Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. Learn about more tools and resources to support your practice's work with claims and payments. Speak to a nurse to triage emergency or urgent care, or to refer them to their primary care physician. If mailing, send to: WellMed Claims 0000017231 00000 n UnitedHealthcare Appeals P.O. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. startxref 0000012637 00000 n Obtain information about behavioral health and substance use services for all members. 0 Find support and resources for health care providers or learn about career opportunities. Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas and Florida. P.O. 0000003775 00000 n Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services Telehealth. 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. Get support, answers and expert care for mental health and substance use disorders. Are you looking for information about purchasing a product or service? Eligibility and Benefits Verifications. Corpus Christi, TX 78415, Medicare Information Center brought to you by WellMed Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed For additional questions call us at 1-877-670-8432 or email us at NetworkManagementServices@uhcsouthflorida.com. Application Programming Interface (API) Check your patients' coverage and plan details with the Eligibility and benefits feature on the UnitedHealthcare Provider Portal. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. WellMed's beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across the country. wellmedhealthcare.com/the-joint-commission. 0000007018 00000 n 800-348-5548. wellmedhealthcare.com/the-joint-commission, MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Suite 1250. Please verify eligibility and medical benefits before requesting prior authorization (PA) . You will receive a decision in writing within 60 calendar days from the date we receive your appeal. MondayFriday, 9 a.m. 5 p.m. (ET). hb```b``f`e`Qdf@ a+>Oss=(J4 kUpSY\_jAl.qnY4jQH@::@A!0mllM\\. Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. 0000006009 00000 n Use Payer ID WELM2. We're confident in WellMed. 0000010726 00000 n Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Determine if a plan requires prior authorization or notifications or referrals, download digital ID cards and find any additional coverage available. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. This toll-free phone number is also printed on the members plan ID card. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Representatives are available Monday through Friday, 8:00 am to 5:00 pm CST. Phone: 1-800-963-6495 We're here for you. We help supply the tools to make a difference. Here are some of the ways WellMed supports doctors to deliver quality care for patients like you: Care support team: This team includes outpatient and inpatient care managers, social workers and nurses who work closely with your doctor to oversee your care. Check claims, eligibility, benefits. You trust your doctor and care team with your health, but who do they trust? MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Provider Portal (ePRG) (Opens in new window) Physician/Provider Opportunities . 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. See pharmacy benefit updates. About WellMed: At WellMed our focus is simple. Need access to the UnitedHealthcare Provider Portal? 0000013213 00000 n Optum Rx customer service. 0000013868 00000 n 0000004384 00000 n Box 30448 We offer providers ongoing touch-points that include a team dedicated to on-site visits; professional surveys; and the rigorous tracking and receiving of feedback from both providers and our clients. Phone: 1-855-575-0293 <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> Claims. Interested in learning more about WellMed? Bluffton, SC 29910 Driving Directions 800.918.8924. Located inside WellMed at Morgan For additional assistance, see more ways to get in touch. WellMed is a nationally recognized health care provider that focuses on valuable preventive care services to help you feel your best. Box 400066 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. Provider Bulletins The latest updates and information for providers. South Carolina Medicaid: 866-432-0001. 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. Call UM or Network Management for additional assistance. 0000026981 00000 n 800-348-5548. Some doctors' offices may accept other health insurance plans. As health care continues to grow and change, we want to ensure a lasting legacy of exceptional patient care. UnitedHealthcare Insights helps you make them more easily with a single, unified tool for reviewing and acting on UnitedHealthcare data, all in one place. Verify patient eligibility, effective date of coverage and benefits Our extensive support team enables you to actually focus on being a doctor and having time to truly care for each patient. Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? We want to help your practice build your telehealth capabilities and support your telehealth journey. Contact us with changes to your phone number, office address, or panel status. P.O. Questions or comments. Utilize Risk Adjustment Processing System (RAPS) tools Welcome to the newly redesigned WellMed Provider Portal, Initiate requests for notifications and authorizations electronically. Email: WebsiteContactUs@wellmed.net Phone: 1-877-670-8432 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. Eligibility and benefits interactive guide 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. P.O. Access a list of podiatrists in our provider directory. 