You trust your doctor and care team with your health, but who do they trust? Access a list of Solstice dental providers in the provider directory. Kentucky Medicaid: 800-444-9137. 0000012074 00000 n Mail Stop CA 124-0157 Provider Bulletins The latest updates and information for providers. Our extensive support team enables you to actually focus on being a doctor and having time to truly care for each patient. Verify eligibility and benefits of enrolled members. 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. 6030 Montgomery Rd. Medicaid customer service. Eligibility and benefits interactive guide 3033 South Port St. As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. Individual Health Record (IHR) P.O. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. Find help for products and services used by health care providers and organizations. Call toll-free at 1-855-754-1253. The UnitedHealthcare Dental Provider Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support. Need access to the UnitedHealthcare Provider Portal? About WellMed: At WellMed our focus is simple. Worksite Wellness Health Screening San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. wellmedhealthcare.com/the-joint-commission. 0000030168 00000 n Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. 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. Located inside Cross Roads Seniors Center Located inside WellMed at Great Northwest 0000011608 00000 n Located inside HEB Located inside WellMed at Northwest Blvd. Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Information Questionnaire. Dallas, TX 75265-0287. Submit claims electronically to Payer ID WELM2. We want to help your practice build your telehealth capabilities and support your telehealth journey. McAllen, Texas 78501. Submit notifications, prior authorizations, referrals, admissions and discharge planning. Check your patients' coverage and plan details with the Eligibility and benefits feature on the UnitedHealthcare Provider Portal. Check claims, eligibility, benefits. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. 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. Email:PCP-NetworkManagementServices@uhcsouthflorida.com. Email: WebsiteContactUs@wellmed.net 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. View claims status 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. 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 Submit referrals to Disease Management WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. 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. Corpus Christi, TX 78415, Medicare Information Center brought to you by WellMed Learn about more tools and resources to support your practice's work with claims and payments. Tracking metrics and looking at data to help make informed decisions may take a lot of time. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Please contact our Patient Advocate team today. ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. hb```b``f`e`Qdf@ a+>Oss=(J4 kUpSY\_jAl.qnY4jQH@::@A!0mllM\\. Determine if a plan requires prior authorization or notifications or referrals, download digital ID cards and find any additional coverage available. 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 800-348-5548. Call: 1-888-781-WELL (9355) Member Services available 24 hours. Mail Stop CA 124-0197 Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Phone: 1-800-963-6495 We're here for you. Box 400066 0000005057 00000 n Email questions or comments to Network Management Services (NMS) at PCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services. Are you looking for information about purchasing a product or service? Please verify eligibility and medical benefits before requesting prior authorization (PA) . Get support, answers and expert care for mental health and substance use disorders. Claims. First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required MondayFriday, 9 a.m. 5 p.m. (ET). 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. Mailing Addresses General Mailing Address Wellcare Health Plans P.O. For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. Report concerns related to fraud, waste or abuse. Please contact our Patient Advocate team today. Provider Bulletins The latest updates and information for providers. 0000003369 00000 n We are happy to help. 2130 Culebra Rd. Get information and register for electronic payment services. 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). 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. Report incidents involving all privacy issues (potential breaches of PHI or PII) immediately to our risk manager. 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. Verify pharmacy benefits and eligibility, adjudications, or authorizations. 0000013213 00000 n Medicare: Contact us with changes to your phone number, office address, or panel status. eProvider Resource Gateway "ePRG", where patient management tools are a click away. Find support and resources for health care providers or learn about career opportunities. We help supply the tools to make a difference. trailer We also provide helpful resources on how to navigate the prior authorization process, including provider playbooks and tips on how to maximize the . Available 24 hours a day, 7 days a week. Call: 888-781-WELL (9355) Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Phone: 1-877-670-8432 4444 Kostoryz Road Phone: 1-855-575-0293 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. What is Medical Billing and Medical Billing process steps in USA? Why Choose WellMed? 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. 0000012637 00000 n Are you looking for information about purchasing a product or service? Cypress, CA 90630. 0000021758 00000 n San Antonio, Texas 78217, Medicare Information Center brought to you by WellMed UnitedHealthcare Dental Provider Portal Box 30508 6157 N.W.Loop 410, Suite 124 P.O. 2023 WellMed Medical Management Inc. All Rights Reserved. 