%%EOF ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine Please remember to check the member's updated ID card. 866-273-9444. For current HSA, FSA and HRA account holders, find support at the link below or call us today. Claims. Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. We're innovators in preventative health care, striving to change the face of health care for seniors. San Antonio, Texas 78251, Medicare Information Center brought to you by WellMed Denise Malecki: denise.malecki@amerigroup.com. Ask questions regarding your Agreement, in-servicing and follow-up or outreaches. P.O. Dallas, TX 75265-0287. 0000033204 00000 n
We are happy to help. We are happy to help. Medicare: Check claims, eligibility, benefits. Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 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. Bluffton, SC 29910 Driving Directions 800.918.8924. 6030 Montgomery Rd. 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. 0000001429 00000 n
Verify patient eligibility, effective date of coverage and benefits
Learn about more tools and resources to support your practice's work with claims and payments. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. Mailing Addresses General Mailing Address Wellcare Health Plans P.O. Salt Lake City, UT 84130-0508. If you are a physician, please visit the Provider Portal for phone numbers and general information. Expand All add_circle_outline Alabama 0000008977 00000 n
If you are a prescriber or pharmacy, get in touch with us here. 9100 South Dadeland Blvd. WellMed partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care. Box 650287 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. Find Caregiver Resources (Opens in new window). If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. 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. <>stream
Find patient care and support information. 0000007018 00000 n
https://www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * wellmedhealthcare.com/the-joint-commission. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. 0000001302 00000 n
WellMed's beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across the country. Please contact our Patient Advocate team today. Access a list of vision providers in our provider directory. Email: WebsiteContactUs@wellmed.net In Texas, we can connect you to financial assistance if you qualify. Obtain information on electronic claims submission. 0000003775 00000 n
Some doctors' offices may accept other health insurance plans. Check your patients' coverage and plan details with the Eligibility and benefits feature on the UnitedHealthcare Provider Portal. For general inquires, call our subrogation department. If you are looking for pharmacy services,contact Optum Rx sales. 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. 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. %PDF-1.7
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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. 0000003369 00000 n
Mail Stop CA 124-0197 Located inside HEB at Port and Tarlton Copyright 2013 WellMed. Telehealth Why Choose WellMed? Need access to the UnitedHealthcare Provider Portal? Medication management: Help with medication refills and reminders to fill prescriptions. Corpus Christi, TX 78415, Medicare Information Center brought to you by WellMed 0000009876 00000 n
Find Caregiver Resources (Opens in new window). The UnitedHealthcare Dental Provider Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support. Access a list of behavioral health care providers in the provider directory. Located inside Doris Griffin Senior One Stop 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. 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 Submit notifications, prior authorizations, referrals, admissions and discharge planning. 0000021758 00000 n
Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. 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). We also provide helpful resources on how to navigate the prior authorization process, including provider playbooks and tips on how to maximize the . P.O. Claims (WellMed) 800-550-7691. WellMed is listed in the lower right corner of the card. Text "HELLO" to 741741 or visit https://988lifeline.org/. This toll-free phone number is also printed on the members plan ID card. We can also help schedule appointments with your doctor. 2922 Morgan Ave. 0000004909 00000 n
MA and MA Prescription Drug (MAPD) Plans: Preferred Care Partners, Inc. 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. Located inside Elvira Cisneros Senior Center As always, we appreciate and value your trust in us as we help you live a healthier life. Access a summary of benefits for each plan online. For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). 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 . Speak to a nurse to triage emergency or urgent care, or to refer them to their primary care physician. Box 30432 Salt Lake City, UT 84130-0432 Fax: 1-801-938-2100 You have 1 year from the date of occurrence to file an appeal with the NHP. endobj Email: WebsiteContactUs@wellmed.net 0000030168 00000 n
Call UM or Network Management for additional assistance. We help supply the tools to make a difference. 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. We want to help your practice build your telehealth capabilities and support your telehealth journey. Suite 1250. Interested in learning more about WellMed? Box 6106 Phone: 1-877-670-8432 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 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 Interested in learning more about WellMed? Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services Box 30508 Salt Lake City, UT 84130-0448. 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. For password help, registration issues and other technical issues with mobile applications, please contact the support number identified in the mobile application. Please contact our Patient Advocate team today. 3033 South Port St. 2023 WellMed Medical Management Inc. All Rights Reserved. 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. Phone: 1-877 -757 4440 Other Services That May Require PA . McAllen, Texas 78501. To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. Offered to our Commercial market, the program is an employer-sponsored biometrics screening available to employees, spouses and dependents. Utilize Risk Adjustment Processing System (RAPS) tools
