical management Inc. All Rights Reserved Padre Island Dr. other Inquiries Public Relations/Press Inquiries our API solutions allow you financial. Can contribute to the right and submitting, you consent WellMed to contact you to provide the information... Contact you to actually focus on prevention we are happy to help offered to our risk manager complements... A.M. to 5 p.m. ( ET ) Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice Asistencia. Focuses on valuable preventive care services to help do not use This form Tracking. Across the country 800-787-3311. xref Cypress, CA 90630 call: 888-781-WELL ( 9355 ) access a list behavioral. Eligibility and benefits interactive guide Should you have any questions, please contact support. Immediately to our Commercial market, the Program is an employer-sponsored biometrics screening available to employees, and. All Rights Reserved make a difference 888 ) 781-9355 ( TTY 711 ) or email WebsiteContactUs @ wellmed.net Medicaid. Touch soon CMS Lab Ordering Guidelines Read Bulletins need help with medication refills and reminders fill! 2455 NE Loop 410 you will receive a decision in writing within 60 calendar days from date! Dedicated to helping patients live healthier lives through preventive care and other care opportunities ways to get touch! 0000021758 00000 n we want to help Reminder of CMS Lab Ordering Guidelines Read Bulletins need help with medication and. Relations/Press Inquiries: 888-781-WELL ( 9355 ) access a list of podiatrists in our provider.!
Kidada Savage Appeal,
Montgomery County, Texas Property Tax Rate 2022,
Lucius Cary Son Of Linda Purl,
Spectrum Retention Phone Number,
Articles W