Denise Malecki: denise.malecki@amerigroup.com. endobj Our extensive support team enables you to actually focus on being a doctor and having time to truly care for each patient. 2130 Culebra Rd. 8353 Culebra Road, Ste. <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> Fill out the form below and an Optum specialist will be in touch soon. Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. 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. 0000004909 00000 n Louisiana Medicaid: 800-448-3810. 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 . Corpus Christi, Texas 78415, Medicare Information Center brought to you by WellMed For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. MA and MA Prescription Drug (MAPD) Plans: Preferred Care Partners, Inc. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. https://www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. We're here for you. Box 30508 San Antonio, Texas 78251, Medicare Information Center brought to you by WellMed 0000010726 00000 n Suite 1750 P.O. Some doctors' offices may accept other health insurance plans. Interested in learning more about WellMed? Report demographic changes. Visit a location today or contact us for more information. For additional questions call us at 1-877-670-8432 or email us at NetworkManagementServices@uhcsouthflorida.com. 800-348-5548. Tracking metrics and looking at data to help make informed decisions may take a lot of time. Box 650287 Provider Bulletins The latest updates and information for providers. 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. Expand All add_circle_outline Alabama 0000002296 00000 n For current HSA, FSA and HRA account holders, find support at the link below or call us today. Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. Phone: 1-800-963-6495 Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. Member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as the For Providers contact. Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services Access a summary of benefits for each plan online. Authorizations and Notifications. Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas and Florida. Plans vary by doctor's office, service area and county. The Payer ID is listed as WELM2. 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. Link to health plan formularies. For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. Mail Stop CA 124-0157 WellMed is listed in the lower right corner of the card. 0000021758 00000 n 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. Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. 0000007129 00000 n <>stream 3107 W. Camp Wisdom Rd. 0000002896 00000 n Eligibility and Benefits Verifications. Cancer Therapy Pathways Program Please contact our Patient Advocate team today. Optum Rx customer service. Why Choose WellMed? Cypress, CA 90630. 0000033577 00000 n Bluffton, SC 29910 Driving Directions 800.918.8924. Located inside HEB Culebra 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. P.O. 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. Mailing Addresses General Mailing Address Wellcare Health Plans P.O. Located inside WellMed at Morgan 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. Initiate requests for notifications and authorizations electronically. Find Caregiver Resources (Opens in new window). Expand All add_circle_outline Alabama expand_more Alaska expand_more Arizona expand_more Arkansas 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. 0000017231 00000 n This toll-free phone number is also printed on the members plan ID card. Medicare: Health care professionals can get detailed patient benefit and claims information and access to trainings designed to help you and your practice. If you are a current patient, interested in becoming a WellMed patient or have a question you would like answered, please contact our Patient Advocate Team. As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. Located inside Cross Roads Seniors Center In Texas, we can connect you to financial assistance if you qualify. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. 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. Contact Us Y0020_WCM_87476E Last Updated On: 5/31/2022 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. 101 Box 6106 0000012074 00000 n Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Email: WebsiteContactUs@wellmed.net Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. Fill out the form below and an Optum specialist will be in touch soon. Box 30448 Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? 517 SW Military 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. Submit notifications, prior authorizations, referrals, admissions and discharge planning. Online:UnitedHealthcare Provider Portal at uhcprovider.com > Sign In, Preferred Care Partners Located inside Corpus Christi Trade Center 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. Dallas, TX 75265-0287. 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: Call: 1-888-781-WELL (9355) 6157 N.W.Loop 410, Suite 124 wellmedhealthcare.com/the-joint-commission. Application Programming Interface (API) 0000012637 00000 n 0000030168 00000 n Email: WebsiteContactUs@wellmed.net Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Please contact our Patient Advocate team today. If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. 3033 South Port St. 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). hb```b``f`e`Qdf@ a+>Oss=(J4 kUpSY\_jAl.qnY4jQH@::@A!0mllM\\. 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 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. Check claims, eligibility, benefits. Call toll-free at 1-855-754-1253. We are happy to help. Obtain assistance with password or technical support issues. Medication management: Help with medication refills and reminders to fill prescriptions. If you are a physician, please visit the Provider Portal for phone numbers and general information. Submit informal complaints. Cypress, CA 90630. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Contact us with changes to your phone number, office address, or panel status. The UnitedHealthcare Dental Provider Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support. 800-348-5548. Located inside WellMed at Northwest Blvd. Located inside Elvira Cisneros Senior Center Suite 1250. If you are interested in a career or externship with WellMed, visit the Careers page for more information. Need access to the UnitedHealthcare Provider Portal? Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Available 24 hours a day, 7 days a week. Other Inquiries Public Relations/Press Inquiries. For media inquiries please contact media@evicore.com Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Interested in learning more about WellMed? Contact us for details. We help supply the tools to make a difference. Please contact our Patient Advocate team today. Provider Bulletins The latest updates and information for providers. P.O. 0000007018 00000 n 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. 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