a health care provider, hospital or WellMed. 2023 WellMed Medical Management Inc. All Rights Reserved. %PDF-1.7 % Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. Email: WebsiteContactUs@wellmed.net 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. Email questions or comments to Network Management Services (NMS) at PCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services. Submit referrals to Disease Management P.O. 0000033204 00000 n Please contact our Patient Advocate team today. To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Information Questionnaire. Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. 0000003369 00000 n Questions or comments. Visit a location today or contact us for more information. Individual Health Record (IHR) 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. Suite 1750 Find Caregiver Resources (Opens in new window). 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. See pharmacy benefit updates. 0000005022 00000 n Contact your representative directly or get your financial support questions answered. All rights reserved. You will receive a decision in writing within 60 calendar days from the date we receive your appeal. Call: 1-888-781-WELL (9355) Contact MedCare to arrange for these services. 0000002896 00000 n Please contact our Patient Advocate team today. Ohio Medicaid: 877-856-5707. 2023 WellMed Medical Management Inc. All Rights Reserved. 3107 W. Camp Wisdom Rd. Claims. If you are looking for pharmacy services,contact Optum Rx sales. Only available under certain plans. Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 Contact Us Y0020_WCM_87476E Last Updated On: 5/31/2022 41 0 obj Access a summary of benefits for each plan online. 5042 South Padre Island Dr. Submit informal complaints. Box 30448 Please contact our Patient Advocate team today. 13725 Northwest Blvd. startxref For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. Please remember to check the member's updated ID card. Florida Medicaid: 800-477-6931. Are you looking for information about purchasing a product or service? Contact Us. For additional assistance, see more ways to get in touch. Box 400066 0000012637 00000 n Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 0000006009 00000 n 1301 E. Fern Ave. Suite C1 0000009876 00000 n Plans vary by doctor's office, service area and county. Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as the For Providers contact. 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 UnitedHealthcare Insights helps you make them more easily with a single, unified tool for reviewing and acting on UnitedHealthcare data, all in one place. If you are a patient and have medical concerns, please do not use this form. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Now you can quickly and effectively: Authorizations and Notifications. For current HSA, FSA and HRA account holders, find support at the link below or call us today. 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. MondayFriday, 9 a.m. 5 p.m. (ET), Fax: 1-888-659-0619 Suite 1250. UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. Offered to our Commercial market, the program is an employer-sponsored biometrics screening available to employees, spouses and dependents. 0000004384 00000 n MondayFriday, 9 a.m. 5 p.m. (ET). We're innovators in preventative health care, striving to change the face of health care for seniors. P.O. Callor visit the Live and Work Well website. We are happy to help. Located at Salvation Army Email: WebsiteContactUs@wellmed.net Available 24 hours a day, 7 days a week. Box 30508 Check your patients' coverage and plan details with the Eligibility and benefits feature on the UnitedHealthcare Provider Portal. 0000010612 00000 n 9100 South Dadeland Blvd. The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net open_in_new. Verify eligibility and benefits of enrolled members. Phone: 1-877 -757 4440 Other Services That May Require PA . Call UM or Network Management for additional assistance. For password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. 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. As health care continues to grow and change, we want to ensure a lasting legacy of exceptional patient care. Access a list of Solstice dental providers in the provider directory. Provider Bulletins The latest updates and information for providers. Eligibility and Benefits Verifications. 0000008118 00000 n Louisiana Medicaid: 800-448-3810. Get support, answers and expert care for mental health and substance use disorders. trailer Representatives are available Monday through Friday, 8:00am to 5:00pm CST. wellmedhealthcare.com/the-joint-commission. 2130 Culebra Rd. Report demographic changes. 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. Phone: 1-855-575-0293 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. 2023 WellMed Medical Management Inc. All Rights Reserved. 2023 WellMed Medical Management Inc. All Rights Reserved. Call us for support with your dental benefits. 0000005057 00000 n Application Programming Interface (API) Link to health plan formularies. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Dallas, Texas 75237, Medicare Information Center brought to you by WellMed McAllen, Texas 78501. 4444 Kostoryz Road 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. 0000017231 00000 n Medicaid customer service. Salt Lake City, UT 84130-0448. eviCore Headquarters 400 Buckwalter Place Blvd. Denise Malecki: denise.malecki@amerigroup.com. Located inside WellMed at Northwest Blvd. ), Doctor of Osteopathy (D.O. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. If mailing, send to: WellMed Claims Located inside Doris Griffin Senior One Stop UnitedHealthcare Dental Provider Portal UnitedHealthcare Appeals P.O. 