Call UM or Network Management for additional assistance. 0000033204 00000 n 4444 Kostoryz Road 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. WellMed's beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across the country. 0000005022 00000 n Suite 1750 Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention Available 24 hours a day, 7 days a week. Use Payer ID 65088. For general inquires, call our subrogation department. 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. Dallas, TX 75265-0287. Visit a location today or contact us for more information. <>stream P.O. If you are a physician, please visit the Provider Portal for phone numbers and general information. UnitedHealthcare Appeals P.O. Call for patient support, or email or sign in to your account. Obtain information about behavioral health and substance use services for all members. Please contact our Patient Advocate team today. Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed 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. 2922 Morgan Ave. Email: WebsiteContactUs@wellmed.net Telehealth. Find Caregiver Resources (Opens in new window). Email: WebsiteContactUs@wellmed.net Learn about more tools and resources to support your practice's work with claims and payments. Box 30508 2023 WellMed Medical Management Inc. All Rights Reserved. Expand All add_circle_outline Alabama P.O. hb```b``f`e`Qdf@ a+>Oss=(J4 kUpSY\_jAl.qnY4jQH@::@A!0mllM\\. 2130 Culebra Rd. Florida Medicaid: 800-477-6931. MondayFriday, 9 a.m. 5 p.m. (ET). Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed We're confident in WellMed. UnitedHealthcare Insights For password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 San Antonio, Texas 78221, Medicare Information Center brought to you by WellMed For password help, registration issues and other technical issues with mobile applications, please contact the support number identified in the mobile application. Maternity Support for UnitedHealthcare Community Plan Members Buddy Castellano: buddy.castellano@anthem.com View claims status Cypress, CA 90630. Copyright 2013 WellMed. Medicare: As always, we appreciate and value your trust in us as we help you live a healthier life. 0000014583 00000 n 0000021758 00000 n We are happy to help. For media inquiries please contact media@evicore.com Link to health plan formularies. Member Services available 24 hours. 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. Suite 1250. 866-273-9444. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. 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 Callor visit the Live and Work Well website. UnitedHealthcare Dental Provider Portal Hours of operation: 8 a.m to 7 p.m. Eastern time, Monday through Friday. 9100 South Dadeland Blvd. Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. 3107 W. Camp Wisdom Rd. Mail Stop CA 124-0157 Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Worksite Wellness Health Screening In Texas, we can connect you to financial assistance if you qualify. Now you can quickly and effectively: Verify patient eligibility, effective date of coverage and benefits View and submit authorizations and referrals View claims status Submit referrals to . Corpus Christi, TX 78415, Medicare Information Center brought to you by WellMed 0000006009 00000 n UnitedHealthcare Insights helps you make them more easily with a single, unified tool for reviewing and acting on UnitedHealthcare data, all in one place. For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. 3033 South Port St. 1-800-356-3477. Reminders and scheduling: Letting you know which preventive screenings are right for you. Find patient care and support information. 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. See pharmacy benefit updates. 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). Medication management: Help with medication refills and reminders to fill prescriptions. Reconsideration Form Find information on locations, make an appointment, order lab tests and view results. MondayFriday, 9 a.m. 5 p.m. (ET). Box 30448 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. 1301 E. Fern Ave. Suite C1 %PDF-1.7 % 0000013213 00000 n 0000005057 00000 n 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. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 0000008977 00000 n Miami, FL 33156-6420. Bluffton, SC 29910 Driving Directions 800.918.8924. Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed Find Caregiver Resources (Opens in new window). For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. Contact us for details. Find support and resources for health care providers or learn about career opportunities. MondayFriday, 9 a.m. 5 p.m. (ET). Located inside WellMed at Northwest Blvd. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Call: 1-888-781-WELL (9355) Check claims, eligibility, benefits. For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. Medicare: 9100 South Dadeland Blvd. eviCore Headquarters 400 Buckwalter Place Blvd. What is Medical Billing and Medical Billing process steps in USA? If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. Some doctors' offices may accept other health insurance plans. Why Choose WellMed? . 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. Located inside WellMed at Redbird Square Senior Activity Center Get information and register for electronic payment services. Submit notifications, prior authorizations, referrals, admissions and discharge planning. Eligibility and Benefits Verifications. 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. 0000010726 00000 n Contact Us. We want to help your practice build your telehealth capabilities and support your telehealth journey. 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. 0000001429 00000 n P.O. Located inside HEB Corpus Christi We are happy to help. 0000010612 00000 n Denise Malecki: denise.malecki@amerigroup.com. Need access to the UnitedHealthcare Provider Portal? 0000013868 00000 n 101 Initiate requests for notifications and authorizations electronically. Call: 1-888-781-WELL (9355) 0000001302 00000 n 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 San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed Located inside WellMed at Great Northwest Please contact our Patient Advocate team today. Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. Speak to a nurse to triage emergency or urgent care, or to refer them to their primary care physician. If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. Salt Lake City, UT 84130-0448. 5042 South Padre Island Dr. You make a difference in your patient's healthcare. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Box 6106 Report incidents involving all privacy issues (potential breaches of PHI or PII) immediately to our risk manager. MA and MA Prescription Drug (MAPD) Plans: Preferred Care Partners, Inc. San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed Required Qualifications: Doctor of Medicine (M.D. Request forms or other materials. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Eligibility and benefits interactive guide 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. Cypress, CA 90630. Call: 1-888-781-WELL (9355) Only available under certain plans. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 1-888-781-WELL (9355) Language Assistance / Non-Discrimination Notice; Asistencia de Idiomas / Aviso de no Discriminacin; / 2023 WellMed Medical Management Inc. 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. 2023 WellMed Medical Management Inc. All Rights Reserved. Other Inquiries Public Relations/Press Inquiries. <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> P.O. Cancer Therapy Pathways Program Phone: 1-877 -757 4440 Other Services That May Require PA . Email: WebsiteContactUs@wellmed.net 41 33 0000007018 00000 n Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Representatives are available Monday through Friday, 8:00am to 5:00pm CST. trailer Utilize Risk Adjustment Processing System (RAPS) tools McAllen, Texas 78501. Provider Bulletins The latest updates and information for providers. Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? Medicaid customer service. Dallas, Texas 75237, Medicare Information Center brought to you by WellMed 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. 6030 Montgomery Rd. 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. Interested in learning more about WellMed? 0000002896 00000 n ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine 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). Interested in learning more about WellMed? xref WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Drug Lists and Pharmacy 2023 WellMed Medical Management Inc. All Rights Reserved. WellMed is a nationally recognized health care provider that focuses on valuable preventive care services to help you feel your best. Report demographic changes. If the request cannot be completed electronically, our staff is available to answer questions or discuss any issues with referrals, prior authorizations, case management, concurrent review and admission certification or notification. For additional assistance, see more ways to get in touch. 41 0 obj Verify eligibility and benefits of enrolled members. Located at Salvation Army 800-348-5548. 0000026981 00000 n Email:PCP-NetworkManagementServices@uhcsouthflorida.com. Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . 0000017231 00000 n 0000005482 00000 n Located inside WellMed at Morgan The UnitedHealthcare Dental Provider Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support. Contact us with changes to your phone number, office address, or panel status. 0000011608 00000 n P.O. MondayFriday, 9 a.m. 5 p.m. (ET). 8353 Culebra Road, Ste. https://www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Illinois Medicaid: 800-787-3311. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Ohio Medicaid: 877-856-5707. Offered to our Commercial market, the program is an employer-sponsored biometrics screening available to employees, spouses and dependents. WellMed Claims Located inside Elvira Cisneros Senior Center Access a summary of benefits for each plan online. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. 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. Louisiana Medicaid: 800-448-3810. Telehealth If you have a question or need support, please contact us at one of the options below. Claims. Please contact our Patient Advocate team today. We also provide helpful resources on how to navigate the prior authorization process, including provider playbooks and tips on how to maximize the . Ask questions regarding your Agreement, in-servicing and follow-up or outreaches. Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. 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. 0000003775 00000 n First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required We're innovators in preventative health care, striving to change the face of health care for seniors. Phone: 1-800-963-6495 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 . 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. Claims (WellMed) 800-550-7691. %%EOF Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. South Carolina Medicaid: 866-432-0001. As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. Get support, answers and expert care for mental health and substance use disorders. 0000000016 00000 n Verify pharmacy benefits and eligibility, adjudications, or authorizations. 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 Contact your representative directly or get your financial support questions answered. Participants may receive incentives for completing the screening and achieving certain biometric results. This toll-free phone number is also printed on the members plan ID card. Located inside Doris Griffin Senior One Stop Phone: 1-888-774-7772 517 SW Military We can also help schedule appointments with your doctor. Submit informal complaints. Interested in learning more about WellMed? Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * 0000004384 00000 n These resources can help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. P.O. 