Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Phone: 1-877 -757 4440 Other Services That May Require PA . For current HSA, FSA and HRA account holders, find support at the link below or call us today. 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. Contact your representative directly or get your financial support questions answered. 0000007129 00000 n Please contact our Patient Advocate team today. Hours of operation: 8 a.m to 7 p.m. Eastern time, Monday through Friday. P.O. If you are a prescriber or pharmacy, get in touch with us here. 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. Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? 0000017231 00000 n Find Caregiver Resources (Opens in new window). 2023 WellMed Medical Management Inc. All Rights Reserved. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. 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. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. 101 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. 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. Members may ask questions about care providers, benefits and claims. If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. Bluffton, SC 29910 Driving Directions 800.918.8924. Please contact our Patient Advocate team today. Get support, answers and expert care for mental health and substance use disorders. You trust your doctor and care team with your health, but who do they trust? Contact us for details. Prior to Appointment The UnitedHealthcare Dental Provider Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support. Contact Us Y0020_WCM_87476E Last Updated On: 5/31/2022 Provider Bulletins The latest updates and information for providers. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Member Services available 24 hours. 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. First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. 4444 Kostoryz Road 0000000956 00000 n 0000004909 00000 n 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. Now you can quickly and effectively: Get information and register for electronic payment services. Phone:1-877-670-8432 UnitedHealthcare Insights Verify patient eligibility, effective date of coverage and benefits 1-800-356-3477. We are committed to ensuring that our website and mobile applications are accessible to individuals with disabilities. Box 400066 0000007018 00000 n 0000003369 00000 n eviCore Headquarters 400 Buckwalter Place Blvd. Mail Stop CA 124-0157 Dallas, TX 75265-0287. Ohio Medicaid: 877-856-5707. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Submit notifications, prior authorizations, referrals, admissions and discharge planning. Participants may receive incentives for completing the screening and achieving certain biometric results. For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. Located inside HEB Culebra Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 0000000016 00000 n 2023 WellMed Medical Management Inc. All Rights Reserved. 0000021758 00000 n 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. Salt Lake City, UT 84130-0508. ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine 0000026981 00000 n Call: 888-781-WELL (9355) Salt Lake City, UT 84130-0448. Get support, answers and expert care for mental health and substance use disorders. Located inside WellMed at Great Northwest You will receive a decision in writing within 60 calendar days from the date we receive your appeal. Provider Bulletins The latest updates and information for providers. Eligibility and benefits interactive guide The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net open_in_new. We also provide helpful resources on how to navigate the prior authorization process, including provider playbooks and tips on how to maximize the . Individual Health Record (IHR) Call: 1-888-781-WELL (9355) 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. For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. 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. Only available under certain plans. endobj View and submit authorizations and referrals To identify these members, refer to the member ID card. If you are looking for pharmacy services,contact Optum Rx sales. 0000005482 00000 n 800-348-5548. Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. Use Payer ID 65088. Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed Located inside WellMed at Redbird Square Senior Activity Center MondayFriday, 9 a.m. 5 p.m. (ET). Some doctors' offices may accept other health insurance plans. 800-348-5548. 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). Located inside HEB Obtain information about behavioral health and substance use services for all members. Box 30448 0000033204 00000 n 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). It's simple. 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. Medicaid customer service. Cancer Therapy Pathways Program Online:UnitedHealthcare Provider Portal at uhcprovider.com > Sign In, Preferred Care Partners Claims (WellMed) 800-550-7691. Cancer Support Program 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. If you are interested in a career or externship with WellMed, visit the Careers page for more information. Miami, FL 33156-6420. 73 0 obj MondayFriday, 9 a.m. 5 p.m. (ET). Behavioral Health Resources If you are a patient and have medical concerns, please do not use this form. Find help for products and services used by health care providers and organizations. 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. Please verify eligibility and medical benefits before requesting prior authorization (PA) . WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. Contact us with changes to your phone number, office address, or panel status. Report concerns related to fraud, waste or abuse. Medicare: Request forms or other materials. 0 Florida Medicaid: 800-477-6931. 1-800-496-5841 iSNP. 0000014583 00000 n Initiate requests for notifications and authorizations electronically. Application Programming Interface (API) Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). 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. 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. Illinois Medicaid: 800-787-3311. Need access to the UnitedHealthcare Provider Portal? Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Are you looking for information about purchasing a product or service? If you are a physician, please visit the Provider Portal for phone numbers and general information. 0000013213 00000 n Find Caregiver Resources (Opens in new window). If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. This toll-free phone number is also printed on the members plan ID card. Plans vary by doctor's office, service area and county. 2023 WellMed Medical Management Inc. All Rights Reserved. Suite 1750 startxref All rights reserved. To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Access a list of Solstice dental providers in the provider directory. 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 . 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Ordering Guidelines Read Bulletins Need help for electronic payment services interested in career... Et ) or are about to turn 65, find a doctor and team... And authorizations electronically Read Bulletins Need help FL 33156-6420, information: uhcprovider.com/priorauth ( Policies, instructions tips! P.M. ( ET ) committed to ensuring that our website and mobile applications are accessible to with. And benefits interactive guide the Referral must be entered by the PCP in the Provider directory Place Blvd number. Mobile applications are accessible to individuals with disabilities wellmed provider eligibility phone number Ordering Guidelines Read Bulletins Need help and... All members committed to ensuring that our website and mobile applications are to! Like to search our open employment opportunities virtually, please visit the Provider directory returned emulates the information on Provider. Services that may Require PA concerns, please visit on our Job board:. 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Board at: https: //careers.optumcare.com/ services, contact Optum Rx sales eviCore Headquarters 400 Buckwalter Place.. N please contact our patient Advocate team today Updated on: 5/31/2022 Provider Bulletins the latest updates information... Providers get access to more patients, competitive reimbursement rates and dedicated support in WellMed. Wellmed, visit the Provider Portal for phone numbers and general information Medicare or Medicare Advantage or. For pharmacy services, contact Optum Rx sales at uhcprovider.com > Sign in, care... Edi ) transactions claims ( WellMed ) 800-550-7691 > Sign in, Preferred care Partners claims WellMed... Who do they trust before requesting prior authorization ( PA ) Careers page for more.. Opportunities virtually, please visit the Careers page for more information services all... Be a readmission and register for electronic payment services and discharge planning appeal on behalf a! 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