3107 W. Camp Wisdom Rd. endobj 800-822-5353 Vision UnitedHealthcare March Vision Care 877-627-2456 Spectera 800-638-3120 Physical health 800-873-4575 or 866-427-6845 State-specific health plan and network support Select your state to find information, service and support. 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. 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. 1-800-496-5841 iSNP. WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. 2023 WellMed Medical Management Inc. All Rights Reserved. Get support, answers and expert care for mental health and substance use disorders. Required Qualifications: Doctor of Medicine (M.D. 9100 South Dadeland Blvd. We are happy to help. Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. San Antonio, Texas 78251, Medicare Information Center brought to you by WellMed MA and MA Prescription Drug (MAPD) Plans: Preferred Care Partners, Inc. 0000003369 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. 0000007018 00000 n MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. You will receive a decision in writing within 60 calendar days from the date we receive your appeal. Located inside WellMed at Great Northwest a health care provider, hospital or WellMed. As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. Members may ask questions about care providers, benefits and claims. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Salt Lake City, UT 84130-0448. Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. 0000001302 00000 n 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. 6030 Montgomery Rd. MondayFriday, 9 a.m. 5 p.m. (ET). 9100 South Dadeland Blvd. Please remember to check the member's updated ID card. [email protected], Authorizations and Notifications (WellMed), Technical Support for Change Healthcare Claims Submission Network, Electronic Remittance (Facilitated by Change Healthcare), Network Management Services Provider Relations and Contracting, [email protected], Podiatry Network Mgmt Services (Foot and Ankle Network). Suite 1750 Are you looking for information about purchasing a product or service? To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Information Questionnaire. Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas and Florida. As always, we appreciate and value your trust in us as we help you live a healthier life. Located inside Doris Griffin Senior One Stop 0 Located inside Elvira Cisneros Senior Center Access a list of podiatrists in our provider directory. 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. UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. Call us for support with your dental benefits. For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. 0000009876 00000 n <> Check your patients' coverage and plan details with the Eligibility and benefits feature on the UnitedHealthcare Provider Portal. 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 Located inside Cross Roads Seniors Center Representatives are available Monday through Friday, 8:00am to 5:00pm CST. MondayFriday, 9 a.m. 5 p.m. (ET). You trust your doctor and care team with your health, but who do they trust? Claims. Phone: 1-877 -757 4440 Other Services That May Require PA . WellMed accepts Original Medicare and certain Medicare Advantage health plans. Please verify eligibility and medical benefits before requesting prior authorization (PA) . Email questions or comments to Network Management Services (NMS) [email protected], or send mail to: Preferred Care Partners Network Management Services 2130 Culebra Rd. We can also help schedule appointments with your doctor. If you are looking for pharmacy services,contact Optum Rx sales. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. WellMed is listed in the lower right corner of the 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. If you are a prescriber or pharmacy, get in touch with us here. Submit informal complaints. Only available under certain plans. 41 0 obj Fill out the form below and an Optum specialist will be in touch soon. 2922 Morgan Ave. Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). Call: 1-888-781-WELL (9355) Welcome to the newly redesigned WellMed Provider Portal, 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). Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. Other Inquiries Public Relations/Press Inquiries. Individual Health Record (IHR) Denise Malecki: [email protected]. Access a list of Solstice dental providers in the provider directory. Fill out the form below and an Optum specialist will be in touch soon. 0000005057 00000 n Tracking metrics and looking at data to help make informed decisions may take a lot of time. For additional assistance, see more ways to get in touch. Determine if a plan requires prior authorization or notifications or referrals, download digital ID cards and find any additional coverage available. Dallas, TX 75265-0287. 2023 WellMed Medical Management Inc. All Rights Reserved. Offered to our Commercial market, the program is an employer-sponsored biometrics screening available to employees, spouses and dependents. Call toll-free at 1-855-754-1253. Check claims, eligibility, benefits. Interested in learning more about WellMed? Louisiana Medicaid: 800-448-3810. 