WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. 0000005022 00000 n Report concerns related to fraud, waste or abuse. For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. a health care provider, hospital or WellMed. We are happy to help. Medication management: Help with medication refills and reminders to fill prescriptions. For current HSA, FSA and HRA account holders, find support at the link below or call us today. Online:UnitedHealthcare Provider Portal at uhcprovider.com > Sign In, Preferred Care Partners Contact us with changes to your phone number, office address, or panel status. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). Located inside WellMed at Redbird Square Senior Activity Center Ask questions regarding your Agreement, in-servicing and follow-up or outreaches. 1-888-781-WELL (9355) Language Assistance / Non-Discrimination Notice; Asistencia de Idiomas / Aviso de no Discriminacin; / 2023 WellMed Medical Management Inc. Find Caregiver Resources (Opens in new window). Why Choose WellMed? Email: WebsiteContactUs@wellmed.net Email:PCP-NetworkManagementServices@uhcsouthflorida.com. Contact your representative directly or get your financial support questions answered. Phone: 1-888-774-7772 Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. 3107 W. Camp Wisdom Rd. Authorizations and Notifications. 0000010726 00000 n P.O. Contact Us Y0020_WCM_87476E Last Updated On: 5/31/2022 Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. WellMed accepts Original Medicare and certain Medicare Advantage health plans. Call: 1-888-781-WELL (9355) We're confident in 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. If you are a prescriber or pharmacy, get in touch with us here. Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. Claims. Obtain information on electronic claims submission. 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. Phone: 1-800-963-6495 0000010612 00000 n Cancer Support Program If you are a patient and have medical concerns, please do not use this form. To identify these members, refer to the member ID card. <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> Submit referrals to Disease Management For additional questions call us at 1-877-670-8432 or email us at NetworkManagementServices@uhcsouthflorida.com. 2922 Morgan Ave. 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. Mailing Addresses General Mailing Address Wellcare Health Plans P.O. Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. 41 0 obj Florida Medicaid: 800-477-6931. 0000009876 00000 n MondayFriday, 8 a.m. to 5 p.m. (ET). Learn about more tools and resources to support your practice's work with claims and payments. Access a list of podiatrists in our provider directory. Phone: 1-800-819-0751 Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. . 0000007018 00000 n Call: 1-888-781-WELL (9355) If you are looking for pharmacy services,contact Optum Rx sales. UnitedHealthcare Dental Provider Portal 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. Obtain information about behavioral health and substance use services for all members. Email: WebsiteContactUs@wellmed.net Interested in learning more about WellMed? As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. 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. 0000004909 00000 n Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Should you have any questions, please call our office at 407-352-9717. Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. Located inside WellMed at Great Northwest WellMed is a nationally recognized health care provider that focuses on valuable preventive care services to help you feel your best. Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed UnitedHealthcare Insights Plans vary by doctor's office, service area and county. Call: 888-781-WELL (9355) Find Caregiver Resources (Opens in new window). ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine Phone: 1-877 -757 4440 Other Services That May Require PA . Call toll-free at 1-855-754-1253. Provider Bulletins The latest updates and information for providers. Available 24 hours a day, 7 days a week. The Payer ID is listed as WELM2. 0000000016 00000 n 0000012074 00000 n Provider Bulletins The latest updates and information for providers. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. If you have a question or need support, please contact us at one of the options below. 9100 South Dadeland Blvd. 101 San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. 0000002296 00000 n 0000033577 00000 n Check your patients' coverage and plan details with the Eligibility and benefits feature on the UnitedHealthcare Provider Portal. UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. What is Medical Billing and Medical Billing process steps in USA? We can also help schedule appointments with your doctor. Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. Located inside HEB Corpus Christi Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. 0000017231 00000 n P.O. 9100 South Dadeland Blvd. Please contact our Patient Advocate team today. We're here for you. 0000002896 00000 n Drug Lists and Pharmacy 0000003369 00000 n 0000004384 00000 n Need access to the UnitedHealthcare Provider Portal? View and submit authorizations and referrals For general inquires, call our subrogation department. Medicare: San Antonio, Texas 78221, Medicare Information Center brought to you by WellMed Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention As always, we appreciate and value your trust in us as we help you live a healthier life. Eligibility and benefits interactive guide P.O. Box 650287 2023 WellMed Medical Management Inc. All Rights Reserved. Initiate requests for notifications and authorizations electronically. MondayFriday, 9 a.m. 5 p.m. (ET). Cypress, CA 90630. Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. Mail Stop CA 124-0157 Please contact our Patient Advocate team today. 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). Bluffton, SC 29910 Driving Directions 800.918.8924. MondayFriday, 9 a.m. 5 p.m. (ET). 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. Use Payer ID 65088. Access a list of vision providers in our provider directory. Are you looking for information about purchasing a product or service? 3033 South Port St. Get information and register for electronic payment services. Optum Rx customer service. Cancer Therapy Pathways Program WellMed partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care. Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). Only available under certain plans. Medicare: Find Caregiver Resources (Opens in new window). Request forms or other materials. South Carolina Medicaid: 866-432-0001. Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . 800-348-5548. Utilize Risk Adjustment Processing System (RAPS) tools 41 33 P.O. Verify patient eligibility, effective date of coverage and benefits Interested in learning more about WellMed? Email questions or comments to Network Management Services (NMS) at PCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services. All rights reserved. Located inside HEB Disease management: Providing education and support to help you better manage chronic conditions. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. %PDF-1.7 % First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required You will receive a decision in writing within 60 calendar days from the date we receive your appeal. We are happy to help. Call: 1-888-781-WELL (9355) Telehealth 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. Medica Healthcare Supplement United Healthcare Provider Number. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing, Pharmacy(Prior Authorization Phone Number), Call the Provider Number Listed on the back of the Members ID card, Mental health services Prior authorization, Authorizations and Notifications (WellMed), Pharmacy Services/ Prescription Drug Requiring Prior Authorization. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Please contact our Patient Advocate team today. We want to help your practice build your telehealth capabilities and support your telehealth journey. 1301 E. Fern Ave. Suite C1 Phone:1-877-670-8432 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. Denise Malecki: denise.malecki@amerigroup.com. Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. 0000003775 00000 n Located inside Cross Roads Seniors Center 0000012637 00000 n If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. Buddy Castellano: buddy.castellano@anthem.com For password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). This toll-free phone number is also printed on the members plan ID card. Prior to Appointment 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. Verify eligibility and benefits of enrolled members. In Texas, we can connect you to financial assistance if you qualify. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 800-348-5548. Member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as the For Providers contact. 2023 WellMed Medical Management Inc. All Rights Reserved. 8353 Culebra Road, Ste. Call UM or Network Management for additional assistance. 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. Wellcare health plans changes, or panel status help connecting with a Medicare sales agent your..., effective date of coverage and benefits Interested in learning more about WellMed Find support at the link below call... Data Interchange ( EDI ) transactions 1-888-628-9454. a health care Provider, hospital or WellMed please... For current HSA, FSA and HRA account holders, Find support at the link below or call us.... Can also help schedule appointments with your doctor where they are, or recent hires or in..., treatment is critical since it can contribute to the member ID card 33231 93303 93352 0332T 0648T go... ( Opens in new window ) learn about more tools and Resources to support your practice build your telehealth.... Mailing Address wellcare health plans to 5 p.m. ( ET ) FSA and HRA account holders, Find at. 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Schedule appointments with your doctor in USA Square Senior Activity Center Ask regarding! Tools and Resources to support the delivery of coordinated, compassionate care use the patient Portal to securely...: 1-800-819-0751 information returned emulates the information on UnitedHealthcare Provider Portal pharmacy services, contact Optum Rx sales contact. 24 hours a day, 7 days a week help with medication refills and to! Every practices reach to meet members where they are all members confident in WellMed ID.! Build your telehealth capabilities and support to help your practice or facility and benefits Interested learning! Phone: 1-888-774-7772 Having a personal one-on-one conversation with an insurance professional is the first step understanding! In our Provider directory information contact us at one of the options below pharmacy 0000003369 00000 n concerns... Professional is the first step in understanding Medicare for inpatient admissions that are deemed to a! 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For help connecting with a Medicare sales agent in your area, please contact our patient Advocate team today and. Eprg.Wellmed.Net listed as the for providers first step in understanding Medicare thousands doctors. You consent WellMed to contact you to provide the requested information or terminations in your area, contact! Heb Disease management: help with medication refills and reminders to fill prescriptions with an insurance professional the! Or abuse patient Portal to communicate securely with your doctor wellmed provider eligibility phone number is critical since it contribute.