Find support and resources for health care providers or learn about career opportunities. 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. 0000013868 00000 n Claims (WellMed) 800-550-7691. 0000009876 00000 n If mailing, send to: WellMed Claims Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services Submit informal complaints. Kentucky Medicaid: 800-444-9137. As always, we appreciate and value your trust in us as we help you live a healthier life. In Texas, we can connect you to financial assistance if you qualify. Utilize Risk Adjustment Processing System (RAPS) tools WellMed's beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across the country. We want to help your practice build your telehealth capabilities and support your telehealth journey. As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. 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: Speak to a nurse to triage emergency or urgent care, or to refer them to their primary care physician. 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. Required Qualifications: Doctor of Medicine (M.D. Medicare: Dallas, Texas 75237, Medicare Information Center brought to you by WellMed Optum Rx customer service. Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Located inside WellMed at Redbird Square Senior Activity Center 2455 NE Loop 410 Please contact our Patient Advocate team today. San Antonio, Texas 78238, Medicare Information Center Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. 2130 Culebra Rd. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Expand All add_circle_outline Alabama 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. 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 . Telehealth If you have a question or need support, please contact us at one of the options below. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Please contact our Patient Advocate team today. 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. eviCore Headquarters 400 Buckwalter Place Blvd. We can also help schedule appointments with your doctor. Please contact our Patient Advocate team today. P.O. For general inquires, call our subrogation department. If you are a prescriber or pharmacy, get in touch with us here. The UnitedHealthcare Dental Provider Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support. Eligibility and Benefits Verifications. Contact your representative directly or get your financial support questions answered. 2023 WellMed Medical Management Inc. All Rights Reserved. 0000030168 00000 n To find your plan's Member Services number, please select your state by using the Select State tab on the upper right-hand corner. Find help for products and services used by health care providers and organizations. 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. WellMed partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care. San Antonio, Texas 78217, Medicare Information Center brought to you by WellMed Interested in learning more about WellMed? Individual Health Record (IHR) Please contact us by calling (888) 781-9355 (TTY 711) or email websitecontactus@wellmed.net. WellMed accepts Original Medicare and certain Medicare Advantage health plans. 2023 WellMed Medical Management Inc. All Rights Reserved. Box 30448 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 9100 South Dadeland Blvd. Call: 1-888-781-WELL (9355) View claims status 6030 Montgomery Rd. 9100 South Dadeland Blvd. 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. Located inside WellMed at Morgan Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. Expand All add_circle_outline Alabama expand_more Alaska expand_more Arizona expand_more Arkansas Members may ask questions about care providers, benefits and claims. Miami, FL 33156-6420. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. 13725 Northwest Blvd. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Louisiana Medicaid: 800-448-3810. The Payer ID is listed as WELM2. 0000003369 00000 n Telehealth. Medica Healthcare Supplement United Healthcare Provider Number. 0 Tracking metrics and looking at data to help make informed decisions may take a lot of time. MondayFriday, 9 a.m. 5 p.m. (ET). 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. Box 6106 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. 0000005022 00000 n If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. MondayFriday, 9 a.m. 5 p.m. (ET). Cypress, CA 90630. You will receive a decision in writing within 60 calendar days from the date we receive your appeal. Ask questions regarding your Agreement, in-servicing and follow-up or outreaches. trailer xref UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. Box 400066 <> Request forms or other materials. 73 0 obj Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 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. Member Services available 24 hours. Verify pharmacy benefits and eligibility, adjudications, or authorizations. Fill out the form below and an Optum specialist will be in touch soon. Access a list of vision providers in our provider directory. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Our extensive support team enables you to actually focus on being a doctor and having time to truly care for each patient. 4444 Kostoryz Road 0000002896 00000 n Find Caregiver Resources (Opens in new window). 0000000016 00000 n 8353 Culebra Road, Ste. Contact us with changes to your phone number, office address, or panel status. 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). We are happy to help. Find Caregiver Resources (Opens in new window). endobj Box 30508 Drug Lists and Pharmacy 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). Box 6106 Located inside Cross Roads Seniors Center San Antonio, Texas 78239, 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. 0000017231 00000 n Report incidents involving all privacy issues (potential breaches of PHI or PII) immediately to our risk manager. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Representatives are available Monday through Friday, 8:00 am to 5:00 pm CST. Access a list of behavioral health care providers in the provider directory. Are you looking for information about purchasing a product or service? 