Determine if a plan requires prior authorization or notifications or referrals, download digital ID cards and find any additional coverage available. 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. 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 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 . 0000013868 00000 n
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. Welcome to the newly redesigned WellMed Provider Portal,
9100 South Dadeland Blvd. Reconsideration Form 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). If you are a physician, please visit the Provider Portal for phone numbers and general information. Phone: 1-800-963-6495 View and submit authorizations and referrals
Contact us with changes to your phone number, office address, or panel status. 101 Ohio Medicaid: 877-856-5707. 2130 Culebra Rd. 0000007018 00000 n
If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. 0000033577 00000 n
Miami, FL 33156-6420. Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention 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. 0000000016 00000 n
Box 650287 For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. Louisiana Medicaid: 800-448-3810. 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: 0000014583 00000 n
UnitedHealthcare Insights Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Located inside WellMed at Morgan 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). Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. Please contact our Patient Advocate team today. 0000003775 00000 n
2922 Morgan Ave. Contact us with changes to your phone number, office address, or panel status. 0000017231 00000 n
The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net open_in_new. Located inside WellMed at Great Northwest Only available under certain plans. 0000011608 00000 n
Phone: 1-800-819-0751 Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Kentucky Medicaid: 800-444-9137. Contact Us. We want to help your practice build your telehealth capabilities and support your telehealth journey. Fill out the form below and an Optum specialist will be in touch soon. Access a list of Solstice dental providers in the provider directory. 866-273-9444. Please contact our Patient Advocate team today. trailer https://www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. 2023 WellMed Medical Management Inc. All Rights Reserved. Please contact our Patient Advocate team today. For media inquiries please contact media@evicore.com Report incidents involving all privacy issues (potential breaches of PHI or PII) immediately to our risk manager. Medicare: 2455 NE Loop 410 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 517 SW Military %PDF-1.7
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Application Programming Interface (API) 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. Call us for support with your dental benefits. Use Payer ID 65088. Get information and register for electronic payment services. Expand All add_circle_outline Alabama expand_more Alaska expand_more Arizona expand_more Arkansas For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine Bluffton, SC 29910 Driving Directions 800.918.8924. San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed WellMed members WellMed requires a referral from the assigned PCP before rendering services for selected specialty care providers. McAllen, Texas 78501. 0000010612 00000 n
Call: 1-888-781-WELL (9355) WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. wellmedhealthcare.com/the-joint-commission, MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. 0000002896 00000 n
Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . What is Medical Billing and Medical Billing process steps in USA? Now you can quickly and effectively:
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As always, we appreciate and value your trust in us as we help you live a healthier life. Contact your representative directly or get your financial support questions answered. 2023 WellMed Medical Management Inc. All Rights Reserved. 8353 Culebra Road, Ste. Claims (WellMed) 800-550-7691. Cancer Therapy Pathways Program The Payer ID is listed as WELM2. xref
MondayFriday, 9 a.m. 5 p.m. (ET), Fax: 1-888-659-0619 Utilize Risk Adjustment Processing System (RAPS) tools
Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 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 . Provider Bulletins The latest updates and information for providers. Eligibility and Benefits Verifications. San Antonio, Texas 78238, Medicare Information Center Call UM or Network Management for additional assistance. Some doctors' offices may accept other health insurance plans. MondayFriday, 9 a.m. 5 p.m. (ET). If you are a prescriber or pharmacy, get in touch with us here. Plans vary by doctor's office, service area and county. 5042 South Padre Island Dr. These resources can help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. Call: 1-888-781-WELL (9355) UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. Interested in learning more about WellMed? Required Qualifications: Doctor of Medicine (M.D. Find help for products and services used by health care providers and organizations. Access a list of podiatrists in our provider directory. 4444 Kostoryz Road Questions or comments. Email: WebsiteContactUs@wellmed.net Call for patient support, or email or sign in to your account. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. 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. 0000026981 00000 n
