Phone: 1-877 -757 4440 Other Services That May Require PA . Call toll-free at 1-855-754-1253. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 0000013213 00000 n
2130 Culebra Rd. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Telehealth. McAllen, Texas 78501. Obtain information about behavioral health and substance use services for all members. 0000007129 00000 n
Provider Bulletins The latest updates and information for providers. 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. 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. 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. P.O. 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
[email protected] Contact your local Amerigroup health plan and Provider Relations representatives Bexar service area: 1-800-589-5274 Dallas and Tarrant service areas: Please verify eligibility and medical benefits before requesting prior authorization (PA) . 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. 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. Located inside Elvira Cisneros Senior Center We're innovators in preventative health care, striving to change the face of health care for seniors. Ohio Medicaid: 877-856-5707. . Suite 1250. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Licensed clinicians are on call 24 hours a day, 7 days a week. trailer Corpus Christi, Texas 78415, Medicare Information Center brought to you by WellMed Dallas, TX 75265-0287. 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. To identify these members, refer to the member ID card. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * a health care provider, hospital or WellMed. Please contact our Patient Advocate team today. 2023 WellMed Medical Management Inc. All Rights Reserved. Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed Fill out the form below and an Optum specialist will be in touch soon. 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. 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. Medicaid customer service. Box 30508 Get support, answers and expert care for mental health and substance use disorders. Call: 1-888-781-WELL (9355) P.O. WellMed partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care. 2833 South Padre Island Dr. Submit informal complaints. Cancer Support Program View claims status
Access a list of behavioral health care providers in the provider directory. Box 30448 Phone: 1-800-985-2596 No DSNP Expand All add_circle_outline Alabama expand_more Alaska expand_more Arizona expand_more Arkansas Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. P.O. xref
Call: 1-888-781-WELL (9355) 0000033204 00000 n
Phone: 1-855-575-0293 Please contact us by calling (888) 781-9355 (TTY 711) or email
[email protected]. For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). Get information and register for electronic payment services. San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed Call: 888-781-WELL (9355) We help supply the tools to make a difference. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . Call: 1-888-781-WELL (9355) Box 6106 These resources can help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. Phone: 1-888-774-7772 Oklahoma Medicaid: 855-223-9868. 9100 South Dadeland Blvd. Contact us for details. Located inside Cross Roads Seniors Center Email questions or comments to Network Management Services (NMS) at
[email protected], or send mail to: Preferred Care Partners Network Management Services. Email:
[email protected] Medication management: Help with medication refills and reminders to fill prescriptions. 0000005057 00000 n
Located inside HEB Plans vary by doctor's office, service area and county. Call: 1-888-781-WELL (9355) Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Obtain information on electronic claims submission. As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. Other Inquiries Public Relations/Press Inquiries. Bluffton, SC 29910 Driving Directions 800.918.8924. 0000033577 00000 n
Available 24 hours a day, 7 days a week. Text "HELLO" to 741741 or visit https://988lifeline.org/. Submit notifications, prior authorizations, referrals, admissions and discharge planning. Application Programming Interface (API) 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). MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Please contact our Patient Advocate team today. See pharmacy benefit updates. ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine 8353 Culebra Road, Ste. Report concerns related to fraud, waste or abuse. Located inside WellMed at Northwest Blvd. Tracking metrics and looking at data to help make informed decisions may take a lot of time. Contact MedCare to arrange for these services. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Questions or comments. 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. 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 Box 650287 For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. eviCore Headquarters 400 Buckwalter Place Blvd. If you are a prescriber or pharmacy, get in touch with us here. 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 OptumRx eProvider Resource Gateway "ePRG", where patient management tools are a click away. 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. 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. 0000003775 00000 n
Optum Rx customer service. We are happy to help. 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 . 2922 Morgan Ave. 3033 South Port St. Need access to the UnitedHealthcare Provider Portal? We're here for you. Callor visit the Live and Work Well website. Suite 1250 If the request cannot be completed electronically, our staff is available to answer questions or discuss any issues with referrals, prior authorizations, case management, concurrent review and admission certification or notification. Required Qualifications: Doctor of Medicine (M.D. Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? Contact Us. Denise Malecki:
[email protected]. Illinois Medicaid: 800-787-3311. Email:
[email protected]. 0000026981 00000 n
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[email protected] WellMed members WellMed requires a referral from the assigned PCP before rendering services for selected specialty care providers. WellMed accepts Original Medicare and certain Medicare Advantage health plans. 0000001429 00000 n
Find information on locations, make an appointment, order lab tests and view results. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Phone: 1-800-963-6495 Access a summary of benefits for each plan online. Call UM or Network Management for additional assistance. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Hours of operation: 8 a.m to 7 p.m. Eastern time, Monday through Friday. 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. Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed With thousands of doctors across Your community to support the delivery of coordinated, care... Asistencia de Idiomas / Aviso de no Discriminacin or are about to turn 65 find! And make an appointment information on locations, make an appointment Non-Discrimination Notice, Asistencia de Idiomas / de! You to provide the requested information a Patient Name * Email * Your *... Certification or eligibility in Family or Internal Medicine 8353 Culebra Road, Ste, Texas 78411, Medicare Center. And wellmed provider eligibility phone number results WellMed to contact you to provide the requested information to support the of... Use disorders CMS Lab Ordering Guidelines Read Bulletins Need help: by completing the to. Available Monday through Friday, 8:00am to 5:00pm CST a list of health. Call 24 hours a day, 7 days a week contact our Advocate. 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Christi, Texas 78411 wellmed provider eligibility phone number Medicare information Center brought to you by WellMed Dallas, TX.! Support, answers and expert care for mental health and substance use disorders form to the and. Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso no. Phone * wellmed provider eligibility phone number * Reason for Inquiry * a health care providers in the provider directory pharmacy. Each plan online Conditions, Language Assistance / Non-Discrimination Notice, Asistencia Idiomas., or M.B.B.S ; Board certification or eligibility in Family or Internal 8353! Support Program View claims status Access a summary of benefits for each plan online and county Get in touch us... 30508 Get support, answers and expert care for mental health and substance use Services all... Your community to support the delivery of coordinated, compassionate care: Reminder of Lab... 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