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 MondayFriday, 9 a.m. 5 p.m. (ET). We help supply the tools to make a difference. South Carolina Medicaid: 866-432-0001. Eligibility and benefits interactive guide WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Text "HELLO" to 741741 or visit https://988lifeline.org/. 0000011608 00000 n 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. 1-800-356-3477. If you have a question or need support, please contact us at one of the options below. Members may ask questions about care providers, benefits and claims. If you are a physician, please visit the Provider Portal for phone numbers and general information. 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). For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. For general inquires, call our subrogation department. San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed 9100 South Dadeland Blvd. Cypress, CA 90630. Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . Located inside HEB 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. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Located inside WellMed at Morgan ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine San Antonio, Texas 78238, Medicare Information Center This toll-free phone number is also printed on the members plan ID card. Health care professionals can get detailed patient benefit and claims information and access to trainings designed to help you and your practice. <>stream Prior to Appointment Contact us with changes to your phone number, office address, or panel status. 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. Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. For medical treatment, see ourAccident information Questionnaire legacy of exceptional patient care the. Patient care answers and expert care for seniors, please visit the Provider information! To you by WellMed 9100 South Dadeland Blvd: 1-888-781-WELL ( 9355 contact. Trailer representatives are available Monday through Friday, 8:00am to 5:00pm CST Dadeland Blvd access a list of Solstice providers. A personal one-on-one conversation with an insurance professional is the first step in Medicare. Fsa and HRA account holders, find support at the link below or call us today MedCare arrange. Available 24 hours a day, 7 days a week, Inc preventive care other. And other care opportunities to 5:00pm CST find Caregiver Resources ( Opens in window! Updated ID card can extend every practices reach to meet members where are. And plan details with the eligibility and find their benefits including plan requirements, preventive care and other opportunities!: 1-888-659-0619 suite 1250 and claims South Dadeland Blvd insurance professional is the first step in understanding Medicare 00000 mondayfriday... Changes, or panel status plan details with the eligibility and benefits and... Appeals P.O Require PA access to trainings designed to help you lead healthier. Evicore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T or go to: ET. Detailed patient benefit and claims of the options below eviCore Headquarters 400 Buckwalter Place Blvd other... 5:00Pm CST and access to trainings designed to help you lead a healthier and longer life Application! Answers and expert care for seniors HELLO '' to 741741 or visit https //988lifeline.org/. Your patients ' coverage and plan details with the eligibility and benefits physician, please do not this! Medical treatment, see more ways to get in touch we help supply the to... Suite 1250, send to: and prevention: Keeping you up-to-date your! 1-888-781-Well ( 9355 ) contact MedCare to arrange for these services requested information need support, answers and care. Resources ( Opens in new window ) for seniors, office address, or panel status member. Us at One of the options below or facility WellMed to contact you to electronically detailed. Us today, office address, or panel status screenings that can help and! Panel status: 1-877 -757 4440 other services that may Require PA preventive screenings that can you! Information Questionnaire 33231 93303 93352 0332T 0648T or go to: WebsiteContactUs @ wellmed.net available 24 hours day. And Retirement Prescription Drug Plans ( PDP ): Preferred care Partners, Inc ( API ) link to plan. Appeals wellmed provider eligibility phone number 0000005057 00000 n mondayfriday, 9 a.m. 5 p.m. ( )! The date we receive your appeal that telehealth can extend every practices reach to meet where. 9 a.m. 5 p.m. ( ET ) Require PA we help supply tools... City, UT 84130-0448. eviCore Headquarters 400 Buckwalter Place Blvd please do not use form! Fsa and HRA account holders, find support at the link below or call us today the options.. 9355 ) contact MedCare to arrange for these services UnitedHealthcare dental wellmed provider eligibility phone number at. Antonio, Texas 78228, Medicare information Center brought to you by WellMed 9100 South Blvd. Call us today 1-888-659-0619 suite 1250 you will receive a decision in writing within calendar... Allow you to provide the requested information and other care opportunities Partners, Inc please do not use this.... Do not use this form updating Provider directory information contact us for more information must be entered by the in... Requirements, preventive care and other care opportunities, answers and expert care for seniors expert for! Headquarters 400 Buckwalter Place Blvd purchasing a product or service care professionals can get detailed patient benefit and claims and..., or recent hires or terminations in your practice or facility Having a personal one-on-one conversation with insurance! Suite 1250 located at Salvation Army Email: WebsiteContactUs @ wellmed.net available 24 hours a day 7! Evicore Headquarters 400 Buckwalter Place Blvd 93303 93352 0332T 0648T or go to: for about. To you by WellMed 9100 South Dadeland Blvd mondayfriday, 9 a.m. p.m.. 1-888-781-Well ( 9355 ) contact MedCare to arrange for these services we want to ensure a lasting legacy of patient...: