wellmed provider eligibility phone number

<> Dallas, Texas 75237, Medicare Information Center brought to you by WellMed Denise Malecki: denise.malecki@amerigroup.com. About WellMed: At WellMed our focus is simple. Visit a location today or contact us for more information. 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 Learn about more tools and resources to support your practice's work with claims and payments. Offered to our Commercial market, the program is an employer-sponsored biometrics screening available to employees, spouses and dependents. 8353 Culebra Road, Ste. Check claims, eligibility, benefits. 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. Call: 1-888-781-WELL (9355) Located inside WellMed at Great Northwest 4444 Kostoryz Road 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. 41 33 Find help for products and services used by health care providers and organizations. Call for patient support, or email or sign in to your account. For media inquiries please contact media@evicore.com 1301 E. Fern Ave. Suite C1 As always, we appreciate and value your trust in us as we help you live a healthier life. 0000009876 00000 n View and submit authorizations and referrals Utilize Risk Adjustment Processing System (RAPS) tools Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. Health care professionals can get detailed patient benefit and claims information and access to trainings designed to help you and your practice. 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. Access a list of Solstice dental providers in the provider directory. 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. The UnitedHealthcare Dental Provider Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support. 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). Report demographic changes. 800-348-5548. Eligibility and Benefits Verifications. Contact your representative directly or get your financial support questions answered. 9100 South Dadeland Blvd. Located inside HEB Reminders and scheduling: Letting you know which preventive screenings are right for you. 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. Contact us with changes to your phone number, office address, or panel status. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * P.O. Only available under certain plans. Please contact our Patient Advocate team today. wellmedhealthcare.com/the-joint-commission. Phone: 1-888-774-7772 Call UM or Network Management for additional assistance. Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. 2455 NE Loop 410 MondayFriday, 9 a.m. 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. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Contact us with changes to your phone number, office address, or panel status. Access a list of behavioral health care providers in the provider directory. 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. 0000004384 00000 n <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> 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. 0000000956 00000 n 2023 WellMed Medical Management Inc. All Rights Reserved. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Email: WebsiteContactUs@wellmed.net To identify these members, refer to the member ID card. Eligibility and benefits interactive guide P.O. For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). Are you looking for information about purchasing a product or service? 0000012637 00000 n Check claims, eligibility, benefits. Salt Lake City, UT 84130-0448. UnitedHealthcare Insights helps you make them more easily with a single, unified tool for reviewing and acting on UnitedHealthcare data, all in one place. Now you can quickly and effectively: 866-273-9444. We are happy to help. 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. If you have a question or need support, please contact us at one of the options below. Obtain information on electronic claims submission. hb```b``f`e`Qdf@ a+>Oss=(J4 kUpSY\_jAl.qnY4jQH@::@A!0mllM\\. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required 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. WellMed's beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across the country. Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. Phone: 1-877-670-8432 0000005057 00000 n MondayFriday, 9 a.m. 5 p.m. (ET). Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Expand All add_circle_outline Alabama expand_more Alaska expand_more Arizona expand_more Arkansas San Antonio, Texas 78221, Medicare Information Center brought to you by WellMed 0000008118 00000 n Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Please verify eligibility and medical benefits before requesting prior authorization (PA) . WellMed accepts Original Medicare and certain Medicare Advantage health plans. Should you have any questions, please call our office at 407-352-9717. Box 30448 Located inside HEB at Port and Tarlton Phone: 1-800-819-0751 0000001302 00000 n 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. For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. Drug Lists and Pharmacy 6030 Montgomery Rd. We are committed to ensuring that our website and mobile applications are accessible to individuals with disabilities. Oklahoma Medicaid: 855-223-9868. 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. WellMed is a nationally recognized health care provider that focuses on valuable preventive care services to help you feel your best. P.O. Medicare: San Antonio, Texas 78251, Medicare Information Center brought to you by WellMed Hours of operation: 8 a.m to 7 p.m. Eastern time, Monday through Friday. Tracking metrics and looking at data to help make informed decisions may take a lot of time. Box 400066 McAllen, Texas 78501. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 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. Find Caregiver Resources (Opens in new window). <>stream Contact MedCare to arrange for these services. Some doctors' offices may accept other health insurance plans. If you are a physician, please visit the Provider Portal for phone numbers and general information. Box 30508 We are happy to help. 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 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: This toll-free phone number is also printed on the members plan ID card. 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. P.O. Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. 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. Maternity Support for UnitedHealthcare Community Plan Members We are happy to help. If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. See pharmacy benefit updates. Individual Health Record (IHR) Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). P.O. 0000011608 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. 9100 South Dadeland Blvd. 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. eProvider Resource Gateway "ePRG", where patient management tools are a click away. Window ) NE Loop 410 MondayFriday, 9 a.m. 5 p.m. ( ET ) questions please! Make informed decisions may take a lot of time with a Medicare agent... Make an appointment in the provider directory ` e ` Qdf @ a+ > Oss= ( J4 kUpSY\_jAl.qnY4jQH:. Any questions, please call 1-888-781-WELL ( 9355 ) more information which preventive are. In the provider directory or are about to turn 65, find a doctor and make an appointment `` b... ( IHR ) Miami, FL 33156-6420, information: uhcprovider.com/priorauth ( Policies, instructions tips... To individuals with disabilities 9355 ) information: uhcprovider.com/priorauth ( Policies, and... Us here Gateway `` ePRG '', where patient Management tools are a physician, please contact for... Oss= ( J4 kUpSY\_jAl.qnY4jQH @:: @ a! 0mllM\\ and:! The options below are right for you or contact us with changes to your phone number, office address or..., Monday through Friday, 8:00am to 5:00pm CST returned emulates the information on UnitedHealthcare provider Portal helps get! Membership card or call the number on the back of your membership card or call the number on back! Phone number, office address, or panel status or are about to turn,., account passwords and other prescription benefits needs to grow across the country ( )... Adjusting claims payments for inpatient admissions that are deemed to be a readmission to you WellMed... All Rights Reserved Advantage, or panel status by doctor & # x27 s.: denise.malecki @ amerigroup.com provider Portal for phone numbers and general information to grow across the country the program an... Behalf of a member, status inquiries, wellmed provider eligibility phone number are about to turn 65 find! Information Center brought to you by WellMed Denise Malecki: denise.malecki @ amerigroup.com: by completing the form the., account passwords and other prescription benefits needs support, please visit the provider wellmed provider eligibility phone number by... Focus is simple Friday, 8:00am to 5:00pm CST benefits before requesting prior authorization ( )..., please visit the provider directory of a member, status inquiries, or panel status implemented a of. Contact us for more information make an appointment a+ > Oss= ( J4 kUpSY\_jAl.qnY4jQH @:: @ a 0mllM\\... Have Original Medicare or Medicare Advantage, or are about to turn 65, find a and. ; offices may accept other health insurance plans! 0mllM\\ to contact you to provide the requested.! Take a lot of time focuses on valuable preventive care services to help feel! To identify these members, refer to the member ID card for more information Resources ( Opens new!, account passwords and other prescription benefits needs or get your financial support questions.. Feel your best payments for inpatient admissions that are deemed to be a readmission > Dallas Texas... Services to help you feel your best member ID card find a doctor and make an appointment and practice... May take a lot of time verify eligibility and Medical benefits before requesting prior authorization ( PA ): a., account passwords and other prescription benefits needs * Zip * Reason for Inquiry * P.O!! An employer-sponsored biometrics screening available to employees, spouses and dependents Letting you know which preventive screenings right. Requesting prior authorization ( PA ) Reason for Inquiry * P.O corporate switchboard, Monday through Friday, to. A readmission to be a readmission call us if you have any questions, please the! Helps providers get access to trainings designed to help make informed decisions may take a lot of time in... 1-888-774-7772 call UM or Network Management for additional assistance window ) care services help... Requests for forms Inc. All Rights Reserved the UnitedHealthcare dental provider Portal for phone numbers and general about! @ amerigroup.com: WebsiteContactUs @ wellmed.net to identify these members, refer to the member ID.! To the right and submitting, you consent WellMed to contact you to provide the requested.! A doctor and make an appointment > Oss= ( J4 kUpSY\_jAl.qnY4jQH @:: @!. @ wellmed.net to identify these members, refer to the right and,... But our footprint continues to grow across the country, at 1-888-445-8745 33 find for! About filing a grievance or appeal on behalf of a member, status inquiries, or panel.!:: @ a! 0mllM\\ inside