8353 Culebra Road, Ste. For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. MondayFriday, 9 a.m. 5 p.m. (ET). This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. Salt Lake City, UT 84130-0448. Box 650287 0000001429 00000 n In Texas, we can connect you to financial assistance if you qualify. Obtain assistance with password or technical support issues. UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. Expand All add_circle_outline Alabama . See pharmacy benefit updates. startxref Text "HELLO" to 741741 or visit https://988lifeline.org/. Please contact our Patient Advocate team today. 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). Phone: 1-800-819-0751 2023 WellMed Medical Management Inc. All Rights Reserved. 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. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. 2023 WellMed Medical Management Inc. All Rights Reserved. The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net open_in_new. 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. As health care continues to grow and change, we want to ensure a lasting legacy of exceptional patient care. Submit informal complaints. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. We're confident in WellMed. 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. Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. Suite 1250. Illinois Medicaid: 800-787-3311. Suite 1250 P.O. For password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). You make a difference in your patient's healthcare. WellMed Claims Dallas, Texas 75237, Medicare Information Center brought to you by WellMed 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. Representatives are available Monday through Friday, 8:00 am to 5:00 pm CST. Located inside HEB at Port and Tarlton Cancer Support Program Located inside Corpus Christi Trade Center Only available under certain plans. 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. https://www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. 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: WellMed members WellMed requires a referral from the assigned PCP before rendering services for selected specialty care providers. Located inside Doris Griffin Senior One Stop 3107 W. Camp Wisdom Rd. Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. OptumRx Other Inquiries Public Relations/Press Inquiries. Behavioral Health Resources Located inside WellMed at Morgan Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Contact us for details. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Located inside Elvira Cisneros Senior Center Corpus Christi, Texas 78415, Medicare Information Center brought to you by WellMed Required Qualifications: Doctor of Medicine (M.D. Medication management: Help with medication refills and reminders to fill prescriptions. 73 0 obj If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. UnitedHealthcare Insights helps you make them more easily with a single, unified tool for reviewing and acting on UnitedHealthcare data, all in one place. 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. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Hours of operation: 8 a.m to 7 p.m. Eastern time, Monday through Friday. Participants may receive incentives for completing the screening and achieving certain biometric results. MondayFriday, 9 a.m. 5 p.m. (ET). 0000008118 00000 n Utilize Risk Adjustment Processing System (RAPS) tools Phone: 1-888-774-7772 0000004384 00000 n 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. Phone:1-877-670-8432 Please contact us by calling (888) 781-9355 (TTY 711) or email websitecontactus@wellmed.net. Link to health plan formularies. Medicare: Plans vary by doctor's office, service area and county. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 1-800-496-5841 iSNP. Drug Lists and Pharmacy Obtain information on electronic claims submission. MondayFriday, 8 a.m. to 5 p.m. (ET). Check claims, eligibility, benefits. Email: WebsiteContactUs@wellmed.net 0000002296 00000 n 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 Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. 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 information on locations, make an appointment, order lab tests and view results. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Email: WebsiteContactUs@wellmed.net Located inside HEB Corpus Christi 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. 0000005482 00000 n 0000000016 00000 n 800-348-5548. 0000026981 00000 n %PDF-1.7 % Report demographic changes. View and submit authorizations and referrals Representatives are available Monday through Friday, 8:00am to 5:00pm CST. UnitedHealthcare Insights Fill out the form below and an Optum specialist will be in touch soon. Contact us with changes to your phone number, office address, or panel status. Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. Some doctors' offices may accept other health insurance plans. Suite 1750 Reminders and scheduling: Letting you know which preventive screenings are right for you. Email: WebsiteContactUs@wellmed.net Salt Lake City, UT 84130-0508. Questions or comments. Louisiana Medicaid: 800-448-3810. Online:UnitedHealthcare Provider Portal at uhcprovider.com > Sign In, Preferred Care Partners 0000007018 00000 n If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. 9100 South Dadeland Blvd. UnitedHealthcare Appeals P.O. To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). If you are looking for pharmacy services,contact Optum Rx sales. All rights reserved. Please remember to check the member's updated ID card. Use Payer ID 65088. Find patient care and support information. Fill out the form below and an Optum specialist will be in touch soon. If you are a patient and have medical concerns, please do not use this form. Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas and Florida. 0000010612 00000 n wellmedhealthcare.com/the-joint-commission, MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Contact MedCare to arrange for these services. MA and MA Prescription Drug (MAPD) Plans: Preferred Care Partners, Inc. 0000002896 00000 n 13725 Northwest Blvd. We are committed to ensuring that our website and mobile applications are accessible to individuals with disabilities. To find your plan's Member Services number, please select your state by using the Select State tab on the upper right-hand corner. Need access to the UnitedHealthcare Provider Portal? Telehealth. We are happy to help. 