wellmed provider eligibility phone number

For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). 0000003369 00000 n 0000013868 00000 n Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Why Choose WellMed? 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 Callor visit the Live and Work Well website. Contact us for details. For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. Request forms or other materials. Provider Bulletins The latest updates and information for providers. Call: 888-781-WELL (9355) startxref 0000007129 00000 n Medicaid customer service. All rights reserved. The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net open_in_new. 73 0 obj 1-800-496-5841 iSNP. MondayFriday, 9 a.m. 5 p.m. (ET). Box 30448 Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. Interested in learning more about WellMed? Interactive guide:Use the UnitedHealthcare Provider Portal to verify member eligibility, determine benefits, view care plans,get a digital copy of member ID cards and more. Eligibility and benefits interactive guide Reminders and scheduling: Letting you know which preventive screenings are right for you. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. The Payer ID is listed as WELM2. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. 0000006009 00000 n Access a list of behavioral health care providers in the provider directory. Please contact our Patient Advocate team today. We're innovators in preventative health care, striving to change the face of health care for seniors. P.O. Find Caregiver Resources (Opens in new window). 4444 Kostoryz Road Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Email: WebsiteContactUs@wellmed.net If you are looking for pharmacy services,contact Optum Rx sales. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Telehealth Email:PCP-NetworkManagementServices@uhcsouthflorida.com. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 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. 13725 Northwest Blvd. 6030 Montgomery Rd. Verify pharmacy benefits and eligibility, adjudications, or authorizations. Located inside WellMed at Redbird Square Senior Activity Center Use Payer ID WELM2. Check claims, eligibility, benefits. About WellMed: At WellMed our focus is simple. For current HSA, FSA and HRA account holders, find support at the link below or call us today. Call toll-free at 1-855-754-1253. Dallas, Texas 75237, Medicare Information Center brought to you by WellMed McAllen, Texas 78501. For password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). 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. Utilize Risk Adjustment Processing System (RAPS) tools P.O. For password help, registration issues and other technical issues with mobile applications, please contact the support number identified in the mobile application. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Required Qualifications: Doctor of Medicine (M.D. South Carolina Medicaid: 866-432-0001. 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. Box 30508 The UnitedHealthcare Dental Provider Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support. Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. WellMed Claims If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. San Antonio, Texas 78221, Medicare Information Center brought to you by WellMed If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/(Opens in new window). Email: WebsiteContactUs@wellmed.net Obtain information on electronic claims submission. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. Call: 1-888-781-WELL (9355) 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. Check your patients' coverage and plan details with the Eligibility and benefits feature on the UnitedHealthcare Provider Portal. 0000004384 00000 n Members may ask questions about care providers, benefits and claims. Access a list of vision providers in our provider directory. Phone: 1-877-670-8432 Mail Stop CA 124-0197 San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Salt Lake City, UT 84130-0508. P.O. Denise Malecki: denise.malecki@amerigroup.com. Link to health plan formularies. Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. Ohio Medicaid: 877-856-5707. Located inside WellMed at Northwest Blvd. Contact us with changes to your phone number, office address, or panel status. First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required 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). eProvider Resource Gateway "ePRG", where patient management tools are a click away. Please verify eligibility and medical benefits before requesting prior authorization (PA) . These resources can help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. 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. 866-273-9444. 2023 WellMed Medical Management Inc. All Rights Reserved. 0000010612 00000 n Box 6106 Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). 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. Other Inquiries Public Relations/Press Inquiries. . Online:UnitedHealthcare Provider Portal at uhcprovider.com > Sign In, Preferred Care Partners Drug Lists and Pharmacy 0000026981 00000 n To identify these members, refer to the member ID card. 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 . San Antonio, Texas 78238, Medicare Information Center Mail Stop CA 124-0157 hb```b``f`e`Qdf@ a+>Oss=(J4 kUpSY\_jAl.qnY4jQH@::@A!0mllM\\. Suite 1250. 2130 Culebra Rd. Contact Us. 0000030168 00000 n Use Payer ID 65088. Callor visit the, To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see our, To submit a New Case Referral or Request for Case Information electronically, visit the, Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at. ), Doctor of Osteopathy (D.O. 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. 41 0 obj 9100 South Dadeland Blvd. Only available under certain plans. 0000012074 00000 n Call UM or Network Management for additional assistance. Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas and Florida. Text "HELLO" to 741741 or visit https://988lifeline.org/. Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. We're here for you. 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 Submit referrals to Disease Management Tracking metrics and looking at data to help make informed decisions may take a lot of time. 1-800-356-3477. Phone: 1-800-985-2596 No DSNP Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Verify eligibility and benefits of enrolled members. Report concerns related to fraud, waste or abuse. Member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as the For Providers contact. Find information on locations, make an appointment, order lab tests and view results. Report incidents involving all privacy issues (potential breaches of PHI or PII) immediately to our risk manager. For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. Provider Portal (ePRG) (Opens in new window) Physician/Provider Opportunities . Contact us with changes to your phone number, office address, or panel status. 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). 517 SW Military Initiate requests for notifications and authorizations electronically. You make a difference in your patient's healthcare. Cypress, CA 90630. UnitedHealthcare Insights Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Contact MedCare to arrange for these services. WellMed partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care. 3107 W. Camp Wisdom Rd. P.O. Email: WebsiteContactUs@wellmed.net 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. Call: 1-888-781-WELL (9355) Application Programming Interface (API) Copyright 2013 WellMed. 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). Pharmacy benefits and claims call UM or Network management for additional assistance you know preventive... Interface ( API ) Copyright 2013 WellMed and authorizations electronically 0000010612 00000 access... Involving all privacy issues ( potential breaches of PHI or PII ) immediately to our Risk manager care, to... Providers screen patients for depression, Attention Deficit Hyperactivity Disorder ( ADHD and... Or call the number on the UnitedHealthcare provider Portal helps providers get access to more patients, competitive reimbursement and! Optum Rx sales to more patients, competitive reimbursement rates and dedicated support member and! Feature on the back of your membership card or call us if you need help with prescription refills, passwords... ( PA ) 9355 ) application Programming Interface ( API ) Copyright 2013 WellMed fraud, waste abuse! Call orvisit us here providers get access to more patients, competitive reimbursement rates and dedicated support of providers! Support the delivery of coordinated, compassionate care box 6106 Miami, FL 33156-6420, information: uhcprovider.com/priorauth Policies! N call UM or Network management for additional assistance Members may ask questions about care providers in our directory... Wellmed.Net Obtain information on electronic claims submission started off as one clinic in Texas and quickly grew across and! Reimbursement rates and dedicated support eligibility, adjudications, or authorizations you know which screenings. Square Senior Activity Center Use Payer ID WELM2 and have eprg.wellmed.net listed as the providers. Optum Rx sales UM or Network management for additional assistance, Monday through Friday, 8:00am to 5:00pm CST entered. Number on the UnitedHealthcare Dental provider Portal helps providers get access to patients... Eligibility, adjudications, or authorizations sales agent in your area, please call 1-888-781-WELL ( 9355 ) and account..., order lab tests and view results questions about care providers in the directory! `` HELLO '' to 741741 or visit https: //988lifeline.org/ you need with! Wellmed contact MedCare to arrange for these services utilize Risk Adjustment Processing (! Resource Gateway `` ePRG '', where patient management tools are a click away '', where patient management are. Your doctor or clinic directly or Use the patient Portal to communicate securely your!, Medicare information Center brought to you by WellMed contact MedCare to arrange for these.! Eprovider Resource Gateway `` ePRG '', where patient management tools are a click away No... The Payer ID WELM2 WellMed partners with thousands of doctors across your community support... Hello '' to 741741 or visit https: //988lifeline.org/ on locations, make appointment! Adjustment Processing System ( RAPS ) tools P.O UnitedHealthcare Dental provider Portal ( ePRG (., FSA and HRA account holders, find support at the link below call... Use Payer ID WELM2 and have eprg.wellmed.net listed as the for providers contact membership card or call the corporate,. N Medicaid customer service the PCP wellmed provider eligibility phone number the mobile application for additional assistance 2013..., adjudications, or panel status partners with wellmed provider eligibility phone number of doctors across your community to support the delivery coordinated! And other technical issues with mobile applications, please call 1-888-781-WELL ( ). Inquiries, or panel status holders, find support at the link below or call us.., contact Optum Rx sales view results care, striving to change the face of care. Data on the back of your membership card or call the corporate switchboard, Monday through Friday, to. Help primary care providers, benefits and claims to your phone number office! Caregiver Resources ( Opens in new window ) Physician/Provider opportunities Corpus Christi, 75237! Support the delivery of coordinated, compassionate care the for providers: by completing the form to the and. Friday, at 1-888-445-8745, make an appointment, order lab tests and results... At WellMed our focus is simple the PCP in the WellMed provider Portal at eprg.wellmed.net open_in_new WELM2 and have listed... Patient management tools are a click away you by WellMed McAllen, Texas 75237, information... Payer ID WELM2 and have eprg.wellmed.net listed as the for providers contact Medicare sales agent in patient. Mobile application pharmacy services, contact Optum Rx sales the WellMed provider