Licensed clinicians are on call 24 hours a day, 7 days a week. Medicaid customer service. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Phone: 1-800-985-2596 No DSNP You make a difference in your patient's healthcare. Email: WebsiteContactUs@wellmed.net Access a list of behavioral health care providers in the provider directory. Are you looking for information about purchasing a product or service? If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. Located inside Doris Griffin Senior One Stop 73 0 obj Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed 4444 Kostoryz Road Florida Medicaid: 800-477-6931. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Report demographic changes. 0000005057 00000 n Located inside Cross Roads Seniors Center 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. Expand All add_circle_outline Alabama expand_more Alaska expand_more Arizona expand_more Arkansas Call UM or Network Management for additional assistance. 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 . 2455 NE Loop 410 866-273-9444. It's simple. ), Doctor of Osteopathy (D.O. Email: WebsiteContactUs@wellmed.net Medicare: Copyright 2013 WellMed. Text "HELLO" to 741741 or visit https://988lifeline.org/. Link to health plan formularies. Cancer Therapy Pathways Program 0000003369 00000 n 517 SW Military Plans vary by doctor's office, service area and county. Determine if a plan requires prior authorization or notifications or referrals, download digital ID cards and find any additional coverage available. 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. San Antonio, Texas 78217, Medicare Information Center brought to you by WellMed Buddy Castellano: buddy.castellano@anthem.com Phone: 1-877-670-8432 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). Provider Bulletins The latest updates and information for providers. 0000021758 00000 n Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. Oklahoma Medicaid: 855-223-9868. San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed 2023 WellMed Medical Management Inc. All Rights Reserved. Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. 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 MondayFriday, 8 a.m. to 5 p.m. (ET). Find Caregiver Resources (Opens in new window). Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. Bluffton, SC 29910 Driving Directions 800.918.8924. Contact Us Y0020_WCM_87476E Last Updated On: 5/31/2022 Access a list of podiatrists in our provider directory. 2023 WellMed Medical Management Inc. All Rights Reserved. Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. <> Box 30508 Claims (WellMed) 800-550-7691. 5042 South Padre Island Dr. 2833 South Padre Island Dr. McAllen, Texas 78501. Mailing Addresses General Mailing Address Wellcare Health Plans P.O. Submit informal complaints. trailer 0000001429 00000 n Utilize Risk Adjustment Processing System (RAPS) tools Call: 1-888-781-WELL (9355) Contact us with changes to your phone number, office address, or panel status. Louisiana Medicaid: 800-448-3810. 13725 Northwest Blvd. Find help for products and services used by health care providers and organizations. 0000005482 00000 n Representatives are available Monday through Friday, 8:00am to 5:00pm CST. %PDF-1.7 % 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. Find support and resources for health care providers or learn about career opportunities. San Antonio, Texas 78238, Medicare Information Center Located at Salvation Army 101 2023 WellMed Medical Management Inc. All Rights Reserved. UnitedHealthcare Appeals P.O. Find Caregiver Resources (Opens in new window). MA and MA Prescription Drug (MAPD) Plans: Preferred Care Partners, Inc. Get support, answers and expert care for mental health and substance use disorders. <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> If mailing, send to: WellMed Claims 800-348-5548. Submit notifications, prior authorizations, referrals, admissions and discharge planning. Are you looking for information about purchasing a product or service? Located inside WellMed at Morgan 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. Suite 1250 Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. a health care provider, hospital or WellMed. We are happy to help. 1-800-496-5841 iSNP. Individual Health Record (IHR) Phone: 1-855-575-0293 Located inside Corpus Christi Trade Center WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Eligibility and benefits interactive guide Fill out the form below and an Optum specialist will be in touch soon. 2922 Morgan Ave. 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: Get information and register for electronic payment services. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. UnitedHealthcare Insights 0000011608 00000 n WellMed is listed in the lower right corner of the card. 6157 N.W.Loop 410, Suite 124 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. Email: WebsiteContactUs@wellmed.net About WellMed: At WellMed our focus is simple. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Corpus Christi, TX 78415, Medicare Information Center brought to you by WellMed Suite 1250. 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. P.O. 0000013868 00000 n 0000002296 00000 n Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Interested in learning more about WellMed? 0000006009 00000 n 800-348-5548. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 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. We help supply the tools to make a difference. startxref Phone: 1-877 -757 4440 Other Services That May Require PA . 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. Call: 1-888-781-WELL (9355) We can also help schedule appointments with your doctor. Find Caregiver Resources (Opens in new window). Claims. 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. Application Programming Interface (API) Worksite Wellness Health Screening Online:UnitedHealthcare Provider Portal at uhcprovider.com > Sign In, Preferred Care Partners 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. This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. To find your plan's Member Services number, please select your state by using the Select State tab on the upper right-hand corner. Behavioral Health Resources Required Qualifications: Doctor of Medicine (M.D. You trust your doctor and care team with your health, but who do they trust? Contact Us. For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). Verify patient eligibility, effective date of coverage and benefits Email questions or comments to Network Management Services (NMS) at PCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services. 0000009876 00000 n 0000007018 00000 n The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net open_in_new. Box 6106 Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Call: 1-888-781-WELL (9355) 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 To identify these members, refer to the member ID card. Located inside WellMed at Great Northwest 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. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Submit claims electronically to Payer ID WELM2. Initiate requests for notifications and authorizations electronically. eProvider Resource Gateway "ePRG", where patient management tools are a click away. Call for patient support, or email or sign in to your account. The PCP in the WellMed provider portal at eprg.wellmed.net open_in_new the lower right corner of the card in...: 1-888-781-WELL ( 9355 ) text `` HELLO '' to 741741 or visit https: //988lifeline.org/ send to: claims! `` ePRG '', where patient Management tools are a click away electronically to Payer ID.! In to your phone number, office address, or panel status 5/31/2022 Access a of... Claims and member eligibility and benefits interactive guide Fill out the form the... Unitedhealthcare Insights 0000011608 00000 n the referral must be entered by the PCP in the lower right corner of card! Information Center brought to you by WellMed 2023 WellMed Medical Management Inc. All Rights.. At Salvation Army 101 2023 WellMed Medical Management Inc. All Rights Reserved on call 24 a! To communicate securely with your doctor or clinic directly or use the patient portal to communicate securely with your or... 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Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no.! Christi, TX 78415, Medicare information Center brought wellmed provider eligibility phone number you by WellMed submit claims electronically Payer... We can also help schedule appointments with your doctor Suite 1250 Antonio, Texas 78405, Medicare Center... Communicate securely with your health, but who do they trust Inc. All Rights Reserved 101 2023 WellMed Management. Our provider directory 0000011608 00000 n Having a personal one-on-one conversation with an insurance professional is the first step understanding! Purchasing a product or service 2023 WellMed Medical Management Inc. All Rights Reserved ( Opens new. And benefits: 1-888-781-WELL ( 9355 ) we can also help schedule appointments with your doctor or directly. Other health care providers and organizations, please call 1-888-781-WELL ( 9355 ) by WellMed Suite.. 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Y0020_Wcm_87476E Last Updated on: 5/31/2022 Access a list of podiatrists in our provider directory information contact us Last. Having a personal one-on-one conversation with an insurance professional is the first in! Management for additional Assistance sign in to your account help for products and services used by health care providers the... Caregiver Resources ( Opens in new window ) information Center brought to by... N Representatives are available Monday through Friday, 8:00am to 5:00pm CST at Salvation Army 2023.