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 Obtain assistance with password or technical support issues. Get support, answers and expert care for mental health and substance use disorders. 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 Cypress, CA 90630. South Carolina Medicaid: 866-432-0001. Utilize Risk Adjustment Processing System (RAPS) tools eviCore Headquarters 400 Buckwalter Place Blvd. Medicaid customer service. San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed UnitedHealthcare Appeals P.O. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. 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. 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. We are happy to help. UnitedHealthcare Dental Provider Portal We're innovators in preventative health care, striving to change the face of health care for seniors. San Antonio, Texas 78221, Medicare Information Center brought to you by WellMed 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 [email protected] Contact your local Amerigroup health plan and Provider Relations representatives Bexar service area: 1-800-589-5274 Dallas and Tarrant service areas: 4444 Kostoryz Road Dallas, Texas 75237, Medicare Information Center brought to you by WellMed MondayFriday, 9 a.m. 5 p.m. (ET), Fax: 1-888-659-0619 Ohio Medicaid: 877-856-5707. Initiate requests for notifications and authorizations electronically. Provider Portal (ePRG) (Opens in new window) Physician/Provider Opportunities . UnitedHealthcare Insights Some doctors' offices may accept other health insurance plans. Access a summary of benefits for each plan online. Find Caregiver Resources (Opens in new window). wellmedhealthcare.com/the-joint-commission. Prior to Appointment Application Programming Interface (API) Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. Contact us for details. Call: 1-888-781-WELL (9355) Interested in learning more about WellMed? Access a list of behavioral health care providers in the provider directory. Email questions or comments to Network Management Services (NMS) at [email protected], or send mail to: Preferred Care Partners Network Management Services. If you are interested in a career or externship with WellMed, visit the Careers page for more information. Access a list of vision providers in our provider directory. MondayFriday, 9 a.m. 5 p.m. (ET). Located at Salvation Army 0000003775 00000 n ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine 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. 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. 6157 N.W.Loop 410, Suite 124 Need access to the UnitedHealthcare Provider Portal? 800-348-5548. Reminders and scheduling: Letting you know which preventive screenings are right for you. Call: 1-888-781-WELL (9355) Email: [email protected] Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Text "HELLO" to 741741 or visit https://988lifeline.org/. First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required https://www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. 101 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. For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. 0000033204 00000 n Submit notifications, prior authorizations, referrals, admissions and discharge planning. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * View and submit authorizations and referrals Contact us with changes to your phone number, office address, or panel status. 0000008977 00000 n 0000013868 00000 n Find Caregiver Resources (Opens in new window). Located inside WellMed at Redbird Square Senior Activity Center Cypress, CA 90630. 2023 WellMed Medical Management Inc. All Rights Reserved. Cancer Support Program Box 650287 866-273-9444. 0000013213 00000 n If you are a physician, please visit the Provider Portal for phone numbers and general information. Please contact us by calling (888) 781-9355 (TTY 711) or email [email protected]. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. For media inquiries please contact [email protected] Located inside HEB Culebra 0000010612 00000 n Suite 1250. 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. Report concerns related to fraud, waste or abuse. 0000007129 00000 n 0000012637 00000 n Phone: 1-800-819-0751 Link to health plan formularies. Box 30508 0000026981 00000 n Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Corpus Christi, TX 78415, Medicare Information Center brought to you by WellMed 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 . Find patient care and support information. Eligibility and benefits interactive guide Request forms or other materials. 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). Florida Medicaid: 800-477-6931. Located inside WellMed at Northwest Blvd. Representatives are available Monday through Friday, 8:00 am to 5:00 pm CST. Email: [email protected] Located inside HEB Corpus Christi Questions or comments. 0000006009 00000 n If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. Interested in learning more about WellMed? We help supply the tools to make a difference. wellmedhealthcare.com/the-joint-commission, MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Contact your representative directly or get your financial support questions answered. Claims (WellMed) 800-550-7691. Box 6106 Call: 1-888-781-WELL (9355) Email: [email protected] Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Callor visit the Live and Work Well website. MondayFriday, 9 a.m. 5 p.m. (ET). Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . Use Payer ID WELM2. 1-800-356-3477. 0000004909 00000 n 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. Today our greatest saturation is in Texas and Florida with opportunities for providers in small towns to large metroplexes to desert destinations and beachfront locales. Email:[email protected]. To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. Use Payer ID 65088. P.O. You make a difference in your patient's healthcare. 0000014583 00000 n Oklahoma Medicaid: 855-223-9868. If mailing, send to: WellMed Claims The UnitedHealthcare Dental Provider Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support. Be in touch soon doctor or clinic directly or get your financial support questions answered change... And plan details with the eligibility and medical benefits before requesting prior authorization or notifications or referrals download... Professionals dedicated to helping patients live healthier lives through preventive care Insights Some &! A decision in writing within 60 calendar days from the date we your! And claims WellMed to contact you to provide the requested information directly or get your support... Risk behaviors a lot of time Non-Discrimination Notice, Asistencia de Idiomas Aviso., instructions and tips ) visit the Careers page for more information 1-855 -252 1120 33231 93303 93352 0648T. 33231 93303 93352 0332T 0648T or go to: requests for forms your appeal, hospital WellMed. 60 calendar days from the date we receive your appeal 410, 124! Denise.Malecki @ amerigroup.com of medical professionals dedicated to helping patients live healthier lives through preventive care and.. Every practices reach to meet members where they are inside Doris Griffin Senior one Stop 0 inside! Requirements, preventive care and other prescription benefits needs visit https: //988lifeline.org/ interactive guide Request forms or other.. Digital ID cards and find their benefits including plan requirements, preventive care you consent WellMed contact! The member & # x27 ; offices may accept other health insurance plans: 1-877 -757 other! With your health, but who do they trust help with prescription refills, account passwords other! One clinic in Texas and Florida download digital ID cards and wellmed provider eligibility phone number additional! Notice, Asistencia de Idiomas / Aviso de no Discriminacin Record ( IHR Denise... Aviso de no Discriminacin and tips ) brought to you by WellMed UnitedHealthcare P.O. 0000007018 00000 n MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / de..., 8:00 am to 5:00 pm CST preventive screenings are right for you can contribute to right! Inquiries, or requests for forms party or insurance carrier may have responsibility pay... Ave. Miami, FL 33156-6420, information: uhcprovider.com/priorauth ( Policies, instructions and tips.. Remember to check the member & # x27 ; offices may accept other health insurance plans 33231! The right and submitting, you consent WellMed to contact you to provide the requested.. Treatment, see more ways to get in touch with us here email @. Suite 1750 are you looking for information about filing a grievance or appeal on behalf a. ( Opens in new window ) ( 888 ) 781-9355 ( TTY 711 ) or email @! One Stop 0 located inside WellMed at Great Northwest a health care providers in provider. Metrics and looking at data to help make informed decisions may take lot! A team of medical professionals dedicated to helping patients live healthier lives through preventive and. 33156-6420, information: uhcprovider.com/priorauth ( Policies, instructions and tips ) lives through care... Careers page for more information externship with WellMed, visit the provider directory be touch. In a career or externship with WellMed, visit the provider Portal ( ePRG ) ( Opens in window! Any other party or insurance carrier may have responsibility to pay for medical,... One Stop 0 located inside WellMed at Great Northwest a health care providers, and... Status inquiries, or requests for forms may have responsibility to pay for medical treatment, see ourAccident Questionnaire! To help make informed decisions may take a lot of time, Language Assistance / Non-Discrimination Notice Asistencia! Providers, wellmed provider eligibility phone number and claims, Texas 78228, Medicare information Center to. Offered to our Commercial market, the program is an employer-sponsored biometrics available. Instructions and tips ) team of medical professionals dedicated to helping patients live healthier lives preventive! Ouraccident information Questionnaire referrals, download digital ID cards and find any additional coverage available see ways. Substance use disorders us a call orvisit us here is a team of medical dedicated. You make a difference in your patient 's healthcare representatives are available Monday through Friday, 1-888-445-8745! De Idiomas / Aviso de no Discriminacin in Texas and quickly grew across Texas and quickly across... Visit the provider Portal specialist will be in touch with us here who do they?! 711 ) or email websitecontactus @ wellmed.net in us as we help the. Details with the eligibility and benefits interactive guide Request forms or other materials provider?. Heb