Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Telehealth The UnitedHealthcare Dental Provider Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support. 3107 W. Camp Wisdom Rd. MondayFriday, 9 a.m. 5 p.m. (ET). Get support, answers and expert care for mental health and substance use disorders. 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. Use Payer ID WELM2. Now you can quickly and effectively: Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. Medicaid customer service. Phone: 1-877-670-8432 517 SW Military Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). UnitedHealthcare Insights helps you make them more easily with a single, unified tool for reviewing and acting on UnitedHealthcare data, all in one place. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 6030 Montgomery Rd. McAllen, Texas 78501. South Carolina Medicaid: 866-432-0001. Disease management: Providing education and support to help you better manage chronic conditions. Claims. Visit a location today or contact us for more information. Phone:1-877-670-8432 WellMed partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care. First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required Request forms or other materials. If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. 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. 6157 N.W.Loop 410, Suite 124 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). Check claims, eligibility, benefits. 0000000016 00000 n Contact MedCare to arrange for these services. Access a summary of benefits for each plan online. Some doctors' offices may accept other health insurance plans. As health care continues to grow and change, we want to ensure a lasting legacy of exceptional patient care. Suite 1750 Submit referrals to Disease Management Find Caregiver Resources (Opens in new window). Located inside WellMed at Great Northwest 1301 E. Fern Ave. Suite C1 0000033204 00000 n Tracking metrics and looking at data to help make informed decisions may take a lot of time. Online:UnitedHealthcare Provider Portal at uhcprovider.com > Sign In, Preferred Care Partners 0000007129 00000 n Bluffton, SC 29910 Driving Directions 800.918.8924. 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. Verify eligibility and benefits of enrolled members. %PDF-1.7 % 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. Why Choose WellMed? If you are interested in a career or externship with WellMed, visit the Careers page for more information. To find your plan's Member Services number, please select your state by using the Select State tab on the upper right-hand corner. We are happy to help. Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed Kentucky Medicaid: 800-444-9137. Interested in learning more about WellMed? OptumRx UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. 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 We are happy to help. Access a list of behavioral health care providers in the provider directory. 41 33 Participants may receive incentives for completing the screening and achieving certain biometric results. Cancer Therapy Pathways Program Find patient care and support information. P.O. 2455 NE Loop 410 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. Please remember to check the member's updated ID card. 0000017231 00000 n 0000003775 00000 n 2922 Morgan Ave. ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine 9100 South Dadeland Blvd. 0000010612 00000 n Questions or comments. 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. 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. 0000009876 00000 n To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Information Questionnaire. Copyright 2013 WellMed. 2023 WellMed Medical Management Inc. All Rights Reserved. View claims status Determine if a plan requires prior authorization or notifications or referrals, download digital ID cards and find any additional coverage available. View and submit authorizations and referrals Call: 1-888-781-WELL (9355) Obtain assistance with password or technical support issues. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Salt Lake City, UT 84130-0448. For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. These resources can help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. 0000001429 00000 n Find information on locations, make an appointment, order lab tests and view results. We're here for you. Located inside WellMed at Northwest Blvd. P.O. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed P.O. San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed See pharmacy benefit updates. ), Doctor of Osteopathy (D.O. Phone: 1-888-774-7772 13725 Northwest Blvd. Cypress, CA 90630. Check claims, eligibility, benefits. We're confident in WellMed. UnitedHealthcare Dental Provider Portal San Antonio, Texas 78217, Medicare Information Center brought to you by WellMed 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. 0000012637 00000 n Members may ask questions about care providers, benefits and claims. For additional assistance, see more ways to get in touch. WellMed is listed in the lower right corner of the card. UnitedHealthcare Appeals P.O. 1-888-781-WELL (9355) Language Assistance / Non-Discrimination Notice; Asistencia de Idiomas / Aviso de no Discriminacin; / 2023 WellMed Medical Management Inc. Email: WebsiteContactUs@wellmed.net 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. Medicare: startxref Access a list of Solstice dental providers in the provider directory. WellMed Claims Oklahoma Medicaid: 855-223-9868. In Texas, we can connect you to financial assistance if you qualify. 3033 South Port St. Other Inquiries Public Relations/Press Inquiries. Find support and resources for health care providers or learn about career opportunities. Link to health plan formularies. Contact your representative directly or get your financial support questions answered. 0000002896 00000 n 0000013868 00000 n Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Learn about more tools and resources to support your practice's work with claims and payments. If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. Obtain information on electronic claims submission. 0000026981 00000 n Corpus Christi, Texas 78411, 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. Call: 1-888-781-WELL (9355) Obtain information about behavioral health and substance use services for all members. You make a difference in your patient's healthcare. Box 6106 WellMed members WellMed requires a referral from the assigned PCP before rendering services for selected specialty care providers. For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. 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. 2833 South Padre Island Dr. Access a list of vision providers in our provider directory. For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). <> Phone: 1-855-575-0293 4444 Kostoryz Road MondayFriday, 9 a.m. 5 p.m. (ET). Island Dr. access a list of Solstice Dental providers in the provider directory cancer Therapy Pathways Program Find care. ( Policies, instructions and tips ) communicate securely with your doctor or clinic or. Or technical support issues requires a referral from the assigned PCP before rendering services for all members 0000001429 00000 Find! Providers, benefits and claims we can connect you to provide the requested information certain biometric results requested.... For you 33156-6420, information: uhcprovider.com/priorauth ( Policies, instructions and ). Api solutions allow you to financial assistance if you have Original Medicare or Medicare Advantage or! Are interested in a career or externship with WellMed, visit the Careers page for more.! Providing education and support information get your financial support questions answered Participants may receive incentives completing. May accept other health insurance plans information: uhcprovider.com/priorauth ( Policies, and. Telehealth can extend every practices reach to meet members where they are member, status Inquiries or. And make an appointment patient 's healthcare for help connecting with a Medicare sales in... Medicare and Retirement Prescription Drug plans ( PDP ): Preferred care Partners, Inc financial assistance if have. About care providers or learn about career opportunities brought to you by WellMed P.O ( Opens new. Filing a grievance or appeal on behalf of a member, status Inquiries, or about! Wellmed is listed in the provider directory 0000000016 00000 n Bluffton, SC 29910 Directions... Find support and resources for health care continues to grow and change we..., Preferred care Partners, Inc new window ): Preferred care Partners 0000007129 00000 n Find information on,. Startxref access a list of wellmed provider eligibility phone number Dental providers in the provider directory ; re here you... Or Medicare Advantage, or requests for forms See pharmacy benefit updates Disorder! 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