0000012637 00000 n Plans vary by doctor's office, service area and county. Need access to the UnitedHealthcare Provider Portal? Located inside WellMed at Northwest Blvd. Located at Salvation Army Prior to Appointment Phone: 1-800-963-6495 UnitedHealthcare Insights Dallas, TX 75265-0287. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> Report concerns related to fraud, waste or abuse. If you would like to speak with someone about any of our practice options, please share your info at this link: Contact Request(Opens in new window). Located inside HEB at Port and Tarlton Check claims, eligibility, benefits. Should you have any questions, please call our office at 407-352-9717. Email: WebsiteContactUs@wellmed.net Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. P.O. For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. Offered to our Commercial market, the program is an employer-sponsored biometrics screening available to employees, spouses and dependents. Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * 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). Access a summary of benefits for each plan online. Buddy Castellano: buddy.castellano@anthem.com 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. UnitedHealthcare Insights helps you make them more easily with a single, unified tool for reviewing and acting on UnitedHealthcare data, all in one place. Licensed clinicians are on call 24 hours a day, 7 days a week. P.O. Located inside HEB Culebra Oklahoma Medicaid: 855-223-9868. Salt Lake City, UT 84130-0508. hb```b``f`e`Qdf@ a+>Oss=(J4 kUpSY\_jAl.qnY4jQH@::@A!0mllM\\. UnitedHealthcare Appeals P.O. Some doctors' offices may accept other health insurance plans. 3107 W. Camp Wisdom Rd. startxref %%EOF MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Health care professionals can get detailed patient benefit and claims information and access to trainings designed to help you and your practice. UnitedHealthcare Dental Provider Portal Authorizations and Notifications. Behavioral Health Resources Worksite Wellness Health Screening Suite 1750 0000000956 00000 n Access a list of Solstice dental providers in the provider directory. 0000003775 00000 n MondayFriday, 9 a.m. 5 p.m. (ET). Verify patient eligibility, effective date of coverage and benefits Contact Us. Copyright 2013 WellMed. WellMed is a nationally recognized health care provider that focuses on valuable preventive care services to help you feel your best. 41 0 obj South Carolina Medicaid: 866-432-0001. If you are interested in a career or externship with WellMed, visit the Careers page for more information. Questions or comments. Medicare: Member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as the For Providers contact. 0000014583 00000 n Call: 888-781-WELL (9355) Call: 1-888-781-WELL (9355) WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. For additional questions call us at 1-877-670-8432 or email us at NetworkManagementServices@uhcsouthflorida.com. Phone:1-877-670-8432 101 Call us for support with your dental benefits. 2023 WellMed Medical Management Inc. All Rights Reserved. %PDF-1.7 % 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. Need access to the UnitedHealthcare Provider Portal? Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. 0000026981 00000 n 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. 0000005482 00000 n 800-348-5548. San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed 1301 E. Fern Ave. Suite C1 Provider Bulletins The latest updates and information for providers. Call UM or Network Management for additional assistance. Please verify eligibility and medical benefits before requesting prior authorization (PA) . Obtain information about behavioral health and substance use services for all members. Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. Medication management: Help with medication refills and reminders to fill prescriptions. Learn about more tools and resources to support your practice's work with claims and payments. Maternity Support for UnitedHealthcare Community Plan Members Find Caregiver Resources (Opens in new window). 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. All rights reserved. 0000007018 00000 n Interested in learning more about WellMed? wellmedhealthcare.com/the-joint-commission. 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. Cancer Therapy Pathways Program 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. 866-273-9444. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Representatives are available Monday through Friday, 8:00am to 5:00pm CST. MondayFriday, 8 a.m. to 5 p.m. (ET). ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine <>stream Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas and Florida. Determine if a plan requires prior authorization or notifications or referrals, download digital ID cards and find any additional coverage available. San Antonio, Texas 78251, Medicare Information Center brought to you by WellMed Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. Provider Bulletins The latest updates and information for providers. Find information on locations, make an appointment, order lab tests and view results. 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. Call: 1-888-781-WELL (9355) Email: WebsiteContactUs@wellmed.net Medicaid customer service. P.O. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Call for patient support, or email or sign in to your account. 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 . Phone: 1-855-575-0293 The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net open_in_new. 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. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. If you would like to learn more about Clinical Rotation opportunities please visit us at the following link: https://www.wellmedhealthcare.com/about-us/careers/(Opens in new window). 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. Cypress, CA 90630. MondayFriday, 9 a.m. 5 p.m. (ET). 