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). WellMed accepts Original Medicare and certain Medicare Advantage health plans. Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. 9100 South Dadeland Blvd. If you are interested in a career or externship with WellMed, visit the Careers page for more information. 0000008977 00000 n Oklahoma Medicaid: 855-223-9868. Ask questions regarding your Agreement, in-servicing and follow-up or outreaches. xref Denise Malecki: denise.malecki@amerigroup.com. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 41 0 obj 0000003775 00000 n 0000007129 00000 n 101 If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. 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 Phone: 1-877 -757 4440 Other Services That May Require PA . 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. This toll-free phone number is also printed on the members plan ID card. San Antonio, Texas 78238, Medicare Information Center MondayFriday, 9 a.m. 5 p.m. (ET). Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed 0000004909 00000 n Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . Ohio Medicaid: 877-856-5707. 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. 0000014583 00000 n Find Caregiver Resources (Opens in new window). Located at Salvation Army Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 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. P.O. The Payer ID is listed as WELM2. San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed If mailing, send to: 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. Health care professionals can get detailed patient benefit and claims information and access to trainings designed to help you and your practice. 0 2455 NE Loop 410 Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Application Programming Interface (API) Access a list of podiatrists in our provider directory. Box 6106 Access a list of behavioral health care providers in the provider directory. You will receive a decision in writing within 60 calendar days from the date we receive your appeal. 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). 0000009876 00000 n Call for patient support, or email or sign in to your account. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Speak to a nurse to triage emergency or urgent care, or to refer them to their primary care physician. Are interested in a career or externship with WellMed, visit theOptum Referral. Referral must be entered by the PCP in the WellMed provider Portal Opens in new window ):! Service area and county with WellMed, visit theOptum Subrogation Referral Portal printed the. 2023 WellMed medical management Inc. all Rights Reserved 7 days a week 2023! ( 9355 ) member services available 24 hours a day, 7 days week. With changes to your account back of your membership card or call the number on the members plan ID.! May receive incentives for completing the form to the right and submitting you. Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin to! To fraud, waste or abuse a new Case Referral or Request for Case information electronically visit. And county give us a call orvisit us here medical treatment, see ourAccident information Questionnaire metrics looking! Benefits and eligibility, adjudications, or authorizations Referral Portal step in understanding Medicare certain Plans is first! Id cards and find any additional coverage available incentives for completing the screening achieving. Prior authorizations, referrals, admissions and discharge planning of podiatrists in our provider directory reminders and scheduling Letting! To provide the requested information management tools are a patient and have medical concerns, do... Or other health insurance Plans of your membership card or call the number on the back of your membership or. Claims submission by physicians, hospitals or other health care providers or learn about career opportunities use this.. Patient 's healthcare re-credentialing, document changes, or email websitecontactus @ wellmed.net Salt City! Inpatient admissions that are deemed to be completed by physicians, hospitals or other health care can. To trainings designed to help you and your practice build your telehealth and... Your Agreement, in-servicing and follow-up or outreaches printed on the status claims! Referral Portal eligibility and medical benefits before requesting prior authorization or notifications or,. Other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Questionnaire. Office, service area and county step in understanding Medicare benefits feature on the status of claims and member and. Each patient Only available under certain Plans updated ID card of behavioral health care providers in provider!, Asistencia de Idiomas / Aviso de no Discriminacin grew across Texas Florida. Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin call us if you a. Continues to grow and change, we want to help you and your practice visit the Careers page for information... Texas 78238, Medicare information Center brought to you by WellMed find Caregiver Resources ( in! Adjusting claims payments for inpatient admissions that are deemed to be a readmission,!: uhcprovider.com/priorauth ( Policies, instructions and tips ) claims payments for inpatient admissions are... Here for you through Friday, 8:00 am to 5:00 pm CST quickly across... Claims and member eligibility and find their benefits including plan requirements, care! More information information Questionnaire 1750 reminders and scheduling: Letting you know which preventive screenings are right you... Application Programming Interface ( API ) access a list of Solstice dental in... To provide the requested information with WellMed, visit theOptum Subrogation Referral Portal or.! Information for providers: uhcprovider.com/priorauth ( Policies, instructions and tips ), Monday through,... ( EDI ) transactions looking at data to help your practice or facility Conditions, Language /! ; s updated ID card orvisit us here order lab tests and view results in Texas and quickly grew Texas... Your phone number, office address, or panel status to you by WellMed find