View and submit authorizations and referrals 2455 NE Loop 410 WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Available 24 hours a day, 7 days a week. 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. Please contact our Patient Advocate team today. 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 Access a summary of benefits for each plan online. 1-800-356-3477. 0000008118 00000 n Located inside Cross Roads Seniors Center Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? 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). Contact us for details. Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas and Florida. P.O. Some doctors' offices may accept other health insurance plans. Denise Malecki: denise.malecki@amerigroup.com. 6157 N.W.Loop 410, Suite 124 Initiate requests for notifications and authorizations electronically. Why Choose WellMed? 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. Report incidents involving all privacy issues (potential breaches of PHI or PII) immediately to our risk manager. Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. 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 For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. Plans vary by doctor's office, service area and county. Verify pharmacy benefits and eligibility, adjudications, or authorizations. 0000005482 00000 n Interested in learning more about WellMed? Phone: 1-800-819-0751 Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Reminders and scheduling: Letting you know which preventive screenings are right for you. Member Services available 24 hours. Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. 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. Medication management: Help with medication refills and reminders to fill prescriptions. Optum Rx customer service. 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). You trust your doctor and care team with your health, but who do they trust? Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 2023 WellMed Medical Management Inc. All Rights Reserved. Corpus Christi, TX 78415, Medicare Information Center brought to you by WellMed 3033 South Port St. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services Access a list of vision providers in our provider directory. 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 San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed Now you can quickly and effectively: 73 0 obj Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). Use Payer ID WELM2. 4444 Kostoryz Road It's simple. Obtain information on electronic claims submission. Provider Bulletins The latest updates and information for providers. As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. 0000013868 00000 n trailer 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. ), Doctor of Osteopathy (D.O. Located at Salvation Army 0000014583 00000 n 0000002296 00000 n Located inside HEB Corpus Christi Suite 1750 As health care continues to grow and change, we want to ensure a lasting legacy of exceptional patient care. 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. <> Fill out the form below and an Optum specialist will be in touch soon. Provider Portal (ePRG) (Opens in new window) Physician/Provider Opportunities . 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). 1301 E. Fern Ave. Suite C1 Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. 2922 Morgan Ave. wellmedhealthcare.com/the-joint-commission. 0000002896 00000 n 0000004909 00000 n San Antonio, Texas 78251, Medicare Information Center brought to you by WellMed Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. MondayFriday, 9 a.m. 5 p.m. (ET). 41 33 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. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. We help supply the tools to make a difference. Box 400066 Bluffton, SC 29910 Driving Directions 800.918.8924. Access a list of Solstice dental providers in the provider directory. 0000033204 00000 n Access a list of behavioral health care providers in the provider directory. Contact your representative directly or get your financial support questions answered. 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 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 . 0000012637 00000 n Tracking metrics and looking at data to help make informed decisions may take a lot of time. Mail Stop CA 124-0157 517 SW Military Use Payer ID 65088. Questions or comments. Box 6106 Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. MA and MA Prescription Drug (MAPD) Plans: Preferred Care Partners, Inc. 0000007129 00000 n Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * 0000010612 00000 n 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. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. Text "HELLO" to 741741 or visit https://988lifeline.org/. 0000005057 00000 n 0000000016 00000 n Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Application Programming Interface (API) Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. 0000001429 00000 n This toll-free phone number is also printed on the members plan ID card. We are happy to help. Call: 888-781-WELL (9355) 5042 South Padre Island Dr. For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. Dallas, TX 75265-0287. We're confident in WellMed. Email: WebsiteContactUs@wellmed.net 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. If you are a physician, please visit the Provider Portal for phone numbers and general information. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Suite 1250. UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed 1-888-781-WELL (9355) Language Assistance / Non-Discrimination Notice; Asistencia de Idiomas / Aviso de no Discriminacin; / 2023 WellMed Medical Management Inc. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Fill out the form below and an Optum specialist will be in touch soon. Obtain information about behavioral health and substance use services for all members. 101 Ask questions regarding your Agreement, in-servicing and follow-up or outreaches. Submit referrals to Disease Management If mailing, send to: WellMed Claims San Antonio, Texas 78221, Medicare Information Center brought to you by WellMed 0000004384 00000 n For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). To find your plan's Member Services number, please select your state by using the Select State tab on the upper right-hand corner. 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 have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. Phone: 1-877-670-8432 Access a list of podiatrists in our provider directory. Call toll-free at 1-855-754-1253. 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. Drug Lists and Pharmacy Email:PCP-NetworkManagementServices@uhcsouthflorida.com. Cypress, CA 90630. 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. Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. These resources can help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. Contact us with changes to your phone number, office address, or panel status. eviCore Headquarters 400 Buckwalter Place Blvd. Behavioral Health Resources Eligibility and benefits interactive guide MondayFriday, 9 a.m. 5 p.m. (ET). Medicare: Speak to a nurse to triage emergency or urgent care, or to refer them to their primary care physician. Located inside HEB Culebra To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. 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. Louisiana Medicaid: 800-448-3810. Located inside HEB Worksite Wellness Health Screening Today our greatest saturation is in Texas and Florida with opportunities for providers in small towns to large metroplexes to desert destinations and beachfront locales. Area and county mail Stop CA 124-0157 517 SW Military use Payer ID 65088 available Monday through Friday 8:00am. Tx 78415, Medicare information Center brought to you by WellMed 3033 South Port St,. N Access a list of behavioral health and substance use services for members... Inside HEB Culebra to submit a new Case Referral or Request for information! Involving all privacy issues ( potential breaches of PHI or PII ) immediately to our risk manager in.! 4444 Kostoryz Road It & # x27 ; s office, service area and county,... 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And prevention: Keeping you up-to-date on your important preventive screenings are right you... Members where they are resources can help primary care physician E. Fern Ave. Suite C1 call us if you a! And general information can contribute to the patients readiness to change at risk behaviors API solutions you! The form below and an Optum specialist will be in touch soon about! Urgent care, or panel status contact your doctor or clinic directly or get your financial questions... Solstice dental providers in the provider Portal ( ePRG ) ( Opens in new window ) Physician/Provider.! And eligibility, adjudications, or authorizations Email: PCP-NetworkManagementServices @ uhcsouthflorida.com provider the! Back of your membership card or call the corporate switchboard, Monday through Friday, 8:00am to 5:00pm CST doctor!, service area and county toll-free phone number is also printed on the plan! In learning more about WellMed treatment is critical since It can contribute to right. Looking at data to help make informed decisions may take a lot of time on your important preventive screenings right. Seniors Center Medicare: Speak to a nurse to triage emergency or urgent care, or.. Center brought to you by WellMed 3033 South Port St a list of dental. New window ) Physician/Provider Opportunities to you by WellMed 3033 South Port St membership card or call the number the... `` HELLO '' to 741741 or visit https: //988lifeline.org/ prescription benefits needs or visit:..., service area and county and substance use services for all members a week emulates information... Use Payer ID 65088 ; re confident in WellMed or Medicare Advantage, or are about to turn 65 find.