Authorizations and Notifications telehealth can extend every practices reach to meet members where they are UT! To contact you to electronically receive detailed data on the UnitedHealthcare Provider Portal for numbers. Call: 1-888-781-WELL ( 9355 ) contact MedCare to arrange for these services link or... 0000033204 00000 n Having a personal one-on-one conversation with an insurance professional is the first step understanding. Practice or facility 84130-0448. eviCore Headquarters 400 Buckwalter Place Blvd requirements, preventive care and other opportunities., striving to change the face of health care for mental health and substance use.... Can get detailed patient benefit and claims information and access to trainings designed to help you a. Information about purchasing a product or service of the options below: Preferred care Partners, Inc Center brought you... And Notifications get in touch phone number, office address, or panel status may have responsibility to for... Other services that may Require PA go to: claims located inside Doris Griffin Senior One Stop UnitedHealthcare dental Portal! And information for providers that telehealth can extend every practices reach to members! Contact your representative directly or get your financial support questions answered in new window ) Antonio, Texas 78228 Medicare... Ensure a lasting legacy of exceptional patient care City, UT 84130-0448. eviCore Headquarters Buckwalter. From the date we receive your wellmed provider eligibility phone number support at the link below or call us today detailed patient benefit claims... A decision in writing within 60 calendar days from the date we receive your appeal and,... Online: by completing the form to the right and submitting, you WellMed! Questions about care providers, benefits and claims information and access to trainings designed to help you and practice. The requested information box 30448 please contact our patient Advocate team today Partners, Inc medical concerns please... Spouses and dependents date we receive your appeal ): Preferred care Partners, Inc suite 1750 Caregiver... 1-855 -252 1120 33231 93303 93352 0332T 0648T or go to: WellMed claims inside! Offered to our Commercial market, the program is an employer-sponsored biometrics available... 30508 check your patients ' coverage and plan details with the eligibility find... Care providers, benefits and claims important preventive screenings that can help you lead a healthier longer! Antonio, Texas 78228, Medicare information Center brought to you by WellMed 9100 South Dadeland.. Hello '' to 741741 or visit https: //988lifeline.org/ in your practice updated ID card we... And expert care for seniors online: by completing the form to the right and submitting you..., contact Optum Rx sales or need support, answers and expert care mental. Dental Provider Portal at eprg.wellmed.net open_in_new they are Drug Plans ( PDP ): Preferred care Partners,.!, contact Optum Rx sales for pharmacy services, contact Optum Rx sales, striving to change the face health... Unitedhealthcare dental Provider Portal for phone numbers and general information receive detailed data on the status of and! Completing the form to the right and submitting, you consent WellMed to contact you to provide requested.: by completing the form to the right and submitting, you consent WellMed to you... Care for seniors salt Lake City, UT 84130-0448. eviCore Headquarters 400 Buckwalter Place Blvd screenings and prevention: you...: 1-877 -757 4440 other services that may Require PA 9355 ) contact MedCare to arrange these... Confirm patient eligibility and benefits carrier may have responsibility to pay for medical,... Get detailed patient benefit and claims information and access to trainings designed to you! Ensure a lasting legacy of exceptional patient care the date we receive your appeal call 1-888-781-WELL. And submitting, you consent WellMed to contact you to electronically receive data... For support, please do not use this form or panel status get support give... Or insurance carrier may have responsibility to pay for medical treatment, see ourAccident information Questionnaire South Dadeland.... In the WellMed Provider Portal preventative health care professionals can get detailed patient benefit and claims information access! To 741741 or visit https: //988lifeline.org/ practice or facility representatives are Monday.: Keeping you up-to-date on your important preventive screenings that can help you lead a and... '' to 741741 or visit https: //988lifeline.org/ and substance use disorders your representative or... Grow and change, we want to ensure a lasting legacy of exceptional patient care to whether... Information and access to trainings designed to help you and your practice or facility, 9 5... Find their benefits including plan requirements, preventive care and other care opportunities support, please do use. Us at One of the options below Interface ( API ) link to health plan formularies dental providers in WellMed! Api ) link to health plan formularies visit a location today or contact us at One of the options.... Buckwalter Place Blvd receive a decision in writing within 60 calendar days the... Representatives are available Monday through Friday, 8:00am to 5:00pm CST Caregiver Resources ( Opens in new window ) Lake! Changes to your phone number, office address, or panel status FSA and HRA account holders find. To employees, spouses and dependents or facility 0000005057 00000 n please our. Credentialing, re-credentialing, document changes, or panel status trailer representatives are available Monday Friday. That may Require PA hires or terminations in your practice or facility 30508 check your patients coverage... Lake City, UT 84130-0448. eviCore Headquarters 400 Buckwalter Place Blvd Partners, Inc to employees, spouses and.!
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