UnitedHealthcare Dental Provider Portal 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). 2023 WellMed Medical Management Inc. All Rights Reserved. trailer Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. Submit notifications, prior authorizations, referrals, admissions and discharge planning. To find your plan's Member Services number, please select your state by using the Select State tab on the upper right-hand corner. 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 Located inside Cross Roads Seniors Center As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. 41 0 obj South Carolina Medicaid: 866-432-0001. %%EOF Interested in learning more about WellMed? Box 400066 0000013868 00000 n Interested in learning more about WellMed? Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Located inside WellMed at Morgan Report concerns related to fraud, waste or abuse. Call UM or Network Management for additional assistance. We're confident in WellMed. 0000007129 00000 n WellMed's beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across the country. Dallas, Texas 75237, Medicare Information Center brought to you by WellMed 0000002296 00000 n 1301 E. Fern Ave. Suite C1 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). MondayFriday, 8 a.m. to 5 p.m. (ET). This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. Salt Lake City, UT 84130-0448. 0000005057 00000 n Get support, answers and expert care for mental health and substance use disorders. 0000010726 00000 n We help supply the tools to make a difference. Plans vary by doctor's office, service area and county. Request forms or other materials. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. If you are a prescriber or pharmacy, get in touch with us here. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Representatives are available Monday through Friday, 8:00 am to 5:00 pm CST. Fill out the form below and an Optum specialist will be in touch soon. Authorizations and Notifications. P.O. 517 SW Military WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. WellMed members WellMed requires a referral from the assigned PCP before rendering services for selected specialty care providers. 0000001302 00000 n UnitedHealthcare Insights We can also help schedule appointments with your doctor. 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. 0000002896 00000 n It's simple. 0000033204 00000 n 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. Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . 866-273-9444. <> Required Qualifications: Doctor of Medicine (M.D. Box 30448 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. First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required Get support, answers and expert care for mental health and substance use disorders. MondayFriday, 9 a.m. 5 p.m. (ET). WellMed accepts Original Medicare and certain Medicare Advantage health plans. For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. The Payer ID is listed as WELM2. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 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 MondayFriday, 9 a.m. 5 p.m. (ET). Verify patient eligibility, effective date of coverage and benefits Find support and resources for health care providers or learn about career opportunities. Submit referrals to Disease Management San Antonio, Texas 78238, Medicare Information Center 0000021758 00000 n Located inside HEB at Port and Tarlton Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. Miami, FL 33156-6420. OptumRx Available 24 hours a day, 7 days a week. San Antonio, Texas 78251, Medicare Information Center brought to you by WellMed Phone: 1-800-985-2596 No DSNP Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Application Programming Interface (API) Phone: 1-877-670-8432 We're innovators in preventative health care, striving to change the face of health care for seniors. 2455 NE Loop 410 Obtain assistance with password or technical support issues. Provider Bulletins The latest updates and information for providers. Now you can quickly and effectively: Other Inquiries Public Relations/Press Inquiries. Medica Healthcare Supplement United Healthcare Provider Number. 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. Fill out the form below and an Optum specialist will be in touch soon. Find information on locations, make an appointment, order lab tests and view results. 2922 Morgan Ave. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. We are happy to help. Call: 1-888-781-WELL (9355) Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services P.O. San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed Submit informal complaints. Call us for support with your dental benefits. Medication management: Help with medication refills and reminders to fill prescriptions. Reconsideration Form Need access to the UnitedHealthcare Provider Portal? As health care continues to grow and change, we want to ensure a lasting legacy of exceptional patient care. 0000005482 00000 n https://www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. MondayFriday, 9 a.m. 5 p.m. (ET), Fax: 1-888-659-0619 Mail Stop CA 124-0157 13725 Northwest Blvd. 0000030168 00000 n Verify pharmacy benefits and eligibility, adjudications, or authorizations. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. San Antonio, Texas 78221, Medicare Information Center brought to you by WellMed If you are a patient and have medical concerns, please do not use this form. 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 Y0020_WCM_87476E Last Updated On: 5/31/2022 The program is intended to improve quality and value in cancer care by supporting the use of therapies supported by evidence-based guidelines to improve outcomes. 0000005022 00000 n For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). 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. <>stream 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 your representative directly or get your financial support questions answered. %PDF-1.7 % If you are a physician, please visit the Provider Portal for phone numbers and general information. Members may ask questions about care providers, benefits and claims. 5042 South Padre Island Dr. 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). As always, we appreciate and value your trust in us as we help you live a healthier life. Use Payer ID 65088. Welcome to the newly redesigned WellMed Provider Portal, Drug Lists and Pharmacy Disease management: Providing education and support to help you better manage chronic conditions. 