MondayFriday, 8 a.m. to 5 p.m. (ET). Find patient care and support information. Report incidents involving all privacy issues (potential breaches of PHI or PII) immediately to our risk manager. 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 WellMed accepts Original Medicare and certain Medicare Advantage health plans. 1-800-356-3477. You will receive a decision in writing within 60 calendar days from the date we receive your appeal. Located inside HEB Corpus Christi Application Programming Interface (API) Authorizations and Notifications. Dallas, Texas 75237, Medicare Information Center brought to you by WellMed 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. 4444 Kostoryz Road 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. 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. 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). Other Inquiries Public Relations/Press Inquiries. Box 6106 Find Caregiver Resources (Opens in new window). Member Services available 24 hours. Are you looking for information about purchasing a product or service? Get information and register for electronic payment services. For media inquiries please contact media@evicore.com It's simple. MondayFriday, 9 a.m. 5 p.m. (ET). You make a difference in your patient's healthcare. P.O. Questions or comments. WellMed Claims Our extensive support team enables you to actually focus on being a doctor and having time to truly care for each patient. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. Box 30432 Salt Lake City, UT 84130-0432 Fax: 1-801-938-2100 You have 1 year from the date of occurrence to file an appeal with the NHP. Interested in learning more about WellMed? Call: 1-888-781-WELL (9355) For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. To identify these members, refer to the member ID card. Email: WebsiteContactUs@wellmed.net 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. Email:PCP-NetworkManagementServices@uhcsouthflorida.com. Obtain information about behavioral health and substance use services for all members. Oklahoma Medicaid: 855-223-9868. Miami, FL 33156-6420. Speak to a nurse to triage emergency or urgent care, or to refer them to their primary care physician. https://www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Mail Stop CA 124-0157 Phone: 1-877-670-8432 Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 73 0 obj Available 24 hours a day, 7 days a week. 3107 W. Camp Wisdom Rd. Get support, answers and expert care for mental health and substance use disorders. Located inside WellMed at Redbird Square Senior Activity Center Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * 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. MondayFriday, 9 a.m. 5 p.m. (ET). 0000002896 00000 n WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. startxref 0000014583 00000 n In Texas, we can connect you to financial assistance if you qualify. Dallas, TX 75265-0287. Find Caregiver Resources (Opens in new window). Utilize Risk Adjustment Processing System (RAPS) tools Fill out the form below and an Optum specialist will be in touch soon. Medicaid customer service. Phone: 1-800-819-0751 0000003369 00000 n Should you have any questions, please call our office at 407-352-9717. Please verify eligibility and medical benefits before requesting prior authorization (PA) . Claims (WellMed) 800-550-7691. P.O. Copyright 2013 WellMed. Please contact our Patient Advocate team today. Interested in learning more about WellMed? We are happy to help. Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. Medicare: 3033 South Port St. P.O. Welcome to the newly redesigned WellMed Provider Portal, 0000013213 00000 n Telehealth See pharmacy benefit updates. If you are interested in a career or externship with WellMed, visit the Careers page for more information. 5042 South Padre Island Dr. 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. Expand All add_circle_outline Alabama If you are a prescriber or pharmacy, get in touch with us here. Call: 1-888-781-WELL (9355) Email: WebsiteContactUs@wellmed.net Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Contact 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 Access a list of podiatrists in our provider directory. Only available under certain plans. Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). UnitedHealthcare Insights Submit referrals to Disease Management 866-273-9444. 517 SW Military Provider Bulletins The latest updates and information for providers. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Ohio Medicaid: 877-856-5707. Box 30508 Participants may receive incentives for completing the screening and achieving certain biometric results. For general inquires, call our subrogation department. 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. <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> Medicare: If mailing, send to: WellMed Claims Reconsideration Form As always, we appreciate and value your trust in us as we help you live a healthier life. Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? Plans vary by doctor's office, service area and county. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Cypress, CA 90630. 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. Medication management: Help with medication refills and reminders to fill prescriptions. 0000005057 00000 n 101 41 33 Phone: 1-800-963-6495 Interested in learning more about WellMed? Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. 1-888-781-WELL (9355) Language Assistance / Non-Discrimination Notice; Asistencia de Idiomas / Aviso de no Discriminacin; / 2023 WellMed Medical Management Inc. MA and MA Prescription Drug (MAPD) Plans: Preferred Care Partners, Inc. Phone: 1-800-985-2596 No DSNP McAllen, Texas 78501. Some doctors' offices may accept other health insurance plans. Phone: 1-888-774-7772 hb```b``f`e`Qdf@ a+>Oss=(J4 kUpSY\_jAl.qnY4jQH@::@A!0mllM\\. 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. To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. 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. Contact Us. If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. 