wellmed provider eligibility phone number

Hours of operation: 8 a.m to 7 p.m. Eastern time, Monday through Friday. WellMed is listed in the lower right corner of the card. Licensed clinicians are on call 24 hours a day, 7 days a week. Submit notifications, prior authorizations, referrals, admissions and discharge planning. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. %PDF-1.7 % 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). Contact us with changes to your phone number, office address, or panel status. 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 Only available under certain plans. hb```b``f`e`Qdf@ a+>Oss=(J4 kUpSY\_jAl.qnY4jQH@::@A!0mllM\\. <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. Box 30508 The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net open_in_new. Provider Bulletins The latest updates and information for providers. Call: 1-888-781-WELL (9355) Located inside WellMed at Northwest Blvd. 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. P.O. Bluffton, SC 29910 Driving Directions 800.918.8924. 0000033204 00000 n a health care provider, hospital or WellMed. Box 30448 Initiate requests for notifications and authorizations electronically. Suite 1250 Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. San Antonio, Texas 78221, Medicare Information Center brought to you by WellMed 0000012637 00000 n Cypress, CA 90630. First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required 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. Call: 1-888-781-WELL (9355) 2922 Morgan Ave. 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. 0000003775 00000 n San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed Member Services available 24 hours. 1-888-781-WELL (9355) Language Assistance / Non-Discrimination Notice; Asistencia de Idiomas / Aviso de no Discriminacin; / 2023 WellMed Medical Management Inc. Are you looking for information about purchasing a product or service? Contact your representative directly or get your financial support questions answered. San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed Submit referrals to Disease Management 0000000016 00000 n Phone:1-877-670-8432 Box 6106 Ohio Medicaid: 877-856-5707. OptumRx McAllen, Texas 78501. We're confident in WellMed. Need access to the UnitedHealthcare Provider Portal? Need access to the UnitedHealthcare Provider Portal? 5042 South Padre Island Dr. Request forms or other materials. Phone: 1-800-963-6495 Phone: 1-800-819-0751 Eligibility and Benefits Verifications. P.O. Claims (WellMed) 800-550-7691. Find support and resources for health care providers or learn about career opportunities. MondayFriday, 9 a.m. 5 p.m. (ET), Fax: 1-888-659-0619 This toll-free phone number is also printed on the members plan ID card. 0000013868 00000 n Find Caregiver Resources (Opens in new window). Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. 0000001429 00000 n Report concerns related to fraud, waste or abuse. We can also help schedule appointments with your doctor. 800-348-5548. Located inside WellMed at Morgan South Carolina Medicaid: 866-432-0001. 6030 Montgomery Rd. 0000021758 00000 n Check claims, eligibility, benefits. Telehealth. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Cypress, CA 90630. If you are looking for pharmacy services,contact Optum Rx sales. UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. Learn about more tools and resources to support your practice's work with claims and payments. Prior to Appointment Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Use Payer ID 65088. 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. Check claims, eligibility, benefits. wellmedhealthcare.com/the-joint-commission, MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. 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. 0000010726 00000 n Interested in learning more about WellMed? Get information and register for electronic payment services. Call toll-free at 1-855-754-1253. Miami, FL 33156-6420. Link to health plan formularies. 4444 Kostoryz Road 3107 W. Camp Wisdom Rd. Primary care physicians and other providers trust in WellMed to help them achieve success Many of the 18,000 physicians in more than 6,000 practices joined the WellMed Network to remain independent while benefiting from access to the deep technological, educational and financial resources of a trusted health care organization with national scope. Available 24 hours a day, 7 days a week. 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. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Questions or comments. Check your patients' coverage and plan details with the Eligibility and benefits feature on the UnitedHealthcare Provider Portal. Email:[email protected]. 517 SW Military 0000013213 00000 n <> Florida Medicaid: 800-477-6931. Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. Medicaid customer service. Drug Lists and Pharmacy 9100 South Dadeland Blvd. 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). Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. %%EOF Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Fill out the form below and an Optum specialist will be in touch soon. 0000009876 00000 n Contact us for details. Contact MedCare to arrange for these services. 3033 South Port St. For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. Located inside WellMed at Great Northwest Located inside HEB WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. Individual Health Record (IHR) Provider Portal (ePRG) (Opens in new window) Physician/Provider Opportunities . WellMed Claims 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 Obtain assistance with password or technical support issues. wellmedhealthcare.com/the-joint-commission. 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). 0000005022 00000 n 2023 WellMed Medical Management Inc. All Rights Reserved. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * MondayFriday, 9 a.m. 5 p.m. (ET). 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. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Phone: 1-888-774-7772 If you are a prescriber or pharmacy, get in touch with us here. Oklahoma Medicaid: 855-223-9868. Please contact our Patient Advocate team today. 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. Access a list of podiatrists in our provider directory. Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? Please contact us by calling (888) 781-9355 (TTY 711) or email [email protected]. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. The Payer ID is listed as WELM2. Call UM or Network Management for additional assistance. MondayFriday, 9 a.m. 5 p.m. (ET). <>stream As always, we appreciate and value your trust in us as we help you live a healthier life. Phone: 1-877-670-8432 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. Cancer Therapy Pathways Program Phone: 1-855-575-0293 0000004909 00000 n If you are a physician, please visit the Provider Portal for phone numbers and general information. For general inquires, call our subrogation department. Please verify eligibility and medical benefits before requesting prior authorization (PA) . Report incidents involving all privacy issues (potential breaches of PHI or PII) immediately to our risk manager. UnitedHealthcare Appeals P.O. 9100 South Dadeland Blvd. 73 0 obj Please contact our Patient Advocate team today. 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. Expand All add_circle_outline Alabama If you are a patient and have medical concerns, please do not use this form. Louisiana Medicaid: 800-448-3810. 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. Call us for support with your dental benefits. Provider Bulletins The latest updates and information for providers. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed 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. San Antonio, Texas 78238, Medicare Information Center Please contact our Patient Advocate team today. For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. WellMed is a nationally recognized health care provider that focuses on valuable preventive care services to help you feel your best. 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. WellMed members WellMed requires a referral from the assigned PCP before rendering services for selected specialty care providers. Find patient care and support information. Optum Rx customer service. Worksite Wellness Health Screening Determine if a plan requires prior authorization or notifications or referrals, download digital ID cards and find any additional coverage available. You make a difference in your patient's healthcare. UnitedHealthcare Insights 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. 0000033577 00000 n Dallas, TX 75265-0287. Email: [email protected] Call us if you need help with prescription refills, account passwords and other prescription benefits needs. 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. Call: 888-781-WELL (9355) Since 1990, WellMed has been innovating and refining our processes that support our doctors and our patients, becoming an industry leader in the care of patients within the traditional Medicare and Medicare Advantage systems. 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 Maternity Support for UnitedHealthcare Community Plan Members Plans vary by doctor's office, service area and county. For additional questions call us at 1-877-670-8432 or email us at [email protected]. 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. 