0000000016 00000 n Optum Rx customer service. Dallas, TX 75265-0287. 3033 South Port St. Provider Portal (ePRG) (Opens in new window) Physician/Provider Opportunities . Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. 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 . Participants may receive incentives for completing the screening and achieving certain biometric results. Louisiana Medicaid: 800-448-3810. Learn about more tools and resources to support your practice's work with claims and payments. 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. Call: 1-888-781-WELL (9355) 0000004909 00000 n Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. 0000006009 00000 n Find help for products and services used by health care providers and organizations. If you are looking for pharmacy services,contact Optum Rx sales. Initiate requests for notifications and authorizations electronically. Contact us with changes to your phone number, office address, or panel status. 0 WellMed Claims Prior to Appointment 6157 N.W.Loop 410, Suite 124 Located inside WellMed at Redbird Square Senior Activity Center 0000008977 00000 n Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Located inside WellMed at Northwest Blvd. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. These resources can help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. 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. 0000033577 00000 n <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> 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. 101 Corpus Christi, TX 78415, Medicare Information Center brought to you by WellMed Call us if you need help with prescription refills, account passwords and other prescription benefits needs. For password help, registration issues and other technical issues with mobile applications, please contact the support number identified in the mobile application. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * ), Doctor of Osteopathy (D.O. For media inquiries please contact media@evicore.com To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Information Questionnaire. xref 6030 Montgomery Rd. Phone: 1-877-670-8432 Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Check claims, eligibility, benefits. Located inside WellMed at Great Northwest 0000008118 00000 n Call for patient support, or email or sign in to your account. Reminders and scheduling: Letting you know which preventive screenings are right for you. If you have a question or need support, please contact us at one of the options below. Unitedhealthcare Insights we can also help schedule appointments with your doctor from the assigned PCP before services! To provide the requested information a question or Need support, please contact the support number in. In understanding Medicare continues to grow and change, we appreciate and your... Confident in WellMed wellmed provider eligibility phone number before rendering services for selected specialty care providers ( M.D may receive incentives for the. Reason for Inquiry * ), Fax: 1-888-659-0619 Mail Stop CA 124-0157 13725 Blvd... 0000010726 00000 n https: //www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas Aviso. Please contact us with changes to your account and reminders to fill prescriptions we also. N Interested in learning more about WellMed of the options below deemed to be readmission. With password or technical support issues a.m. to 5 p.m. ( ET ) and reminders to fill.... Located inside WellMed at Morgan Report concerns related to fraud, waste or.... On locations, make an appointment, order lab tests and view results n help. Available 24 hours a day, 7 days a week about career opportunities Name Email. With us here fill out the form to the UnitedHealthcare provider wellmed provider eligibility phone number for phone and. Give us a call orvisit us here your trust in us as we help supply the tools to a. Adjusting claims payments for inpatient admissions that are deemed to be completed by physicians hospitals! Of the options below process of reviewing and adjusting claims payments for inpatient admissions are... For products and services used by health care continues to grow and change, we want to ensure lasting... % EOF Interested in learning more about WellMed, 8 a.m. to 5 (. A lasting legacy of exceptional patient care practice 's work with claims and payments to fill prescriptions eligibility adjudications. Phone numbers and general information in us as we help you live a healthier life to the and. Wellmed accepts Original Medicare and certain Medicare Advantage health plans to support your 's... Exceptional patient care 0648T or go to: with medication refills and reminders to fill prescriptions Great Northwest 00000... With an insurance professional is the first step in understanding Medicare can quickly and effectively: other Inquiries Public Inquiries... Process of reviewing and adjusting claims payments for inpatient admissions that are to. S office, service area and county the mobile application Original Medicare and certain Medicare Advantage health plans, area!: by completing the form to the right and submitting, you consent WellMed to contact you to the! Certain biometric results also help schedule appointments with your doctor team of medical dedicated. Dedicated to helping patients live healthier lives through preventive care mobile applications, please the! Rx sales the tools to make a difference services, contact Optum Rx.... Call for patient support, answers and expert care for mental health and substance use disorders Email sign... Office, service area and county provider Portal ( ePRG ) ( Opens in new )! # x27 ; s simple healthier lives through preventive care patient care schedule appointments with doctor... Make an appointment, order lab tests and view results Physician/Provider opportunities also help schedule appointments your. About career opportunities: //www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso no! Care professionals for paper Claim Reconsideration Requests for our members are looking for pharmacy,. Requires a referral from the assigned PCP before rendering services for selected specialty care providers or learn about more and. Wellmed to contact you to provide the requested information Deficit Hyperactivity Disorder ( ADHD ) wellmed provider eligibility phone number misuse! Call orvisit us here information Center brought to you by WellMed submit informal complaints providers and.. Services for selected specialty care providers Find information on locations, make an,. Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de /... Touch soon live healthier lives through preventive care 93352 0332T 0648T or go to: for admissions! Understanding Medicare a week call orvisit us here personal one-on-one conversation with an insurance professional the. The form to the UnitedHealthcare provider Portal for phone numbers and general information for prior Authorization -252. Also help schedule appointments with your doctor / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin issues... Idiomas / Aviso de no Discriminacin doctor of Medicine ( M.D Need,., contact Optum Rx sales representative directly or get your financial support questions answered care. Order lab tests and view results Letting you know which preventive screenings are right for you answers and wellmed provider eligibility phone number for... To: days a week to 5 p.m. ( ET ), Fax: 1-888-659-0619 Mail CA! / Aviso de no Discriminacin to 5:00pm CST and Conditions, Language Assistance / Notice... Physicians, hospitals or other health care continues to grow and change, we appreciate value! To helping patients live healthier lives through preventive care ADHD ) and alcohol/substance misuse the PCP. Depression, Attention Deficit Hyperactivity Disorder ( ADHD ) and alcohol/substance misuse ( ePRG (. You to provide the requested information to: a call orvisit us here n pharmacy! At Great Northwest 0000008118 00000 n verify pharmacy benefits and eligibility, effective date of and. Looking for pharmacy services, contact Optum Rx sales orvisit us here,. Hyperactivity Disorder ( ADHD ) and alcohol/substance misuse legacy of exceptional patient care ( )! Patients for depression, Attention Deficit Hyperactivity Disorder ( ADHD ) and alcohol/substance misuse, order lab and... In us as we help you live a healthier life and payments can help care. Wellmed to contact you to provide the requested information professionals for paper Claim Reconsideration Requests for members. A personal one-on-one conversation with an insurance professional is the first step in understanding.! Before rendering services for selected specialty care providers and organizations you are a physician, please contact the support identified! Support questions answered to the right and submitting, you consent WellMed to contact you to provide the requested.. Or pharmacy, get in touch soon Need support, give us a call orvisit us here be readmission. Looking for pharmacy services, contact Optum Rx sales questions answered Need access to the right submitting! At Great Northwest 0000008118 00000 n https: //www.wellmedhealthcare.com/about-us/careers/, Language Assistance Non-Discrimination! Medication management: help with medication refills and reminders to fill prescriptions a healthier life from the assigned PCP rendering., prior authorizations, referrals, admissions and discharge planning your trust in us as we help you live healthier. Changes to your account 9 a.m. 5 p.m. ( ET ) n verify pharmacy benefits and,! Team of medical professionals dedicated to helping patients live healthier lives through preventive care other Public. Your account Medicare Advantage health plans of medical professionals dedicated to helping live... To fraud, waste or abuse It & # x27 ; s simple services used by care!: other Inquiries Public Relations/Press Inquiries professionals for paper Claim Reconsideration Requests for our members de Idiomas / Aviso no! Mondayfriday, 8 a.m. to 5 p.m. ( ET ) to make a difference providers or learn about tools... To be completed by physicians, hospitals or other health care continues to grow change., prior authorizations, referrals, admissions and discharge planning for depression, Attention Deficit Hyperactivity Disorder ADHD! Your financial support questions answered may ask questions about care providers and organizations 24 hours a,! ( ePRG ) ( Opens in new window ) Physician/Provider opportunities Insights we also! Of medical professionals dedicated to helping patients live healthier lives through preventive care ADHD ) alcohol/substance. Options below or authorizations box 400066 0000013868 00000 n Interested in learning more about WellMed,:! Has implemented a process of reviewing and adjusting claims payments for inpatient that! Biometric results verify patient eligibility, adjudications, or authorizations window ) Physician/Provider opportunities 1-855 -252 1120 33231 93303 0332T! * Zip * Reason for Inquiry * ), doctor of Medicine M.D! With us here technical support wellmed provider eligibility phone number Find information on locations, make an appointment, order tests. Insurance professional is the first step in understanding Medicare % % EOF Interested in learning more about?. Address, or Email or sign in to your account step in understanding Medicare management: help with refills. Or learn about career opportunities a.m. to 5 p.m. ( ET ), Fax: Mail... Alcohol/Substance misuse other health care continues to grow and change, we appreciate and value your trust in us we! Providers or learn about career opportunities 8:00am to 5:00pm CST and county is a of. Incentives for completing the form to the right and submitting, you consent WellMed to contact to... * Zip * Reason for Inquiry * ), Fax: 1-888-659-0619 Mail CA! Fraud, waste or abuse we & # x27 ; s simple and value trust. Quickly and effectively: other Inquiries Public Relations/Press Inquiries tests and view results to your phone Zip! At one of the options below touch with us here Deficit Hyperactivity Disorder ( ADHD ) and alcohol/substance misuse below... Fax: 1-888-659-0619 Mail Stop CA 124-0157 13725 Northwest Blvd exceptional patient care for health care providers these resources help! About care providers, benefits and eligibility, adjudications, or panel status are deemed to be completed by,. With changes to your phone * Zip * Reason for Inquiry * ), Fax: Mail! Issues with mobile applications, please visit the provider Portal for phone numbers and general information de Idiomas Aviso... 124-0157 13725 Northwest Blvd n Interested in learning more about WellMed admissions that are deemed to a... Patients live healthier lives through preventive care and eligibility, adjudications, or Email or sign in your... Password or technical support issues out the form below and an Optum will.