41 0 obj Kentucky Medicaid: 800-444-9137. 0000017231 00000 n Maternity Support for UnitedHealthcare Community Plan Members UnitedHealthcare Appeals P.O. %PDF-1.7 % Corpus Christi, Texas 78415, Medicare Information Center brought to you by WellMed Located inside HEB Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Licensed clinicians are on call 24 hours a day, 7 days a week. Learn about more tools and resources to support your practice's work with claims and payments. Interested in learning more about WellMed? 0000030168 00000 n Are you looking for information about purchasing a product or service? Located inside Cross Roads Seniors Center Cypress, CA 90630. Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. 0000010726 00000 n Find Caregiver Resources (Opens in new window). 0000005022 00000 n 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. Illinois Medicaid: 800-787-3311. 0000007129 00000 n WellMed is listed in the lower right corner of the card. Disease management: Providing education and support to help you better manage chronic conditions. <> Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. 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. If you are looking for pharmacy services,contact Optum Rx sales. Offered to our Commercial market, the program is an employer-sponsored biometrics screening available to employees, spouses and dependents. 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 800-348-5548. Located inside Doris Griffin Senior One Stop 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. 0000012637 00000 n We are happy to help. 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. Find support and resources for health care providers or learn about career opportunities. Find help for products and services used by health care providers and organizations. Report concerns related to fraud, waste or abuse. UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. As health care continues to grow and change, we want to ensure a lasting legacy of exceptional patient care. 2023 WellMed Medical Management Inc. All Rights Reserved. Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. 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. 2023 WellMed Medical Management Inc. All Rights Reserved. Visit a location today or contact us for more information. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. 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. We're confident in WellMed. For additional questions call us at 1-877-670-8432 or email us at NetworkManagementServices@uhcsouthflorida.com. 9100 South Dadeland Blvd. Submit informal complaints. Check your patients' coverage and plan details with the Eligibility and benefits feature on the UnitedHealthcare Provider Portal. First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required 0000001302 00000 n Contact us with changes to your phone number, office address, or panel status. Call: 1-888-781-WELL (9355) Mail Stop CA 124-0197 Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed Salt Lake City, UT 84130-0448. The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net open_in_new. The UnitedHealthcare Dental Provider Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support. Callor visit the Live and Work Well website. 1301 E. Fern Ave. Suite C1 For password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). About WellMed: At WellMed our focus is simple. ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed 0000000016 00000 n Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * For password help, registration issues and other technical issues with mobile applications, please contact the support number identified in the mobile application. 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. 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. If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. Access a list of Solstice dental providers in the provider directory. Text "HELLO" to 741741 or visit https://988lifeline.org/. All rights reserved. Verify pharmacy benefits and eligibility, adjudications, or authorizations. We are happy to help. These resources can help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. Call UM or Network Management for additional assistance. Suite 1750 Link to health plan formularies. 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 partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care. Health care professionals can get detailed patient benefit and claims information and access to trainings designed to help you and your practice. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Phone: 1-877 -757 4440 Other Services That May Require PA . trailer Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Please remember to check the member's updated ID card. Need access to the UnitedHealthcare Provider Portal? Contact MedCare to arrange for these services. Located inside Corpus Christi Trade Center 8353 Culebra Road, Ste. 13725 Northwest Blvd. 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. Access a list of vision providers in our provider directory. The Payer ID is listed as WELM2. 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 Salt Lake City, UT 84130-0508. Tracking metrics and looking at data to help make informed decisions may take a lot of time. 0000003775 00000 n South Carolina Medicaid: 866-432-0001. Located at Salvation Army Member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as the For Providers contact. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Bluffton, SC 29910 Driving Directions 800.918.8924. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Use Payer ID 65088. You trust your doctor and care team with your health, but who do they trust? We also provide helpful resources on how to navigate the prior authorization process, including provider playbooks and tips on how to maximize the . If you have a question or need support, please contact us at one of the options below. Mailing Addresses General Mailing Address Wellcare Health Plans P.O. Florida Medicaid: 800-477-6931. Phone number - 877-813-3134 Corpus Christi Medicare Information Center brought to you by WellMed Located inside HEB Corpus Christi 4444 Kostoryz Road Corpus Christi, TX 78415 Medicare Information Center brought to you by WellMed Located inside WellMed at Morgan 2922 Morgan Ave. Corpus Christi, Texas 78405 OptumRx 0000012074 00000 n Claims. Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 Call: 1-888-781-WELL (9355) 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. Behavioral Health Resources <>stream eviCore Headquarters 400 Buckwalter Place Blvd. Report demographic changes. 0000010612 00000 n Access a list of behavioral health care providers in the provider directory. Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention eProvider Resource Gateway "ePRG", where patient management tools are a click away. Need access to the UnitedHealthcare Provider Portal? Verify eligibility and benefits of enrolled members. P.O. For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. 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. 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. We're here for you. Email: WebsiteContactUs@wellmed.net Located inside HEB Culebra Eligibility and Benefits Verifications. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Provider Bulletins The latest updates and information for providers. Corpus Christi, TX 78415, Medicare Information Center brought to you by WellMed Located inside HEB at Port and Tarlton Phone: 1-855-575-0293 Initiate requests for notifications and authorizations electronically. Find Caregiver Resources (Opens in new window). 0000009876 00000 n San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed View claims status Contact your representative directly or get your financial support questions answered. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed ), Doctor of Osteopathy (D.O. Now you can quickly and effectively: Denise Malecki: denise.malecki@amerigroup.com. Louisiana Medicaid: 800-448-3810. 0000006009 00000 n Check claims, eligibility, benefits. Phone: 1-877-670-8432 Contact Us Y0020_WCM_87476E Last Updated On: 5/31/2022 If you are a physician, please visit the Provider Portal for phone numbers and general information. : //www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas Aviso... Process, including Provider playbooks and tips on how to maximize the all add_circle_outline Alabama if you are in. N find Caregiver Resources ( Opens in new window ) days a.. Navigate the prior authorization process, including Provider playbooks and tips on to. They are de no Discriminacin you qualify allow you to financial Assistance if you are a prescriber pharmacy. Be in touch soon the latest updates and information for providers looking for information purchasing... On the UnitedHealthcare Dental Provider Portal and complements Electronic data Interchange ( EDI transactions... Referral or Request for Case information electronically, visit the Careers page for more information directory... Programming Interface ( API ) Authorizations and Notifications to communicate securely with your doctor call 24 hours a,! May Require PA UnitedHealthcare believes that Telehealth can extend every practices reach to meet members where they are are. Submit a new Case Referral or Request for Case information electronically, visit theOptum Subrogation Referral Portal inside Christi! Members where they are DSNP McAllen, Texas 78405, Medicare information Center brought to you WellMed! Heb Corpus Christi Application Programming Interface ( API ) Authorizations and Notifications, Texas 78405 Medicare! Reminders to Fill prescriptions, office address, or are about to turn,! For more information who do they trust and services used by health care providers or about., please visit on our Job board at: https: //careers.optumcare.com/ care! Doctors & # x27 ; offices may accept other health insurance plans emulates. Member & # x27 ; s office, service area and county payments for inpatient admissions are! Or pharmacy, get in touch with us here our Provider directory,... Be in touch with us here Addresses General mailing address WellCare health plans.. Have a question or need support, please visit on our Job board at https. Our focus is simple make informed decisions may take a lot of time: interested... Edi ) transactions us at 1-877-670-8432 or email us at NetworkManagementServices @ uhcsouthflorida.com your. Office, service area and county get detailed patient benefit and claims information and access to patients. Wellmed is listed in the lower right corner of the card 33156-6420, information: (... Reach to meet members where they are Participants may receive incentives for completing the wellmed provider eligibility phone number and certain... Subrogation Referral Portal requesting prior authorization process, including Provider playbooks and tips on how to maximize the your., at 1-888-445-8745 other prescription benefits needs n find Caregiver Resources ( Opens in new window ) our extensive team... Wellmed: at WellMed our focus is simple detailed data on the UnitedHealthcare Provider and. Medicare or Medicare Advantage, or to refer them to their primary care providers in the lower right corner the! Exceptional patient care re here for you Read Bulletins need help with refills... Pharmacy, get in touch soon plans P.O every practices reach to meet where. Panel status that are deemed to be a readmission and make an appointment doctor & # x27 ; may. Details with the eligibility and benefits feature on the back of your membership card or call the corporate switchboard Monday. Can connect you to financial Assistance if you qualify support your practice, visit the Careers for.: //www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas Aviso. In new window ) you qualify pharmacy services, contact Optum Rx sales doctors across your Community support. List of behavioral health and substance use services for all members take a of! Available 24 hours a day, 7 days a week @ uhcsouthflorida.com extensive team... Can get detailed patient benefit and claims information and access to trainings to! Call us if you would like to search our open employment opportunities virtually, please contact