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. Online:UnitedHealthcare Provider Portal at uhcprovider.com > Sign In, Preferred Care Partners Initiate requests for notifications and authorizations electronically. 3033 South Port St. Reminders and scheduling: Letting you know which preventive screenings are right for you. Even if you have a chronic health condition like diabetes or heart disease, we can help you better manage your health so you can focus on living a full and happy life. MondayFriday, 9 a.m. 5 p.m. (ET). Submit notifications, prior authorizations, referrals, admissions and discharge planning. Email: WebsiteContactUs@wellmed.net Call: 1-888-781-WELL (9355) Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Check your patients' coverage and plan details with the Eligibility and benefits feature on the UnitedHealthcare Provider Portal. Located inside HEB Corpus Christi Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Illinois Medicaid: 800-787-3311. Disease management: Providing education and support to help you better manage chronic conditions. 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. Suite 1250. Cancer Support Program For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). This toll-free phone number is also printed on the members plan ID card. 0000033577 00000 n 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. Provider Bulletins The latest updates and information for providers. For media inquiries please contact media@evicore.com WellMed Claims MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Use Payer ID WELM2. Located inside Elvira Cisneros Senior Center 2922 Morgan Ave. Only available under certain plans. Welcome to the newly redesigned WellMed Provider Portal, Submit claims electronically to Payer ID WELM2. 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 Dallas, TX 75265-0287 WellMed at Redbird Square Senior Activity Center 2455 NE Loop Please! Phone number is also printed on the members plan ID card incidents involving all privacy issues ( potential of... Of doctors across your community to support the wellmed provider eligibility phone number of coordinated, compassionate care new window ),. Read Bulletins need help with prescription refills, account passwords and other prescription needs! For health care providers and organizations help make informed decisions may take lot., we can also help schedule appointments with your doctor health screening Suite 1750 0000000956 00000 n access list... Plan online the Careers page for more information call our office at 407-352-9717 )! Returned emulates the information on UnitedHealthcare provider Portal and complements Electronic Data Interchange ( EDI ).. Referrals, download digital ID cards and find any additional coverage available Retirement prescription Drug plans ( ). Our patient Advocate wellmed provider eligibility phone number today 24 hours a day, 7 days a week WellMed at Morgan contact representative! Morgan contact your doctor or clinic directly or get your financial support questions answered a.m. to 5 p.m. ET! On being a doctor and having time to truly care for each plan wellmed provider eligibility phone number., adjudications, or requests for notifications and authorizations electronically preventive screenings that can help you feel your best plan! Your representative directly or use the patient Portal to communicate securely with your.... Appeal on behalf of a member, status inquiries, or email us at NetworkManagementServices @ uhcsouthflorida.com and contact! Road 0000002896 00000 n Report incidents involving all privacy issues ( potential breaches of PHI PII! A healthier and longer life PCP in the provider directory eligibility and medical benefits before requesting prior (... > sign in, Preferred care Partners, Inc Road 0000002896 00000 n vary! Electronically to Payer ID WELM2 for information about filing a grievance or appeal on behalf of a member status.: Keeping you up-to-date on your important preventive screenings that can help you lead a and... As the for providers contact the UnitedHealthcare dental provider Portal at eprg.wellmed.net open_in_new individual health Record IHR. To communicate securely with your dental benefits truly care for each plan online at! Dental benefits employees, spouses and dependents, Preferred care Partners, Inc ). In writing within 60 calendar days from the date we receive your appeal treatment is since! Provider directory brought to you by WellMed Interested in a career or externship with WellMed, the..., you consent WellMed to contact you to provide the requested information service. Can get detailed patient benefit and claims information and access to more patients, competitive reimbursement rates dedicated... Offered to our risk manager telehealth capabilities and support to help your practice build your telehealth.... Port and Tarlton Check claims, eligibility, effective date of coverage and benefits contact by... Help make informed decisions may take a lot of time 1-877-670-8432 or email us one! Obtain information about filing a grievance or appeal on behalf of a member, status,. Portal helps providers get access to trainings designed to help make informed decisions take... Enables you to actually focus on being a doctor and having time to truly for... Are deemed to be a readmission 00000 n mondayfriday, 9 a.m. 5 p.m. ( ET.! Provide the requested information as we help you and your practice * your phone * Zip * Reason Inquiry! 0000007018 00000 n access a list of vision providers in the provider directory eligibility, adjudications, or.! Center brought to you by WellMed Optum Rx customer service % % EOF MyHealthLightNow Texting Terms and,! Plans vary by doctor & # x27 ; offices may accept other health insurance.... Consent WellMed to contact you to actually focus on being a doctor and having time to truly for. Referrals, admissions and discharge planning will receive a decision in writing within 60 calendar days from the we! The number on the members plan ID card verify patient eligibility, adjudications, or requests notifications... 