MA and MA Prescription Drug (MAPD) Plans: Preferred Care Partners, Inc. You make a difference in your patient's healthcare. Find Caregiver Resources (Opens in new window). Reconsideration Form eProvider Resource Gateway "ePRG", where patient management tools are a click away. Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. Cypress, CA 90630. Now you can quickly and effectively: Maternity Support for UnitedHealthcare Community Plan Members Call: 1-888-781-WELL (9355) Email: [email protected] Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Offered to our Commercial market, the program is an employer-sponsored biometrics screening available to employees, spouses and dependents. Box 6106 Email: [email protected] Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. Phone: 1-888-774-7772 We can also help schedule appointments with your doctor. 0000001429 00000 n Medication management: Help with medication refills and reminders to fill prescriptions. 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. P.O. 800-348-5548. Cancer Support Program Please contact our Patient Advocate team today. If you are interested in a career or externship with WellMed, visit the Careers page for more information. Email:[email protected]. Need access to the UnitedHealthcare Provider Portal? 1-800-356-3477. 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 Verify patient eligibility, effective date of coverage and benefits For media inquiries please contact [email protected] Are you looking for information about purchasing a product or service? Optum Rx customer service. 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. Salt Lake City, UT 84130-0448. The Payer ID is listed as WELM2. Medicaid customer service. We are happy to help. P.O. Access a summary of benefits for each plan online. Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. 800-822-5353 Vision Visit UnitedHealthcare March Vision Care open_in_new or 877-627-2456 Spectera 800-638-3120 Physical health Visit Optum Physical Health open_in_new or 800-873-4575 or 866-427-6845 State-specific health plan and network support Select your state to find information, service and support. 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). WellMed's beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across the country. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. Contact Us Y0020_WCM_87476E Last Updated On: 5/31/2022 Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 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. Suite 1250. Phone: 1-877 -757 4440 Other Services That May Require PA . 0000033204 00000 n 0000000956 00000 n First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required 9100 South Dadeland Blvd. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Dallas, TX 75265-0287. Suite 1250 MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Call: 1-888-781-WELL (9355) Provider Bulletins The latest updates and information for providers. San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed Located inside HEB Illinois Medicaid: 800-787-3311. Contact your representative directly or get your financial support questions answered. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as the For Providers contact. This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. Submit informal complaints. Contact us with changes to your phone number, office address, or panel status. Contact Us. Call us for support with your dental benefits. We are committed to ensuring that our website and mobile applications are accessible to individuals with disabilities. 0000002296 00000 n Access a list of behavioral health care providers in the provider directory. 1-888-781-WELL (9355) Language Assistance / Non-Discrimination Notice; Asistencia de Idiomas / Aviso de no Discriminacin; / 2023 WellMed Medical Management Inc. UnitedHealthcare Insights helps you make them more easily with a single, unified tool for reviewing and acting on UnitedHealthcare data, all in one place. Please contact our Patient Advocate team today. xref Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. We also provide helpful resources on how to navigate the prior authorization process, including provider playbooks and tips on how to maximize the . <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. Plans vary by doctor's office, service area and county. 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. 41 0 obj San Antonio, Texas 78251, 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. Email: [email protected] Email: [email protected] Contact - Join WellMed Contact If you would like to speak with someone about any of our practice options, please share your info at this link: Contact Request. P.O. P.O. UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. MondayFriday, 9 a.m. 5 p.m. (ET), Fax: 1-888-659-0619 Suite 1750 We're here for you. Get support, answers and expert care for mental health and substance use disorders. Call: 1-888-781-WELL (9355) Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. What is Medical Billing and Medical Billing process steps in USA? 2922 Morgan Ave. Denise Malecki: [email protected]. Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. We are happy to help. 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. Medicare: Located inside WellMed at Great Northwest Call toll-free at 1-855-754-1253. 0000010612 00000 n 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. Buddy Castellano: [email protected] As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. Report concerns related to fraud, waste or abuse. 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. Representatives are available Monday through Friday, 8:00 am to 5:00 pm CST. Should you have any questions, please call our office at 407-352-9717. startxref We help supply the tools to make a difference. If you are a patient and have medical concerns, please do not use this form. To find your plan's Member Services number, please select your state by using the Select State tab on the upper right-hand corner. San Antonio, Texas 78238, Medicare Information Center Medicare: WellMed members WellMed requires a referral from the assigned PCP before rendering services for selected specialty care providers. Submit notifications, prior authorizations, referrals, admissions and discharge planning. 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. Located inside WellMed at Northwest Blvd. 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 Find Caregiver Resources (Opens in new window). Louisiana Medicaid: 800-448-3810. If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. Initiate requests for notifications and authorizations electronically. Phone:1-877-670-8432 South Carolina Medicaid: 866-432-0001. 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. 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). Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Visit a location today or contact us for more information. Located inside Cross Roads Seniors Center Oklahoma Medicaid: 855-223-9868. 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. Mail Stop CA 124-0197 Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Obtain information about behavioral health and substance use services for all members. All rights reserved. For password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). If you have a question or need support, please contact us at one of the options below. Required Qualifications: Doctor of Medicine (M.D. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed ), Doctor of Osteopathy (D.O. Box 30448 Access a list of podiatrists in our provider directory. Corpus Christi, Texas 78415, Medicare Information Center brought to you by WellMed To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. Email questions or comments to Network Management Services (NMS) at [email protected], or send mail to: Preferred Care Partners Network Management Services. Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. Interested in learning more about WellMed? Box 6106 866-273-9444. Individual Health Record (IHR) Interested in learning more about WellMed? 9100 South Dadeland Blvd. It's simple. Check claims, eligibility, benefits. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Find Caregiver Resources (Opens in new window). Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Utilize Risk Adjustment Processing System (RAPS) tools Box 400066 Behavioral Health Resources You will receive a decision in writing within 60 calendar days from the date we receive your appeal. 101 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. Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? WellMed accepts Original Medicare and certain Medicare Advantage health plans. 0000001302 00000 n Call: 1-888-781-WELL (9355) Email: [email protected] Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Located inside Doris Griffin Senior One Stop 0000004909 00000 n Interested in learning more about WellMed? P.O. 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. Submit claims electronically to Payer ID WELM2. Ask questions regarding your Agreement, in-servicing and follow-up or outreaches. 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. Why Choose WellMed? Drug Lists and Pharmacy Call for patient support, or email or sign in to your account. Box 30508 Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. Available to employees, spouses and dependents concerns, please contact our Advocate... Card or call the number on the back of your membership card or call the number on back! In new window ), Medicare information Center brought to you by WellMed,. Career or externship with WellMed, visit the Careers page for more information a list of in... Your membership card or call the corporate switchboard, Monday through Friday, 8:00 to... ) Provider Bulletins the latest updates and information for providers find a doctor make!: 1-877 -757 4440 other Services that May Require PA and substance use for. 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