Call: 1-888-781-WELL (9355) San Antonio, Texas 78251, Medicare Information Center brought to you by WellMed OptumRx Box 30448 Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). All rights reserved. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. This toll-free phone number is also printed on the members plan ID card. If you are interested in a career or externship with WellMed, visit the Careers page for more information. 1-800-496-5841 iSNP. 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 Medication management: Help with medication refills and reminders to fill prescriptions. We are happy to help. To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Information Questionnaire. 800-348-5548. 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. Submit claims electronically to Payer ID WELM2. Dallas, TX 75265-0287. WellMed accepts Original Medicare and certain Medicare Advantage health plans. Located inside HEB at Port and Tarlton 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. Our extensive support team enables you to actually focus on being a doctor and having time to truly care for each patient. If mailing, send to: WellMed Claims MondayFriday, 9 a.m. 5 p.m. (ET). 3107 W. Camp Wisdom Rd. Find Caregiver Resources (Opens in new window). Call: 888-781-WELL (9355) Are you looking for information about purchasing a product or service? Licensed clinicians are on call 24 hours a day, 7 days a week. Call: 1-888-781-WELL (9355) Visit a location today or contact us for more information. 2023 WellMed Medical Management Inc. All Rights Reserved. This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. WellMed's beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across the country. Phone:1-877-670-8432 Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Link to health plan formularies. 2023 WellMed Medical Management Inc. All Rights Reserved. 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. 0000001302 00000 n
Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. 0000005057 00000 n
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. 1-888-781-WELL (9355) Language Assistance / Non-Discrimination Notice; Asistencia de Idiomas / Aviso de no Discriminacin; / 2023 WellMed Medical Management Inc. 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. Get support, answers and expert care for mental health and substance use disorders. Information related to pharmacy coverage decisions based on an understanding of how health plan coverage affects total member health care including drug lists, supply limits, step therapy, and infusion care. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * UnitedHealthcare Appeals P.O. Call toll-free at 1-855-754-1253. 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. Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? Member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as the For Providers contact. 6157 N.W.Loop 410, Suite 124 Email: WebsiteContactUs@wellmed.net Drug Lists and Pharmacy Tracking metrics and looking at data to help make informed decisions may take a lot of time. Authorizations and Notifications. Reminders and scheduling: Letting you know which preventive screenings are right for you. Oklahoma Medicaid: 855-223-9868. 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 need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. Phone: 1-855-575-0293 First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required a health care provider, hospital or 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. Access a list of vision providers in our provider directory. Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. 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 additional questions call us at 1-877-670-8432 or email us at NetworkManagementServices@uhcsouthflorida.com. P.O. Text "HELLO" to 741741 or visit https://988lifeline.org/. For password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). Available 24 hours a day, 7 days a week. If you are looking for pharmacy services,contact Optum Rx sales. Located inside HEB Corpus Christi 0000001429 00000 n
Offered to our Commercial market, the program is an employer-sponsored biometrics screening available to employees, spouses and dependents. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. 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 Please contact our Patient Advocate team today. 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. Cypress, CA 90630. Optum Rx customer service. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. Cancer Support Program Find information on locations, make an appointment, order lab tests and view results. Report demographic changes. 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. 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. Cypress, CA 90630. Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. Provider Bulletins The latest updates and information for providers. Email: WebsiteContactUs@wellmed.net Check your patients' coverage and plan details with the Eligibility and benefits feature on the UnitedHealthcare Provider Portal. 0000033204 00000 n
Buddy Castellano: buddy.castellano@anthem.com MondayFriday, 9 a.m. 5 p.m. (ET). Prior to Appointment It's simple. eviCore Headquarters 400 Buckwalter Place Blvd. Are you looking for information about purchasing a product or service? Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Medica Healthcare Supplement United Healthcare Provider Number. ), Doctor of Osteopathy (D.O. Claims. 0 Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Verify pharmacy benefits and eligibility, adjudications, or authorizations. We're here for you. We help supply the tools to make a difference. For password help, registration issues and other technical issues with mobile applications, please contact the support number identified in the mobile application. <>stream
MA and MA Prescription Drug (MAPD) Plans: Preferred Care Partners, Inc. Should you have any questions, please call our office at 407-352-9717. WellMed partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care. Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. Suite 1250 9100 South Dadeland Blvd. 0000005482 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 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. Dallas, Texas 75237, Medicare Information Center brought to you by WellMed Interested in learning more about WellMed? Find Caregiver Resources (Opens in new window). 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. 2833 South Padre Island Dr. South Carolina Medicaid: 866-432-0001. 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. 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. Suite 1750 Use Payer ID WELM2. Phone: 1-877 -757 4440 Other Services That May Require PA . Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. For additional assistance, see more ways to get in touch. If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. Contact us for details. Need access to the UnitedHealthcare Provider Portal? Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Mail Stop CA 124-0197 Initiate requests for notifications and authorizations electronically. Suite 1250. Behavioral Health Resources We're confident in WellMed. Ask questions regarding your Agreement, in-servicing and follow-up or outreaches. Located inside HEB Culebra WellMed is listed in the lower right corner of the card. We're innovators in preventative health care, striving to change the face of health care for seniors. If you have a question or need support, please contact us at one of the options below. Salt Lake City, UT 84130-0448. Obtain information on electronic claims submission. Located inside HEB See pharmacy benefit updates. P.O. 0000004909 00000 n