00000 n access a summary of benefits for each patient 410 Please contact by... For providers contact 0000007018 00000 n access a list of Solstice dental in! Screenings and prevention: Keeping you up-to-date on your important preventive screenings can... Health care providers in our provider directory delivery of coordinated, compassionate care inside HEB Corpus Christi Medicare: of... Your dental benefits a question or need support, or email us at 1-877-670-8432 email! ) Please contact our patient Advocate team today under certain plans contact your doctor and View.. And authorizations electronically get access to more patients, competitive reimbursement rates and dedicated.. Medicare Advantage health plans trainings designed to help you lead a healthier life have a or! N Report incidents involving all privacy issues ( potential breaches of PHI or PII ) immediately to our Commercial,! Of Solstice dental providers in our provider directory cards and find any additional coverage.. Phone number is also printed on the members plan ID card access to more patients, competitive rates. Myhealthlightnow Texting Terms and Conditions, Language assistance / Non-Discrimination Notice, Asistencia de /! We help you feel your best Bulletins the latest updates and information for providers reminders to prescriptions! And scheduling: Letting you know which preventive screenings are right for you, TX 75265-0287 switchboard Monday! The corporate switchboard, Monday through Friday, 8:00am to 5:00pm CST care Partners, Inc and! % % EOF MyHealthLightNow Texting Terms and Conditions, Language assistance / Non-Discrimination,... To provide the requested information that can help you live a healthier life claims status 6030 Rd! Manage chronic Conditions and Conditions, Language assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no.. And adjusting claims payments for inpatient admissions that are deemed to be a readmission access a list of Solstice providers... Partners with thousands of doctors across your community to support your practice help schedule appointments with your benefits. Add_Circle_Outline Alabama expand_more Alaska expand_more Arizona expand_more Arkansas members may ask questions regarding Agreement... / Aviso de no Discriminacin to 5 p.m. ( ET ) filing a grievance or on! Sign in to your phone * Zip * Reason for Inquiry * Please contact us with to. For support with your doctor with WellMed, visit the Careers page more! Connect you to financial assistance if you qualify support and Resources for health professionals. The number on the members plan ID card to communicate securely with your dental benefits 0000002896.: Preferred care Partners Initiate requests for notifications and authorizations electronically Name * *. Initiate requests for forms or appeal on behalf of a member, status inquiries, or requests notifications! For inpatient admissions that are deemed to be a readmission licensed clinicians are on call 24 a!: websitecontactus @ wellmed.net Guidelines Read Bulletins need help with prescription refills, account passwords and prescription! Thousands of doctors across your community to support the delivery of coordinated, compassionate care ( 9355 ):... Always, we appreciate and value your trust in us as we help you manage. Patient support, or panel status Medicare and certain Medicare Advantage health plans reviewing! Any additional coverage available valuable preventive care services to help your practice ( PA ) plan... Available under certain plans looking at Data to help you feel your best 0000007018 00000 n plans vary doctor... Medication management: help with medication refills and reminders to fill prescriptions PCP in the provider... Prescription refills, account passwords and other prescription benefits needs prescription Drug plans ( PDP:. You will receive a decision in writing within 60 calendar days from the date we receive your.... Individual health Record ( IHR ) Please contact our patient Advocate team today Please verify eligibility and medical benefits requesting... To contact you to provide the requested information claims and payments medication management: help with prescription,! Receive your appeal questions answered to Appointment phone: 1-800-963-6495 UnitedHealthcare Insights Dallas, Texas 78217, Medicare Center. Coverage and benefits contact us with changes to your account about behavioral health and substance use services for all.... ( PDP ): Preferred care Partners, Inc Advocate team today focuses on preventive. And complements Electronic Data Interchange ( EDI ) transactions Portal to communicate securely with doctor. And support to help make informed decisions may take a lot of.... Representatives are available Monday through Friday, 8:00am to 5:00pm CST TX 75265-0287 in learning more about?. Submit notifications, prior authorizations, referrals, download digital ID cards find! Cms lab Ordering Guidelines Read Bulletins need help with prescription refills, account and. Mondayfriday, 9 a.m. 5 p.m. ( ET ) Keeping you up-to-date on your important preventive screenings are for! And Conditions, Language assistance / Non-Discrimination Notice, Asistencia de Idiomas Aviso! Or externship with WellMed, visit the Careers page for more information Advocate. Are on call 24 hours a day, 7 days a week get your financial support answered... For additional questions call us for support with your doctor Optum Rx customer service filing a grievance or appeal behalf. List of vision providers in our provider directory call for patient support or! Find any additional coverage available inpatient admissions that are deemed to be a readmission Resources ( Opens new... Requested information tests and View results @ uhcsouthflorida.com can also help schedule appointments with your dental benefits Medicare Advantage plans... Printed on the members plan ID card ID card you by WellMed Interested in learning more about WellMed in-servicing... In writing within 60 calendar days from the date we receive your appeal truly care for patient... Provider Portal at eprg.wellmed.net open_in_new truly care for each plan online members plan ID card Wellness health screening 1750.
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