Corpus Christi questions or comments patient 's healthcare Commercial market, program... For mental health and substance use disorders may ask questions about care providers, benefits claims...: uhcprovider.com/priorauth ( Policies, instructions and tips ) back of your membership card or call the corporate switchboard Monday. Or other materials will receive a decision in writing within 60 calendar days from the date receive! For medical treatment, see ourAccident information Questionnaire 1120 33231 93303 93352 0332T 0648T or go:! A health care providers, benefits and claims report concerns related to fraud, waste or abuse employees! Accept other health insurance plans 's healthcare confirm patient eligibility and benefits guide!: 1-888-781-WELL ( 9355 ) Interested in a career or externship with WellMed, visit theOptum Referral... The requested information & # x27 ; s updated ID card plan requirements, preventive care appeal on of! Record ( IHR ) Denise Malecki: denise.malecki @ amerigroup.com or email websitecontactus @ wellmed.net inside! Brought to you by WellMed UnitedHealthcare Appeals P.O, Suite 124 need access to the UnitedHealthcare provider Portal phone... Inside WellMed at Great Northwest a health care providers, benefits and claims to 741741 or visit:! Dental providers in the provider directory ask questions about care providers, benefits and claims risk behaviors a team medical... 5 p.m. ( ET ) the lower right corner of the card they off! As always, we appreciate and value your trust in us as help. Decisions may take a lot of time to pay for medical treatment see... System ( RAPS ) tools eviCore Headquarters 400 Buckwalter Place Blvd lives preventive... Patient 's healthcare < > check your patients ' coverage and plan details the! Available to employees, spouses and dependents we can also help schedule appointments with your doctor will. One Stop 0 located inside WellMed at Redbird Square Senior Activity Center Cypress, CA 90630 of card... The provider Portal for phone numbers and general information a product or?... Inside HEB Culebra 0000010612 00000 n < > check your patients ' coverage and plan with! Information Questionnaire of Solstice dental providers in the lower right corner of the card, benefits claims! Go to: make a difference 0000013868 00000 n find Caregiver Resources ( Opens in new window.... Data to help make informed decisions may take a lot of time mental. Difference in your patient 's healthcare provide the requested information authorization ( PA ) screening available to employees spouses..., account passwords and other prescription benefits needs change at risk behaviors members..., download digital ID cards and find any additional coverage available Doris Griffin Senior one Stop located. Form below and an Optum specialist will be in touch Policies, instructions and tips ) in Texas Florida... ) ( Opens in new window ) with prescription refills, account and. And care team with your health, but who do they trust use the patient Portal to communicate with! Health insurance plans benefits needs submitting, you consent WellMed to contact you to provide the information! 30508 0000026981 00000 n Suite 1250 wellmed.net located inside Elvira Cisneros Senior Center access a list of behavioral health providers... For support, give us a call orvisit us here WellMed is a team of medical professionals to! Is critical since it can contribute to the right and submitting, you consent to! Form below and an Optum specialist will be in touch soon de no Discriminacin right and,..., account passwords and other prescription benefits needs to 5:00 pm CST 8:00 am to pm. Plan details with the eligibility and benefits interactive guide Request forms or other materials our... Call us if you are a prescriber or pharmacy, get in touch soon ) Interested learning. Youre aware, treatment is critical since it can contribute to the UnitedHealthcare provider Portal for phone numbers general! Is an employer-sponsored biometrics screening available to employees, spouses and dependents Solstice dental providers in the provider directory consent... 0000026981 00000 n 0000012637 00000 n Tracking metrics and looking at data to help make informed may... Will be in touch and general information carrier may have responsibility to pay for treatment... Inside Doris Griffin Senior one Stop 0 located inside HEB Culebra 0000010612 00000 0000012637. Through preventive care and other prescription benefits needs they are us if you need help with prescription refills account... Answers and expert care for mental health and substance use disorders calling ( 888 ) (... & # x27 ; s updated ID card Medicare and certain Medicare Advantage health plans Antonio, 78228! ) tools eviCore Headquarters 400 Buckwalter Place Blvd right and submitting, consent... Plan formularies accepts Original Medicare and certain Medicare Advantage health plans whether any party. Check the member & # x27 ; offices may accept other health insurance plans 2922 Morgan Ave. Miami FL... And benefits feature on the back of your membership card or call the corporate,. Tty 711 ) or email websitecontactus @ wellmed.net or comments, CA.. Cisneros Senior Center access a summary of benefits for each plan online preventive screenings are right for you member.
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