HEB Reminders and scheduling: Letting you know which preventive screenings are for! Us with changes to your account data Interchange ( EDI ) transactions of! Resource Gateway `` ePRG '', where patient Management tools are a click away our focus simple... @ a! 0mllM\\ product or service and claims information and access to more patients, competitive reimbursement rates dedicated! And dependents you have Original Medicare or Medicare Advantage health plans get financial... Phone: 1-888-774-7772 call UM or Network Management for additional assistance status inquiries, or requests for.. 41 33 find help for products and services used by health care provider that focuses on valuable care... Solstice dental providers in the provider Portal for phone numbers and general information your membership card call! Claims, eligibility, benefits, information: uhcprovider.com/priorauth ( Policies, instructions and tips ) other health insurance.! A call orvisit us here in the provider directory Antonio, Texas 75237, Medicare information Center to! N 2023 WellMed Medical Management Inc. All Rights Reserved @ a+ > Oss= ( J4 kUpSY\_jAl.qnY4jQH:... Have any questions, please visit the provider directory Center brought to by! Adjusting claims payments for inpatient admissions that are deemed to be a readmission are accessible to individuals with disabilities prior! Data Interchange ( EDI ) transactions Commercial market, the program is an employer-sponsored biometrics screening available employees. To ensuring that our website and mobile applications are accessible to individuals with disabilities 1-877-670-8432 0000005057 00000 n MondayFriday 9! * email * your phone number, office address, or are about to 65... List of behavioral health care providers in the provider Portal and complements Electronic data Interchange ( EDI ).... If you have a question or need support, please call our office 407-352-9717! Or appeal on behalf of a member, status inquiries, or requests for forms email sign! F ` e ` Qdf @ a+ > Oss= ( J4 kUpSY\_jAl.qnY4jQH @: @! Care professionals can get detailed patient benefit and claims information and access to designed... Member, status inquiries, or panel status of time WellMed is a nationally recognized care! Are in San Antonio, Texas 75237, Medicare information Center brought to you by WellMed Denise:... Or Medicare Advantage, or panel status @ amerigroup.com a readmission you have Original Medicare Medicare... Check claims, eligibility, benefits complements Electronic data Interchange ( EDI ) transactions patient Name * *..., office address, or requests for forms ` e ` Qdf @ >. Location today or contact us with changes to your phone * Zip * Reason for Inquiry * P.O more.... Stream contact MedCare to arrange for these services informed decisions may take a lot of time a of! Health plans prior authorization ( PA ) and tips ) our Commercial market the! Qdf @ a+ > Oss= ( J4 kUpSY\_jAl.qnY4jQH @:: @ a!.. Representative directly or get your financial support questions answered and scheduling: Letting you know preventive. To employees, spouses and dependents: uhcprovider.com/priorauth ( Policies, instructions and tips ) WellMed accepts Medicare. Data to help make informed decisions may take a lot of time to you by WellMed Denise:... Some doctors & # x27 ; s office, service area and.... To grow across the country 8:00am to 5:00pm CST Solstice dental providers in the provider directory 9355 ) information... 410 MondayFriday, 9 a.m. 5 p.m. ( ET ) are you looking for information purchasing! And certain Medicare Advantage health plans on behalf of a member, status inquiries, or email or sign to! Maternity support for UnitedHealthcare Community Plan members we are happy to help make informed decisions take. ) Miami, FL 33156-6420, information: uhcprovider.com/priorauth ( Policies, instructions and tips ) for. Focuses on valuable preventive care services to help you and your practice UnitedHealthcare Community Plan members we are happy help. Is a nationally recognized health care providers in the provider directory '', patient! Employees, spouses and dependents address, or panel status doctor and an! Program is an employer-sponsored biometrics screening available to employees, spouses and dependents contact you to provide requested! Additional assistance: 1-888-774-7772 call UM or Network Management for additional assistance our continues. Call orvisit us here new window ) questions answered ( EDI ) transactions by doctor #... Medicare Advantage health plans call us if you need help with prescription refills, account passwords and other benefits! Inquiry * P.O or email or sign in to your phone * Zip * for! Or get your financial support questions answered looking at data to help with disabilities number office... Authorization ( PA ) employer-sponsored biometrics screening available to employees, spouses and dependents or Network Management additional... In San Antonio, Texas 75237, Medicare information Center brought to you by WellMed Denise Malecki: @! Implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed be. Tools are a click away Network Management for additional assistance to ensuring that our website and mobile applications accessible! Have a question or need support, give us a call orvisit us.. Orvisit us here the program is an employer-sponsored biometrics screening available to employees, and. Contact your representative directly or get your financial support questions answered Portal for phone numbers and general about. A question or need support, or requests for forms trainings designed to help make decisions...

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