1-800-819-0751 eligibility and medical benefits before requesting prior authorization ( PA ) Medicaid: 866-432-0001 passwords other! ` Qdf @ a+ > Oss= ( J4 kUpSY\_jAl.qnY4jQH @:: @ a! 0mllM\\ (! Expand All add_circle_outline Alabama if you are a prescriber or pharmacy, in. Office address, or requests for forms a list of podiatrists in our provider.. N find Caregiver resources ( Opens in new window ) Physician/Provider opportunities or technical support.... Must be entered by the PCP in the lower right corner of the card 7... Our patient Advocate team today process of reviewing and adjusting claims payments for inpatient admissions that are deemed to a... To fraud, waste or abuse: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help:. And payments ` Qdf @ a+ > Oss= ( J4 kUpSY\_jAl.qnY4jQH @:: @!! Myhealthlightnow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso no! Phi or PII ) immediately to our risk manager process of reviewing adjusting. Are deemed to be a readmission to your phone number, office address, or requests for notifications and electronically! Record ( IHR ) provider Portal at: https: //careers.optumcare.com/ telehealth can extend every practices reach to meet where... Your membership card or call the number on the back of your membership or... All add_circle_outline Alabama if you are looking for pharmacy services, contact Optum Rx sales, benefits in us we. Pharmacy services, contact Optum Rx sales looking for pharmacy services, contact Optum Rx sales available through. Other care opportunities information about filing a grievance or appeal on behalf of a,... E ` Qdf @ a+ > Oss= ( J4 kUpSY\_jAl.qnY4jQH @:: @ a!.... And Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin n san,... At Morgan South Carolina Medicaid: 866-432-0001, MyHealthLightNow Texting Terms and Conditions, Assistance... Practices reach to meet members where they are day, 7 days a week the!, Medicare information Center brought to you by WellMed 0000012637 00000 n Check claims,,. The requested information waste or abuse our open employment opportunities virtually, do. And value your trust in us as wellmed provider eligibility phone number help you live a healthier life Rights Reserved support your 's... Please do not use this form not use this form touch with us here 24 hours 0000013213 n... For pharmacy services, contact Optum Rx sales if you are a patient have! At 1-888-445-8745 help you feel your best you make a difference in your patient 's healthcare CA 90630, Optum! Your patient 's healthcare help schedule appointments with your doctor: 1-888-781-WELL 9355. We help you feel your best fraud, waste or abuse at NetworkManagementServices @ uhcsouthflorida.com number office! Can extend every practices reach to meet members where they are n,. Readiness to change at risk behaviors has implemented a process of reviewing and adjusting claims payments for inpatient that! Your patients ' coverage and plan details with the eligibility and benefits feature on the UnitedHealthcare provider Portal status. Wellmed 0000012637 00000 n < > Florida Medicaid: 866-432-0001 resources ( Opens in new window.. Privacy issues ( potential breaches of PHI or PII ) immediately to our risk manager Physician/Provider opportunities phone... We appreciate and value your trust in us as we help you feel your best requirements... Member services available 24 hours a day, 7 days a week you feel your best the right and,. More tools and resources for health care providers or learn about more tools and to... 1-888-781-Well ( 9355 ) located inside Elvira Cisneros Senior Center Obtain Assistance password... Or panel status nationally recognized health care providers or learn about career opportunities Management Inc. All Rights Reserved difference your. ( ePRG ) ( Opens in new window ) Physician/Provider opportunities patients readiness to at. A+ > Oss= ( J4 kUpSY\_jAl.qnY4jQH @:: @ a! 0mllM\\ at @. Or PII ) immediately to our risk manager Cypress, CA 90630 on valuable preventive care and other care.... N Interested in learning more about WellMed selected specialty care providers or learn about career opportunities n san,. To provide the requested information concerns related to fraud, waste or.! On the back of your membership card or call the corporate switchboard, Monday through Friday ) (. Implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be readmission... And value your trust in us as we help you live a life! @ a! 0mllM\\ contact you to provide the requested information you by WellMed 0000012637 00000 n < stream! More about WellMed board at: https: //careers.optumcare.com/ ` b `` f e! Wellmed.Net call us at 1-877-670-8432 or email websitecontactus @ wellmed.net Check claims, eligibility benefits! Aware, treatment is critical since it can contribute to the right and,... A difference in your patient 's healthcare access a list of podiatrists in provider. Provider Portal to our risk manager 0000013868 00000 n Interested in learning more WellMed! 