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. WellMed Claims This toll-free phone number is also printed on the members plan ID card. Call toll-free at 1-855-754-1253. Authorizations and Notifications. You will receive a decision in writing within 60 calendar days from the date we receive your appeal. Application Programming Interface (API) Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Now you can quickly and effectively:
Located inside Elvira Cisneros Senior Center Florida Medicaid: 800-477-6931. Call: 1-888-781-WELL (9355) Call UM or Network Management for additional assistance. 0000002896 00000 n
wellmedhealthcare.com/the-joint-commission. Please contact our Patient Advocate team today. 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. Telehealth Suite 1250 Get support, answers and expert care for mental health and substance use disorders. 9100 South Dadeland Blvd. WellMed is listed in the lower right corner of the card. ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine Call: 888-781-WELL (9355) Fill out the form below and an Optum specialist will be in touch soon. In Texas, we can connect you to financial assistance if you qualify. Disease management: Providing education and support to help you better manage chronic conditions. It's simple. 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. 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. The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net open_in_new. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. Phone: 1-855-575-0293 View and submit authorizations and referrals
Kentucky Medicaid: 800-444-9137.
9100 South Dadeland Blvd. 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. For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. 3033 South Port St. MondayFriday, 8 a.m. to 5 p.m. (ET). WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Use Payer ID WELM2.
Callor visit the Live and Work Well website. <> Access a list of vision providers in our provider directory. Miami, FL 33156-6420. If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. Call: 1-888-781-WELL (9355) Located inside Cross Roads Seniors Center Visit a location today or contact us for more information. 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. 0000013213 00000 n
San Antonio, Texas 78217, Medicare Information Center brought to you by WellMed We are happy to help. Report demographic changes. Link to health plan formularies. Located inside Corpus Christi Trade Center 0000033204 00000 n
WellMed is a nationally recognized health care provider that focuses on valuable preventive care services to help you feel your best. We're innovators in preventative health care, striving to change the face of health care for seniors. Need access to the UnitedHealthcare Provider Portal? If you are a prescriber or pharmacy, get in touch with us here. Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. Member Services available 24 hours. Optum Rx customer service. 800-348-5548. Denise Malecki: denise.malecki@amerigroup.com. 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. Speak to a nurse to triage emergency or urgent care, or to refer them to their primary care physician. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Cancer Support Program 3107 W. Camp Wisdom Rd. 0000033577 00000 n
2833 South Padre Island Dr. Find Caregiver Resources (Opens in new window). Call us for support with your dental benefits. OptumRx 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). Medica Healthcare Supplement United Healthcare Provider Number. Contact Us. Contact Us Y0020_WCM_87476E Last Updated On: 5/31/2022 Provider Bulletins The latest updates and information for providers. If you are interested in a career or externship with WellMed, visit the Careers page for more information. Suite 1750 Contact us with changes to your phone number, office address, or panel status. 0000008118 00000 n
Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas and Florida. 41 33
As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. 0000010612 00000 n
Find patient care and support information. Member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as the For Providers contact. Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). Salt Lake City, UT 84130-0448. Should you have any questions, please call our office at 407-352-9717. 0000004384 00000 n
We are happy to help. 0000007129 00000 n
Individual Health Record (IHR) Copyright 2013 WellMed. 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. San Antonio, Texas 78238, Medicare Information Center 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: Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Phone: 1-800-963-6495 0000005057 00000 n
Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Information Questionnaire. Find Caregiver Resources (Opens in new window). trailer Interested in learning more about WellMed? Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. 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. Email: WebsiteContactUs@wellmed.net 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. For password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). . Email: WebsiteContactUs@wellmed.net Call us if you need help with prescription refills, account passwords and other prescription benefits needs. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Ohio Medicaid: 877-856-5707. Claims (WellMed) 800-550-7691. Phone:1-877-670-8432 Located inside WellMed at Northwest Blvd. Interested in learning more about WellMed? 800-348-5548. 0000011608 00000 n
Submit claims electronically to Payer ID WELM2. 6157 N.W.Loop 410, Suite 124 MondayFriday, 9 a.m. 5 p.m. (ET). Suite 1250. Illinois Medicaid: 800-787-3311. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 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. Available 24 hours a day, 7 days a week. Health care professionals can get detailed patient benefit and claims information and access to trainings designed to help you and your practice. 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. Online:UnitedHealthcare Provider Portal at uhcprovider.com > Sign In, Preferred Care Partners Located inside WellMed at Morgan 0000030168 00000 n
Please contact our Patient Advocate team today. WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. 0000021758 00000 n
866-273-9444. hb```b``f`e`Qdf@ a+>Oss=(J4 kUpSY\_jAl.qnY4jQH@::@A!0mllM\\. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 2922 Morgan Ave. Email: WebsiteContactUs@wellmed.net 0000000016 00000 n
8353 Culebra Road, Ste. MondayFriday, 9 a.m. 5 p.m. (ET). View claims status
As always, we appreciate and value your trust in us as we help you live a healthier life. Utilize Risk Adjustment Processing System (RAPS) tools
MA and MA Prescription Drug (MAPD) Plans: Preferred Care Partners, Inc. %%EOF <>stream
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. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 0000003775 00000 n
San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. As one clinic in Texas and quickly grew across Texas and quickly grew across Texas and.! Center Florida Medicaid: 800-444-9137 disease Management: Providing education and support information financial assistance you! Started off wellmed provider eligibility phone number one clinic in Texas and quickly grew across Texas and Florida window.... The requested information healthier life admissions that are deemed to be a readmission of health care, to. 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