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. Welcome to the newly redesigned WellMed Provider Portal, 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. View and submit authorizations and referrals 2023 UnitedHealthcare | All Rights Reserved, Eligibility and Benefits Resources for Providers, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources, Eligibility and benefits interactive guide, Maternity Support for UnitedHealthcare Community Plan Members. Tracking metrics and looking at data to help make informed decisions may take a lot of time. If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. Optum Rx customer service. Located inside HEB at Port and Tarlton Use Payer ID WELM2. 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. Check your patients' coverage and plan details with the Eligibility and benefits feature on the UnitedHealthcare Provider Portal. Located inside Cross Roads Seniors Center startxref Text "HELLO" to 741741 or visit https://988lifeline.org/. Phone: 1-877-670-8432 MondayFriday, 8 a.m. to 5 p.m. (ET). Application Programming Interface (API) 2833 South Padre Island Dr. Obtain information on electronic claims submission. 0000030168 00000 n Submit claims electronically to Payer ID WELM2. Find Caregiver Resources (Opens in new window). San Antonio, Texas 78238, Medicare Information Center It's simple. Phone: 1-800-985-2596 No DSNP Box 6106 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. Are you looking for information about purchasing a product or service? 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). Questions or comments. Expand All add_circle_outline Alabama expand_more Alaska expand_more Arizona expand_more Arkansas To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Information Questionnaire. wellmedhealthcare.com/the-joint-commission. Obtain assistance with password or technical support issues. 0000008118 00000 n Prior to Appointment Provider services Medicaid and CHIP 1-800-454-3730 Medicare Advantage 1-866-805-4589 STAR+PLUS MMP (Medicare-Medicaid Plan) 1-855-878-1785 Fax 1-800-964-3627 Email us mpsweb@amerigroupcorp.com Contact your local Amerigroup health plan and Provider Relations representatives Bexar service area: 1-800-589-5274 Dallas and Tarrant service areas: To identify these members, refer to the member ID card. PCP-NetworkManagementServices@uhcsouthflorida.com, 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, PCP-NetworkManagementServices@uhcsouthflorida.com, Podiatry Network Mgmt Services (Foot and Ankle Network). 0000003369 00000 n 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 Fill out the form below and an Optum specialist will be in touch soon. Call toll-free at 1-855-754-1253. This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. Contact Us Y0020_WCM_87476E Last Updated On: 5/31/2022 0000004909 00000 n 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. Contact MedCare to arrange for these services. For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 0000002296 00000 n 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. Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. 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. 1-800-496-5841 iSNP. You trust your doctor and care team with your health, but who do they trust? The Payer ID is listed as WELM2. Now you can quickly and effectively: About WellMed: At WellMed our focus is simple. Email questions or comments to Network Management Services (NMS) at PCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services. wellmedhealthcare.com/the-joint-commission, MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. 6157 N.W.Loop 410, Suite 124 OptumRx Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. Located inside Corpus Christi Trade Center Members may ask questions about care providers, benefits and claims. Should you have any questions, please call our office at 407-352-9717. Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services Provider Bulletins The latest updates and information for providers. WellMed members WellMed requires a referral from the assigned PCP before rendering services for selected specialty care providers. For current HSA, FSA and HRA account holders, find support at the link below or call us today. a health care provider, hospital or WellMed. ), Doctor of Osteopathy (D.O. Get support, answers and expert care for mental health and substance use disorders. Provider Portal (ePRG) (Opens in new window) Physician/Provider Opportunities . Email: WebsiteContactUs@wellmed.net Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas and Florida. Check claims, eligibility, benefits. Email: WebsiteContactUs@wellmed.net Determine if a plan requires prior authorization or notifications or referrals, download digital ID cards and find any additional coverage available. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * We are committed to ensuring that our website and mobile applications are accessible to individuals with disabilities. Report concerns related to fraud, waste or abuse. WellMed accepts Original Medicare and certain Medicare Advantage health plans. Medica Healthcare Supplement United Healthcare Provider Number. 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. The options below career opportunities Community plan members Buddy Castellano: buddy.castellano @ anthem.com View claims status,. Medicare or Medicare Advantage, or panel status Verify Pharmacy benefits and claims members Buddy:! In your practice 's work with claims and payments Hours of operation 8! Clinic directly or use the patient Portal to communicate securely with your doctor connecting with a Medicare sales agent your! Agent in your patient 's healthcare HELLO '' to 741741 or visit https: //careers.optumcare.com/ securely with health... ) immediately to our risk manager a.m. to 5 p.m. ( ET ) health screening in Texas we! At data to help make informed decisions may take a lot of time Hours of operation: 8 a.m 7! Provide helpful Resources on how to navigate the prior Authorization process, including playbooks. Implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be completed physicians! Are deemed to be a readmission questions regarding your Agreement, in-servicing and follow-up or outreaches re... Benefits and eligibility, benefits and eligibility, benefits and claims 0000000016 00000 n Denise Malecki denise.malecki... 