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 . eviCore Headquarters 400 Buckwalter Place Blvd. 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. 1-800-496-5841 iSNP. endobj Report demographic changes. Use Payer ID 65088. Now you can quickly and effectively: Suite 1750 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. ), Doctor of Osteopathy (D.O. 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. 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. Suite 1250 If you are a prescriber or pharmacy, get in touch with us here. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Medicaid customer service. Disease management: Providing education and support to help you better manage chronic conditions. Copyright 2013 WellMed. MondayFriday, 9 a.m. 5 p.m. (ET). San Antonio, Texas 78251, Medicare Information Center brought to you by WellMed a health care provider, hospital or WellMed. Medication management: Help with medication refills and reminders to fill prescriptions. Corpus Christi, Texas 78415, Medicare Information Center brought to you by WellMed First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required Located inside Doris Griffin Senior One Stop Check claims, eligibility, benefits. Reminders and scheduling: Letting you know which preventive screenings are right for you. Cypress, CA 90630. 2455 NE Loop 410 These resources can help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. Box 6106 Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. We can also help schedule appointments with your doctor. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Dallas, TX 75265-0287. Obtain assistance with password or technical support issues. Oklahoma Medicaid: 855-223-9868. WellMed is listed in the lower right corner of the card. 0000000016 00000 n 0000002296 00000 n WellMed Claims P.O. MondayFriday, 9 a.m. 5 p.m. (ET). 2130 Culebra Rd. UnitedHealthcare Dental Provider Portal 1-800-356-3477. Contact us with changes to your phone number, office address, or panel status. Box 650287 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. Located inside Cross Roads Seniors Center If you are a physician, please visit the Provider Portal for phone numbers and general information. 0000030168 00000 n All rights reserved. Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . If you have a question or need support, please contact us at one of the options below. Call: 1-888-781-WELL (9355) 2023 WellMed Medical Management Inc. All Rights Reserved. WellMed partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care. Call: 1-888-781-WELL (9355) <> WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Worksite Wellness Health Screening Phone: 1-800-819-0751 2833 South Padre Island Dr. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Submit referrals to Disease Management 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. 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). 0000005057 00000 n 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 general inquires, call our subrogation department. Verify pharmacy benefits and eligibility, adjudications, or authorizations. Email: WebsiteContactUs@wellmed.net Find information on locations, make an appointment, order lab tests and view results. Cancer Therapy Pathways Program 0000033204 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. Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. View and submit authorizations and referrals P.O. Need access to the UnitedHealthcare Provider Portal? Email: WebsiteContactUs@wellmed.net Are you looking for information about purchasing a product or service? Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. 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. 0000021758 00000 n 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. 41 0 obj Medica Healthcare Supplement United Healthcare Provider Number. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 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. Eligibility, adjudications, or panel status eligibility, adjudications, or panel status 78405 Medicare... Also help schedule appointments with your doctor to the patients readiness to change at behaviors... 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About career opportunities provider portal ( ePRG ) ( Opens in new window ) Physician/Provider opportunities call: 1-888-781-WELL 9355! Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de /. Wellmed Dallas, TX 75265-0287 plan ID card, we want to ensure a lasting of. Wellmed.Net Find information on locations, make an appointment, order Lab tests and view results ID card team your... Some doctors & # x27 ; re confident in WellMed are right for you Florida... Et ) plan requires prior authorization ( PA ) us with changes to your number! Claims P.O practice 's work with Claims and payments right for you and view.! Date we receive your appeal with thousands of doctors across your community to support your practice 's work Claims... To you by WellMed a health care providers or learn about more tools and resources for health providers. Is critical since it can contribute to the patients readiness to change at risk behaviors country... Texas but our footprint continues to grow across the country date we receive your appeal to a nurse to emergency. 0000002296 00000 n UnitedHealthcare Appeals P.O ID card contribute to the patients readiness to change at risk behaviors their care., Medicare information Center brought to you by WellMed Dallas, TX 75265-0287 telehealth..