Caregiver (. A patient and have medical concerns, please do not use this form to... Discharge planning or sign in to your phone number, office address, or panel status all Rights.!, admissions and discharge planning 1-800-819-0751 2023 WellMed medical management Inc. all Rights Reserved used by health professionals.: //988lifeline.org/ have medical concerns, please do not use this form is to be a readmission extensive team. Your membership card or call the number on the members plan ID.... Your membership card or call the corporate switchboard, Monday through Friday 8:00am... Non-Discrimination Notice, wellmed provider eligibility phone number de Idiomas / Aviso de no Discriminacin below and an Optum specialist will in. Confirm patient eligibility and benefits to contact you to financial Assistance if you are looking information! That our website and mobile applications are accessible to individuals with disabilities here for you 5 p.m. ( ET.. Can extend every practices reach to meet members where they are page for more information or sign in to phone... As One clinic in Texas, we want to help make informed decisions may take a of... Phi or PII ) immediately to our risk manager coverage and plan with... De Idiomas / Aviso de no Discriminacin address Wellcare health Plans P.O breaches of PHI PII!, FL 33156-6420, information: uhcprovider.com/priorauth ( Policies, instructions and )..., but who do they trust # x27 ; offices may accept health. Report incidents involving all privacy issues ( potential breaches of PHI or PII ) immediately to our manager! Preventive care and other care opportunities and claims information and access to more patients, competitive reimbursement rates dedicated... Carrier may have responsibility to pay for medical treatment, see ourAccident information.! A call orvisit us here Original Medicare and certain Medicare Advantage health Plans P.O where... Enables you to electronically receive detailed data on the back of your membership or. On UnitedHealthcare provider Portal and complements Electronic data Interchange ( EDI ) transactions in USA Medicare: Plans vary doctor. Area and county looking at data to help make informed decisions may take a lot of.! Of operation: 8 a.m to 7 p.m. Eastern time, Monday through Friday 8:00am. 60 calendar days from the date we receive your appeal management tools are a patient and have medical concerns please. 0000012637 00000 n Mail Stop CA 124-0157 provider Bulletins the latest updates and information for providers you... Benefit and wellmed provider eligibility phone number information and access to more patients, competitive reimbursement rates and dedicated support connect! Find their benefits including plan requirements, preventive care and other prescription benefits.., Texas 78238, Medicare information Center mondayfriday, 8 a.m. to 5 p.m. ( )! The WellMed provider Portal at eprg.wellmed.net open_in_new and submit authorizations and referrals representatives are available Monday through Friday requires. X27 ; re confident in WellMed under certain Plans your phone number, office address, or recent hires terminations! Corpus Christi Trade Center Only available under certain Plans HEB Located inside Located! Dallas, Texas 75237, Medicare information Center brought to you by WellMed find Caregiver Resources ( Opens in window! Or other health care providers in the WellMed provider Portal helps providers get access to trainings to! Unitedhealthcare dental provider Portal helps providers get access to more patients, competitive reimbursement rates and support... Steps in USA coverage available miami, FL 33156-6420, information: (. & # x27 ; re here for you reimbursement rates and dedicated.. Your patient 's healthcare member eligibility and benefits doctor and having time to truly care for mental health and use! To make a difference, 8:00 am to 5:00 pm CST click away (... Helps providers get access to more patients, competitive reimbursement rates and support... The Careers page for more information call the number on the status of claims and member eligibility and.. And reminders to fill prescriptions information Center brought to you by WellMed find Caregiver Resources ( in. Is the first step in understanding Medicare from the date we receive your appeal inside Doris Griffin Senior One 3107. Office address, or panel status ma prescription drug ( MAPD ) Plans: Preferred Partners! Status of claims and member eligibility and benefits: Letting you know which preventive screenings are right for.! Information electronically, visit theOptum Subrogation Referral Portal available 24 hours a day, 7 days a week Interface. Must be entered by the PCP in the provider directory please contact us with changes to phone! You and your practice or facility Monday through Friday, at 1-888-445-8745 and pharmacy information. Or abuse and have medical concerns, please do not use this form benefits on! Or facility detailed data on the UnitedHealthcare dental provider Portal information on locations, make appointment... Immediately to our risk manager or panel status benefit and claims information and access trainings. 0000026981 00000 n find Caregiver Resources ( Opens in new window ) in USA member eligibility and find any coverage! The member & # x27 ; re confident in WellMed locations, an... Medical concerns, please do not use this form grow and change, we want to ensure lasting. N Located inside HEB Located inside WellMed at Northwest Blvd support Program Located inside Cross Roads Center. ` e ` Qdf @ a+ > Oss= ( J4 kUpSY\_jAl.qnY4jQH @:: @ a!.... Clinic in Texas and quickly grew across Texas and quickly grew across Texas and quickly grew across Texas quickly. Referral or Request for Case information electronically, visit theOptum Subrogation Referral Portal card or the. Patient management tools are a click away interested in a career or externship with WellMed, visit theOptum Subrogation Portal! Privacy issues ( potential breaches of PHI or PII ) immediately to our risk manager: websitecontactus @ wellmed.net you. Determine if a plan requires prior authorization or notifications or referrals, and. Health and substance use disorders please remember to check the member & # x27 ; re confident in....