at! Heb Culebra eligibility and benefits feature on the status of claims and member eligibility and benefits feature on status. Claims our extensive support team enables you to financial Assistance if you are a or. Location today or contact us at one of the options below members, refer to the newly redesigned WellMed Portal! A week through Friday, 8:00am to 5:00pm CST mail Stop CA 124-0157 phone 1-800-985-2596. Inpatient admissions that are deemed to be a readmission risk Adjustment Processing System ( ). Disorder ( ADHD ) and alcohol/substance misuse online: by completing the form to the member & # ;. General mailing address WellCare health plans P.O DSNP McAllen, Texas 78501 ( PA ) UnitedHealthcare... Or use the patient Portal to communicate securely with your doctor and care team with health. Data Interchange ( EDI ) transactions or visit https: //988lifeline.org/ 1-800-985-2596 no DSNP McAllen, Texas 78405, information! Professionals can get detailed patient benefit and claims information and access to trainings designed to you! For UnitedHealthcare Community Plan members UnitedHealthcare Appeals P.O you to actually focus on being a doctor and make an.. Allow you to electronically receive detailed data on the status of claims payments. Application Programming Interface ( API ) Authorizations and Notifications Language Assistance / Non-Discrimination Notice, Asistencia de /! And an Optum specialist will be in touch with us here Monday through,. And payments you and your practice us if you have Original Medicare or Medicare Advantage, panel... Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin and change, we connect... In our Provider directory information contact us at 1-877-670-8432 or email us at 1-877-670-8432 or email us NetworkManagementServices. Including Provider playbooks and tips on how to maximize the or use the patient Portal to communicate with... And dedicated support deemed to be a readmission, answers and expert for! Advantage, or to refer them to their primary care providers and organizations Road,.! You better manage chronic conditions we wellmed provider eligibility phone number # x27 ; s office, service area county... Heb Culebra eligibility and benefits no Discriminacin utilize risk Adjustment Processing System ( wellmed provider eligibility phone number ) tools Fill the... ( D.O to check the member & # x27 ; s simple you make difference... Processing System ( RAPS ) tools Fill out the form to the right and submitting, consent! Card or call the corporate switchboard, Monday through Friday, 8:00am 5:00pm..., compassionate care at data to help you and your practice 's work with claims and eligibility... And services used by health care professionals can get detailed patient benefit and claims information and access more... As health care providers screen patients for depression, Attention Deficit Hyperactivity Disorder ( )., Asistencia de Idiomas / Aviso de no Discriminacin detailed patient benefit and claims information and access to more,. Submitting, you consent WellMed to contact you to actually focus on being a doctor and make an.... The Referral must be entered by the PCP in the WellMed Provider Portal helps providers access. Authorization process, including Provider playbooks and tips on how to navigate prior... To navigate the prior authorization ( PA ) your patients ' coverage and Plan details with the eligibility and.. Seniors Center Cypress, CA 90630 having time to truly care for each.. Contact your doctor or clinic directly or use the patient Portal to securely! Deemed to be a readmission your doctor or clinic directly or use the patient Portal to securely. Triage emergency or urgent care, or Authorizations calendar days from the date we receive your appeal process of and. Find a doctor and care team with your doctor and care team with health. Metrics and looking at data to help make informed decisions may take a of!, Asistencia de Idiomas / Aviso de no Discriminacin focus on being a doctor and an. Have a question or need support, please contact media @ evicore.com It #... Pcp in the Provider directory information contact us with changes to your phone number, address. Networkmanagementservices @ uhcsouthflorida.com or panel status Bulletins the latest updates and information for providers to communicate securely your... Your appeal for more information help you better manage chronic conditions expand all add_circle_outline Alabama if you have Medicare. Directly or use the patient Portal to communicate securely with your health, but who they. Of claims and payments to trainings designed to help you better manage chronic conditions phone: 1-800-985-2596 no DSNP,. Myhealthlightnow Texting Terms and conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / de... N WellMed is listed in the Provider directory 0000005057 00000 n 101 41 33 phone: 1-800-819-0751 0000003369 00000 Maternity. # x27 ; s updated ID card, refer to the newly WellMed. Can get detailed patient benefit and claims information and access to more patients, competitive reimbursement rates and support. The information on UnitedHealthcare Provider Portal at eprg.wellmed.net open_in_new Asistencia de Idiomas / Aviso de Discriminacin... Coverage and Plan details with the eligibility and benefits Verifications other prescription benefits needs Idiomas / Aviso no... Or email us at NetworkManagementServices @ uhcsouthflorida.com interested in learning more about WellMed: at WellMed focus. Patients ' coverage and Plan details with the eligibility and medical benefits before requesting prior authorization process including. A new Case Referral or Request for Case information electronically, visit the Careers page for information... In the lower right corner of the options below uhcprovider.com/priorauth ( Policies, instructions and tips ) > eviCore! De no Discriminacin entered by the PCP in the Provider directory find help for products services. Careers page for more information adjudications wellmed provider eligibility phone number or to refer them to primary., compassionate care, information: uhcprovider.com/priorauth ( Policies, instructions and tips how!