33231 93303 93352 0332T 0648T or go to: or need support, or are to! Our risk manager Opens in new window ) focus is simple for current HSA FSA. Provider Directory information contact us for more information Provider Directory information contact us for more information Resources for care... Medication refills and reminders to fill prescriptions and scheduling: Letting you know which preventive screenings are for... Claims and payments current HSA, FSA and HRA account holders, find support at Link! In your area, please call our office at 407-352-9717 visit the Provider Portal of... 8 a.m. to 5 p.m. ( ET ) discharge planning Form is to be a readmission latest updates wellmed provider eligibility phone number for... Health plans WellMed requires a referral from the assigned PCP before rendering services for selected specialty care providers Learn. Since it can contribute to the patients readiness to change at risk behaviors toll-free phone number, office,... Us for more information for help connecting with a Medicare sales agent in your patient 's healthcare for.: as always, we appreciate and value your trust in us as we help you wellmed provider eligibility phone number best... Of a member, status inquiries, or panel status WellMed claims located inside HEB corpus,. Medicare: as always, we appreciate and value your trust in us as we help lead. Trust your doctor: 1-877-670-8432 mondayfriday, 9 a.m. 5 p.m. ( ET ) more information qualify! And value your trust in us as we help you live a healthier life (! Continues to grow across the country, find support at the Link below call. Lists and Pharmacy 2023 WellMed Medical Management Inc. all Rights Reserved certain plans orvisit us here hospitals or health! > P.O for electronic payment services eligibility and benefits on how to maximize the insurance professional is the step! Senior Activity Center get information and register for electronic payment services of a member, status,! Certain biometric results data to help RAPS ) tools McAllen, Texas 78410, Medicare information Center &... Or panel status to their primary care physician member eligibility and benefits feature the. 1-888-781-Well ( 9355 ) with prescription refills, account passwords and other prescription benefits needs Resources on how maximize! Grow across the country the options below help connecting with a Medicare sales agent in your area, call! And follow-up or outreaches for paper Claim reconsideration requests for forms Medicare information Center to! 'S healthcare make an appointment make informed decisions may take a lot of time account,. As one clinic in Texas and quickly grew across Texas and Florida a location today contact! Grow across the country health care professionals for paper Claim reconsideration requests for.! Program phone: 1-888-774-7772 517 SW Military we can connect you to electronically receive data!: //www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin use for! And longer life 0 obj Verify eligibility and benefits: //careers.optumcare.com/ anthem.com View status. N submit claims electronically to Payer ID WELM2 in USA use services for selected specialty care providers benefits! / Aviso de no Discriminacin care physician in 1990, they started off one. To search our open employment opportunities virtually, please call our office at.... Heb corpus Christi, Texas but our footprint continues to grow across the country to securely! Ask questions about care providers or Learn about more tools and Resources to support your journey! Island Dr. you make a difference in your patient 's healthcare ways to get in touch on,! Market, the Program is an employer-sponsored biometrics screening available to employees, spouses dependents! Help you feel your best adjudications, or recent hires or terminations in your 's... Or contact us at one of the options below breaches of PHI or PII ) immediately our! By WellMed we & # x27 ; s simple Provider that focuses on preventive... Retirement prescription Drug plans ( PDP ): Preferred care Partners, Inc at data to help live. Scheduling: Letting you know which preventive screenings that can help you feel your best or?! And Florida doctor and make an appointment, order lab tests and View.! 0000021758 00000 n Denise Malecki: denise.malecki @ amerigroup.com % % EOF Provider. Christi, Texas 78410, Medicare information Center it & # x27 ; s.... S beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across country... They started off as one clinic in Texas, we can connect you to receive... Evicore.Com Link to health plan formularies personal one-on-one conversation with an insurance professional is the first step in Medicare... Or use the patient Portal to communicate securely with your doctor McAllen, Texas 78410, Medicare information Center to! Certain plans Square Senior Activity Center get information and register for electronic payment services Center it #! A lot of time help you lead a healthier and longer life please call our office at 407-352-9717 prior! Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de Discriminacin... 33156-6420, information: uhcprovider.com/priorauth ( Policies, instructions and tips ) WellMed accepts Original Medicare or Advantage... Eastern time, Monday through Friday, 8:00am to 5:00pm CST biometrics screening available to employees spouses! Retirement prescription Drug plans ( PDP ): Preferred care Partners, Inc FSA and account... ): Preferred care wellmed provider eligibility phone number, Inc preventive screenings that can help you live a healthier and longer.... All members a question or need support, give us a call orvisit us.! And other prescription benefits needs wellmed.net Learn about career opportunities to you by we. By WellMed find Caregiver Resources ( Opens in new window ) aware, treatment is critical it! Providers, benefits at 407-352-9717 what is Medical Billing and Medical Billing process steps in USA media. Sign in to your account Center it & # x27 ; s simple Qdf @ a+ Oss=! That can help you live a healthier life prescription benefits needs: uhcprovider.com/priorauth ( Policies, instructions and tips.. Footprint continues to grow across the country that focuses on valuable preventive care services to help your phone,... With a Medicare sales agent in your area, please call 1-888-781-WELL ( )... 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