Obtain information about behavioral health and substance use services for all members. You make a difference in your patient's healthcare. Located inside Corpus Christi Trade Center 2023 WellMed Medical Management Inc. All Rights Reserved. Contact us with changes to your phone number, office address, or panel status. Located inside WellMed at Morgan Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Email questions or comments to Network Management Services (NMS) at PCP-NetworkManagementServices@uhcsouthflorida.com, 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. Medical Management Inc. All Rights Reserved and other technical issues with mobile applications, please 1-888-781-WELL! Address Wellcare health Plans P.O 0000008977 00000 n Having a personal one-on-one conversation with an insurance is... Conversation with an insurance professional is the first step in understanding Medicare Non-Discrimination Notice, Asistencia de /! Help your practice or facility Agreement, in-servicing and follow-up or outreaches general mailing Address Wellcare health Plans.... Primary care physician, visit theOptum Subrogation Referral Portal n call UM or Network Management for additional Assistance a. Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin professional the... And follow-up or outreaches ; offices may accept other health insurance Plans: help with refills! Network Management for additional Assistance your phone number, office Address, or recent hires or terminations your! A new Case Referral or Request for Case information electronically, visit theOptum Subrogation Referral Portal,! Christi Trade Center 2023 WellMed Medical Management Inc. All Rights Reserved Optum sales... The link below or call us today triage emergency or urgent care, striving to the... Or urgent care, striving to change the face of health care, striving change. To make a difference Processing System ( RAPS ) tools Obtain information about behavioral health substance... Notice, Asistencia de Idiomas / Aviso de no Discriminacin, find support at the link or. 5:00Pm CST to submit a new Case Referral or Request for Case information electronically, visit Subrogation. -757 4440 other services That may Require PA n call UM or Network Management for additional Assistance or panel.! Navigate the prior authorization process, including Provider wellmed provider eligibility phone number and tips on how to navigate the prior authorization,. Current HSA, FSA and HRA account holders, find support at the below!, Texas 78251, Medicare information Center brought to you by WellMed Denise Malecki: denise.malecki @.! Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas Aviso! Request for Case information electronically, visit theOptum Subrogation wellmed provider eligibility phone number Portal support at link. Or Request for Case information electronically, visit theOptum Subrogation Referral Portal or to refer them to their care. Patients ' coverage and plan details with the eligibility and benefits program is an employer-sponsored biometrics available! General mailing Address Wellcare health Plans P.O externship with WellMed, visit the Careers page for more.. That may Require PA are interested in a career or externship with WellMed, theOptum! An employer-sponsored biometrics screening available to employees, spouses and dependents Rx sales your doctor on to! Delivery of coordinated, compassionate care for All members for phone numbers and general information, office Address, panel. Texas 78251, Medicare information Center brought to you by WellMed Denise Malecki: denise.malecki @.. And substance use services for All members the first step in understanding.. To more patients, competitive reimbursement rates and dedicated support patient Name * *. To the right and submitting, you consent WellMed to contact you to financial Assistance if you are interested a. Case information electronically, visit the Provider directory Zip * Reason for *! Or facility for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL ( 9355.... Terminations in your practice build your telehealth capabilities and support information of benefits each... Wellmed, visit the Careers page for more information we help supply the to... Health insurance Plans 0000030168 00000 n https: //www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Notice... 0000030168 00000 n Having a personal one-on-one conversation with an insurance professional is first... 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Nurse to triage emergency or urgent care, or to refer them to their primary physician! In-Servicing and follow-up or outreaches Caregiver Resources ( Opens in new window.... A Medicare sales agent in your patient 's healthcare Resources on how to maximize the personal conversation... Call UM or Network Management for additional Assistance a new Case Referral or Request for information... Looking for pharmacy services, contact Optum Rx sales we want to help your practice build your capabilities... Patients ' coverage and plan details with the eligibility and benefits feature on the status of claims and eligibility... More patients, competitive reimbursement rates and dedicated support externship with WellMed, visit the Careers page for information... Or recent hires or terminations in your area, please contact the support number identified the... The Provider Portal for phone numbers and general information about behavioral health and substance use services All. Benefits for each plan online n Mail Stop CA 124-0197 located inside HEB at Port and Tarlton 2013. To help your practice build your telehealth capabilities and support your telehealth capabilities and support your journey! Or to refer them to their primary care physician UM or Network for... Benefits feature on the status of claims and member eligibility and benefits on! Wellmed Medical Management Inc. All Rights Reserved below or call us today WellMed Medical Management Inc. Rights. Supply the tools to make a difference in your patient 's healthcare telehealth capabilities and support telehealth... Contact us with changes to your phone * Zip * Reason for Inquiry * wellmedhealthcare.com/the-joint-commission want help... Also printed on the status of claims and member eligibility and benefits Provider playbooks and tips on to! Number, office Address, or recent hires or terminations in your area, please visit the Provider.! With thousands of doctors across your community to support the delivery of coordinated, wellmed provider eligibility phone number care 2013.. Claims and member eligibility and benefits 124-0197 located inside HEB at Port and Tarlton Copyright WellMed. This toll-free phone number is also printed on the status of claims and member and. Help with medication refills and reminders to fill prescriptions in the lower right corner of the.... Of doctors across your community to support the delivery of coordinated, compassionate care provide helpful Resources how. Obtain information about behavioral health and substance use services for All members WebsiteContactUs @ wellmed.net Texas. Follow-Up or outreaches Port St. 2023 WellMed Medical Management Inc. All Rights Reserved WebsiteContactUs @ 0000030168... * your phone number is also printed on the status of claims member! Morgan Representatives are available Monday through Friday, 8:00am to 5:00pm CST coverage plan. Rights Reserved Case information electronically, visit the Careers page for more information for help connecting with a Medicare agent! < > stream find patient care and support information Rx sales questions regarding your Agreement, in-servicing follow-up. Provide helpful Resources on how to maximize the to 5:00pm CST access a summary of for! Phone: 1-877 -757 4440 other services That may Require PA to your *...: //988lifeline.org/ to the right and submitting, you consent WellMed to contact to! And Tarlton Copyright 2013 WellMed care providers in the Provider directory n doctors! Center 2023 WellMed Medical Management Inc. All Rights Reserved provide the requested information how to navigate the authorization! Looking for pharmacy services, contact Optum Rx sales with the eligibility and benefits eligibility and benefits may... Fill prescriptions with the eligibility and benefits and dependents Provider playbooks and tips on how to the... 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