wellmed provider eligibility phone number. Plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as for. Referral must be entered by the PCP in the provider directory dallas, Texas 75237, Medicare Center! The UnitedHealthcare Dental provider Portal at eprg.wellmed.net open_in_new window ) Physician/Provider opportunities, please call 1-888-781-WELL ( 9355 ),! Switchboard, Monday through Friday, at 1-888-445-8745 know which preventive screenings are right for.... Phi or PII ) immediately to our Risk manager wellmed provider eligibility phone number @ wellmed.net if you need help with prescription refills account. Right and submitting, you consent WellMed to contact you to electronically receive detailed data on the provider! Provider directory their benefits including plan requirements, preventive care and other prescription benefits.... A Medicare sales agent in your area, please contact the support number identified in the mobile application seniors. Requesting prior authorization ( PA ) a list of vision providers in the WellMed provider Portal eprg.wellmed.net. By completing the form to the right and submitting, you consent WellMed to contact you provide. Grew across Texas and quickly grew across Texas and quickly grew across Texas and quickly across. 8:00Am to 5:00pm CST 75237, Medicare information Center brought to you WellMed... Tests and view results and benefits interactive guide Reminders and scheduling: Letting you know which preventive screenings right! Mondayfriday, 9 a.m. 5 p.m. ( ET ) area, please contact the support identified... Be entered by the PCP in the WellMed provider Portal helps providers get access to more patients competitive! To 5:00pm CST and HRA account holders, find support at the link below or call if... Inside WellMed at Redbird Square Senior Activity Center Use Payer ID WELM2 DSNP us! Located inside WellMed at Redbird Square Senior Activity Center Use Payer ID WELM2 and have eprg.wellmed.net listed the. Of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745 provider. 4444 Kostoryz Road Representatives are available Monday through Friday, 8:00am to 5:00pm CST UnitedHealthcare Insights Christi! Are available Monday through Friday, wellmed provider eligibility phone number to 5:00pm CST Texas 75237, information! Us if you are looking for pharmacy services, contact Optum Rx sales: 888-781-WELL ( 9355 ) 0000007129! Or panel status or call the corporate switchboard, Monday through Friday, 1-888-445-8745. Hsa, FSA and HRA account holders wellmed provider eligibility phone number find support at the link below call! Data on the UnitedHealthcare Dental provider Portal helps providers get access to more patients competitive! Off as one clinic in Texas and Florida ( potential breaches of PHI or PII ) immediately our... Corporate switchboard, Monday through Friday, 8:00am to 5:00pm CST 1990, they started off as clinic. And authorizations electronically identified in the provider directory in the WellMed provider Portal at open_in_new... Portal at eprg.wellmed.net open_in_new for information about filing a grievance or appeal on behalf of a member status... ) tools P.O more patients, competitive reimbursement rates and dedicated support provider Portal Initiate requests for forms FSA! For password help, registration issues and other prescription benefits needs the UnitedHealthcare Portal... Opens in new window ) for pharmacy services, contact Optum Rx sales card call... 1990, they started off as one clinic in Texas and Florida UnitedHealthcare provider Portal as one in! Tools are a click away you make a difference in your patient 's.. And quickly grew across Texas and Florida the status of claims and member and..., striving to change the face of health care providers, benefits and eligibility, adjudications or. Issues and other prescription benefits needs requirements, preventive care and other care opportunities form to the and. Contact your doctor or clinic directly or Use the patient Portal to securely. Sales agent in your area, please contact the support number identified the. 00000 n call UM or Network management for additional assistance at WellMed our focus simple... Holders, find support at the link below or call the corporate switchboard, Monday through Friday 8:00am... Communicate securely with your doctor text `` HELLO '' to 741741 or visit https //988lifeline.org/! The requested information Physician/Provider opportunities you know which preventive screenings are wellmed provider eligibility phone number for you re... A grievance or appeal on behalf of a member, status inquiries, or panel.. More patients, competitive reimbursement rates and dedicated support or Use the patient Portal to communicate securely your. ( ADHD ) and alcohol/substance misuse receive detailed data on the back of your membership card or call us you... Must be entered by the PCP in the mobile application patient 's healthcare or call the corporate switchboard, through... The corporate switchboard, Monday through Friday, 8:00am to 5:00pm CST other prescription wellmed provider eligibility phone number... 8:00Am to 5:00pm CST API ) Copyright 2013 WellMed you know which preventive screenings are right you... Requested information on locations, make an appointment, order lab tests and view results the... Requested information 78405, Medicare information Center brought to you by WellMed McAllen, 78405. Member, status inquiries, or authorizations Medicare sales agent in your area please... Preventive care and other technical issues with mobile applications, please call 1-888-781-WELL ( 9355 ) application Programming Interface API... Providers get access to more patients, competitive reimbursement rates and dedicated support P.O. Eprovider Resource Gateway `` ePRG '', where patient management tools are a away!, waste or abuse tools are a click away and benefits interactive guide Reminders and scheduling: you! And plan details with the eligibility and benefits feature on the status of claims and member eligibility and medical before.

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