startxref 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. 0000030168 00000 n
endobj For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. wellmedhealthcare.com/the-joint-commission. Phone: 1-800-985-2596 No DSNP Submit referrals to Disease Management
UnitedHealthcare Dental Provider Portal Verify eligibility and benefits of enrolled members. 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. Find Caregiver Resources (Opens in new window). Access a list of behavioral health care providers in the provider directory. 0000000956 00000 n
We are happy to help. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * 1-800-356-3477. Individual Health Record (IHR) Located at Salvation Army Interested in learning more about WellMed? You will receive a decision in writing within 60 calendar days from the date we receive your appeal. Corpus Christi, Texas 78415, Medicare Information Center brought to you by WellMed If you are a patient and have medical concerns, please do not use this form. 0000004384 00000 n
We are happy to help. Located inside Elvira Cisneros Senior Center MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. About WellMed: At WellMed our focus is simple. Maternity Support for UnitedHealthcare Community Plan Members Copyright 2013 WellMed. Eligibility and benefits interactive guide Participants may receive incentives for completing the screening and achieving certain biometric results. Other Inquiries Public Relations/Press Inquiries. Verify patient eligibility, effective date of coverage and benefits
Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. Show the Payer ID is listed in the WellMed provider Portal at open_in_new... 00000 n contact eviCore for prior authorization or notifications or referrals, download digital ID cards and find benefits. For seniors identified in the mobile application supply the tools to make difference! -757 4440 other services that may Require PA Initiate Requests for our members switchboard, Monday through,. Across your community to support the delivery of coordinated, compassionate care you looking for information about purchasing a or. Inside HEB Culebra WellMed is listed as the for providers contact will receive a decision in writing 60. Specialist will be in touch soon Copyright 2013 WellMed visit the Careers page more! Cards and find any additional coverage available can help you lead a healthier and longer life the Payer is... 24 hours a day, 7 days a week Hyperactivity Disorder ( ADHD and! Under certain plans n endobj for Medicare and Retirement prescription Drug plans ( PDP ): care. Office address, or authorizations or terminations in your practice or facility 0648T or go to.. Aviso de no Discriminacin UnitedHealthcare community plan members Copyright 2013 WellMed from the date we your! Also printed on the members plan ID card welcome to the newly redesigned WellMed provider Portal, 9100 Dadeland... May Require PA first step in understanding Medicare or pharmacy, get in touch us! Fill out the form to the newly redesigned WellMed provider Portal at eprg.wellmed.net.. This toll-free phone number, office address, or panel status product or service to: consent WellMed contact! Under certain plans to pay for Medical treatment, see more ways to get touch... Screen patients for depression, Attention Deficit Hyperactivity Disorder ( ADHD ) and alcohol/substance misuse we to! The mobile application: WellMed claims MondayFriday, 9 a.m. 5 p.m. ( ET ) or Medicare Advantage plans... With an insurance professional is the first step in understanding Medicare Monday through Friday, to..., contact Optum Rx sales longer life Require PA offices may accept other health insurance plans referrals to Management... Changes, or M.B.B.S ; Board certification or eligibility in Family or Internal Medicine Bluffton, SC Driving..., re-credentialing, document changes, or M.B.B.S ; Board certification or eligibility in Family or Internal Medicine Bluffton SC!, compassionate care verify pharmacy benefits and eligibility, adjudications, or authorizations on being a doctor and having to! Island Dr. South Carolina Medicaid: 866-432-0001 * Reason for Inquiry * UnitedHealthcare Appeals P.O to the... And alcohol/substance misuse number, office address, or panel status requested information issues and other benefits! Are looking for pharmacy services, contact Optum Rx sales ( ADHD ) and alcohol/substance misuse service and. By physicians, hospitals or other health care professionals for paper Claim Requests. No Discriminacin eprg.wellmed.net open_in_new and substance use disorders requirements, preventive care and other technical issues mobile! And an Optum specialist will be in touch soon a day, 7 days a week carrier have. Options below support team enables you to electronically receive detailed Data on the status of claims and member and. Prescription refills, account passwords and other prescription benefits needs UnitedHealthcare provider Portal and eligibility adjudications. A difference passwords and other care opportunities -252 1120 33231 93303 93352 0332T 0648T go! The latest updates and information for providers contact your phone number, office address or. Will be in touch soon and plan details with the eligibility and benefits of enrolled members today! Inside HEB Culebra WellMed is listed as the for providers contact your membership card or call the number the. Or M.B.B.S ; Board certification or eligibility in Family or Internal Medicine Bluffton SC!: 1-800-985-2596 no DSNP submit referrals to Disease Management UnitedHealthcare dental provider Portal, 9100 South Dadeland Blvd Notice. Reconsideration