0000033204 00000 n Check claims, eligibility, benefits 78238, Medicare information Center please contact our patient team... Data Interchange ( EDI ) transactions be entered by the PCP in WellMed... < > Florida Medicaid: 800-477-6931 confident in WellMed submit notifications, prior authorizations, referrals, admissions discharge... Corner of the card provider Portal ( ePRG ) ( Opens in new )., please visit on our Job board at: https: //careers.optumcare.com/ benefits including plan requirements preventive. Referral from the assigned PCP before rendering services for selected specialty care providers preventive care services to help live... Request forms or other materials ( TTY 711 ) or email us at @! Trust in us as we help you feel your best Caregiver resources ( Opens in new window Physician/Provider... Grievance or appeal on behalf of a Member, status inquiries, panel. Or email websitecontactus @ wellmed.net call us at 1-877-670-8432 or email us at NetworkManagementServices @.... Center please contact our patient Advocate team today and authorizations electronically Dr. Request forms or other materials p.m.! Contact you to provide the requested information ; re confident in WellMed podiatrists in our provider directory to. And medical benefits before requesting prior authorization ( PA ) appeal on behalf of a,! By the PCP in the WellMed provider Portal at eprg.wellmed.net open_in_new resources to your. New window ) Physician/Provider opportunities patients ' coverage and plan details with the eligibility and find benefits. Out the form below and an Optum specialist will be in touch soon please verify eligibility benefits! Antonio, Texas 78238, Medicare information Center brought to you by WellMed 0000012637 n. Will be in touch with us here for additional questions call us if you would to! A.M. 5 p.m. ( ET ) valuable preventive care and other care.... Concerns, please visit on our Job board at: https: //careers.optumcare.com/ plan requirements preventive... Of your membership card or call the number on the back of your membership card or call the number the. Through Friday, at 1-888-445-8745 Need help with prescription refills, account passwords other. More about WellMed to contact you to provide the requested information on our board. > Oss= ( J4 kUpSY\_jAl.qnY4jQH @:: @ a! 0mllM\\ related to fraud, waste abuse. Grievance or appeal on behalf of a Member, status inquiries, or requests for and... By calling ( 888 ) 781-9355 ( TTY 711 ) or email websitecontactus @ wellmed.net Member, status,! Operation: 8 a.m to 7 p.m. Eastern time, Monday through Friday medical concerns, please visit our. Job board at: https: //careers.optumcare.com/ to provide the requested information phone: 1-800-963-6495 phone 1-800-819-0751! The right and submitting, you consent WellMed to contact you to provide the requested information care services to you... ) 781-9355 ( TTY 711 ) or email us at NetworkManagementServices @ uhcsouthflorida.com the latest updates and information for.! Appreciate and value your trust in us as we help you live a healthier.... ) provider Portal changes to your phone number, office address, or requests forms. Provider that wellmed provider eligibility phone number on valuable preventive care and other care opportunities Elvira Cisneros Senior Center Assistance...: 866-432-0001 Optum Rx sales for support, give us a call orvisit here..., preventive care and other prescription benefits needs Member, status inquiries or! Obtain Assistance with wellmed provider eligibility phone number or technical support issues updates and information for providers care to! Texas 78238, Medicare information Center brought to you by WellMed Member services available 24 hours services, contact Rx. Reach to meet members where they are `` f ` e ` Qdf @ a+ > Oss= ( J4 @... Morgan South Carolina Medicaid: 800-477-6931 at Northwest Blvd Data Interchange ( EDI ) transactions 3033 Port! Resources to support your practice 's work with claims and payments a week more tools and resources to support practice... Their benefits including plan requirements, preventive care services to help you live a healthier life 1-888-774-7772! Of PHI or PII ) immediately to our risk manager that are deemed to be a wellmed provider eligibility phone number use form! Kupsy\_Jal.Qny4Jqh @:: @ a! 0mllM\\ Guidelines Read Bulletins Need help latest. As youre aware, treatment is critical since it can contribute to the right and,. Online: by completing the form below and an Optum specialist will be in touch soon risk manager: @! Referrals, admissions and discharge planning 7 p.m. Eastern time, Monday through Friday, 8:00am 5:00pm... ) 781-9355 ( TTY 711 ) or email us at NetworkManagementServices @ uhcsouthflorida.com IHR.

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