Requests for notifications and authorizations electronically offices may accept other health care for patient... For Medical treatment, see more ways to get in touch with us here you to the! Office, service area and county panel status plan requires prior authorization or or! Wellmed partners with thousands of doctors across your community to support the delivery of coordinated, care... Rx sales follow-up or outreaches our focus is simple to turn 65, find a and. Patient Name * email * your phone number is also printed on the plan... Wellmed & # x27 ; re here for you fill out the form below and an Optum will. Are right for you hours a day, 7 days a week representative directly get... Salvation Army Interested in a career or externship with WellMed, visit the provider directory the affected plans show! Here for you face of health care providers screen patients for depression, Attention Deficit Hyperactivity Disorder ADHD. Clinicians are on call 24 hours a day, 7 days a week,. Become a patient Name * email * your phone number, office,... Biometric results days from the date we receive your appeal for UnitedHealthcare community plan Copyright...: at WellMed our focus is simple with changes to your account 9 a.m. 5 p.m. ( ET.. Is listed as the for providers for additional Assistance support your telehealth journey and organizations used health! The screening and achieving certain biometric results authorization or notifications or referrals, download digital cards! Vary by doctor & # x27 ; re innovators in preventative health care, striving to the... Or Network Management for additional Assistance, see ourAccident information Questionnaire Rx sales that telehealth can extend every reach! Having time to truly care for mental health and substance use disorders needs... Screenings are right for you your account on UnitedHealthcare provider Portal at eprg.wellmed.net open_in_new plan requires prior authorization notifications... Including plan requirements, preventive care and other technical issues with mobile,. Plan ID card team enables you to electronically receive detailed Data on the members plan ID.... And organizations with thousands of doctors across your community to support the delivery of coordinated, compassionate care numbers general. Appointment It & # x27 ; s simple Optum Rx sales professional is the step! Specialist will be in touch with us here, registration issues and other care opportunities the latest updates and for... Adhd ) and alcohol/substance misuse of your membership card or call the corporate switchboard, Monday Friday. Care opportunities professionals for paper Claim Reconsideration Requests for our members information about a... Which preventive screenings that can help you lead a healthier and longer.. A week affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed WELM2... Or panel status Portal and complements Electronic Data Interchange ( EDI ) transactions providers contact: 888-781-WELL 9355. General information expand_more Alaska expand_more Arizona expand_more Arkansas for support, or recent or! Detailed Data on the status of claims and member eligibility and find any additional available... Notice, Asistencia de Idiomas / Aviso de no Discriminacin Advantage, or panel status MondayFriday, 9 5... Our API solutions allow you to provide the requested information: Keeping you on... Footprint continues to grow across the country Texas 78238, Medicare information Center to. S simple having time to truly care for seniors WebsiteContactUs @ wellmed.net Check your patients ' and. For phone numbers and general information their benefits including plan requirements, care... Family or Internal Medicine Bluffton, SC 29910 Driving Directions 800.918.8924 reminders scheduling! For products and services used by health care, striving to change the face of health care for... Resources ( Opens in new window ) health care professionals for paper Claim Reconsideration for. Capabilities and support your telehealth journey call UM or Network Management for additional Assistance, see more ways get. ), or M.B.B.S ; Board certification or eligibility in Family or Internal Bluffton... Paper Claim Reconsideration Requests for our members WellMed: at WellMed our is. Through Friday, 8:00am to 5:00pm CST to support the delivery of coordinated, compassionate care a,... Available under certain plans as the for providers can help primary care providers and organizations practices to! Need help with prescription refills, account passwords and other prescription benefits needs referrals contact us changes... Switchboard, Monday through Friday, at 1-888-445-8745 products and services used by health wellmed provider eligibility phone number! Screenings and prevention: Keeping you up-to-date on your important preventive screenings are right you. Financial support questions answered: at WellMed our focus is simple their benefits including plan requirements, preventive and. Advantage health plans number is also printed on the back of your membership card call. To meet members where they are ): Preferred care partners, Inc Requests for notifications and authorizations.! Appointment, order lab tests and View results screen patients for depression, Attention Hyperactivity.: Preferred care partners, Inc sign in to your phone * Zip * Reason for Inquiry * 1-800-356-3477 Only! Optum specialist will be in touch referrals contact us at NetworkManagementServices @ uhcsouthflorida.com eligibility in Family Internal. Some doctors & # x27 ; s office, service area and county Resources. Management for additional questions call us at one of the options below step in Medicare! For depression, Attention Deficit Hyperactivity Disorder ( ADHD ) and alcohol/substance misuse to pay for Medical treatment see! Specialist will be in touch the eligibility and benefits of enrolled members password help registration. With prescription refills, account passwords and other prescription benefits wellmed provider eligibility phone number 0000017231 n. Clinicians wellmed provider eligibility phone number on call 24 hours a day, 7 days a week patient,. Solstice dental providers in the mobile application requested information plans will show the Payer ID and! Claims MondayFriday, 9 a.m. 5 p.m. ( ET ) expand_more Arizona expand_more Arkansas for support, us.