See pharmacy benefit updates. 2833 South Padre Island Dr. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Provider Portal (ePRG) (Opens in new window) Physician/Provider Opportunities . Phone: 1-877 -757 4440 Other Services That May Require PA . We help supply the tools to make a difference. Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . Need access to the UnitedHealthcare Provider Portal? P.O. We are happy to help. These resources can help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. P.O. xref Please contact our Patient Advocate team today. <> Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 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. Questions or comments. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. 0000011608 00000 n Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). Access a summary of benefits for each plan online. <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> 0000012074 00000 n Check claims, eligibility, benefits. If you are a prescriber or pharmacy, get in touch with us here. Access a list of Solstice dental providers in the provider directory. Located inside WellMed at Morgan We are happy to help. 800-822-5353 Vision Visit UnitedHealthcare March Vision Care open_in_new or 877-627-2456 Spectera 800-638-3120 Physical health Visit Optum Physical Health open_in_new or 800-873-4575 or 866-427-6845 State-specific health plan and network support Select your state to find information, service and support. 0000004909 00000 n Utilize Risk Adjustment Processing System (RAPS) tools Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. Louisiana Medicaid: 800-448-3810. Maternity Support for UnitedHealthcare Community Plan Members Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. Link to health plan formularies. We can also help schedule appointments with your doctor. MondayFriday, 9 a.m. 5 p.m. (ET). WellMed partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care. Located inside Doris Griffin Senior One Stop Contact us with changes to your phone number, office address, or panel status. 800-348-5548. Call: 888-781-WELL (9355) Bluffton, SC 29910 Driving Directions 800.918.8924. For general inquires, call our subrogation department. Located inside HEB Corpus Christi 0000012637 00000 n Use Payer ID WELM2. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. 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. 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. Mailing Addresses General Mailing Address Wellcare Health Plans P.O. Behavioral Health Resources Located inside Corpus Christi Trade Center Find Caregiver Resources (Opens in new window). Dallas, TX 75265-0287. trailer WellMed is a nationally recognized health care provider that focuses on valuable preventive care services to help you feel your best. 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 Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas and Florida. We are committed to ensuring that our website and mobile applications are accessible to individuals with disabilities. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. These resources are especially tuned to skilled nursing facilities, including brochures for patient education, support for billing and reimbursement, and a special focus on Medicare Advantage and the UnitedHealthcare Passport Service. Find patient care and support information. Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services If you are interested in a career or externship with WellMed, visit the Careers page for more information. Medicare: San Antonio, Texas 78221, Medicare Information Center brought to you by WellMed Located inside Elvira Cisneros Senior Center To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Information Questionnaire. endobj P.O. WellMed accepts Original Medicare and certain Medicare Advantage health plans. We also provide helpful resources on how to navigate the prior authorization process, including provider playbooks and tips on how to maximize the . MA and MA Prescription Drug (MAPD) Plans: Preferred Care Partners, Inc. Are you looking for information about purchasing a product or service? Suite 1250 Expand All add_circle_outline Alabama expand_more Alaska expand_more Arizona expand_more Arkansas 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. Why Choose WellMed? Verify eligibility and benefits of enrolled members. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Mail Stop CA 124-0197 Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. Call: 1-888-781-WELL (9355) Report concerns related to fraud, waste or abuse. If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. 0000001302 00000 n 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. 0000033577 00000 n Kentucky Medicaid: 800-444-9137. OptumRx It's simple. The Payer ID is listed as WELM2. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? eviCore Headquarters 400 Buckwalter Place Blvd. Get support, answers and expert care for mental health and substance use disorders. %%EOF Drug Lists and Pharmacy Now you can quickly and effectively: 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 . 866-273-9444. Contact Us Y0020_WCM_87476E Last Updated On: 5/31/2022 San Antonio, Texas 78251, Medicare Information Center brought to you by WellMed Phone: 1-855-575-0293 Interested in learning more about WellMed? 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). If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. hb```b``f`e`Qdf@ a+>Oss=(J4 kUpSY\_jAl.qnY4jQH@::@A!0mllM\\. For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). Provider Bulletins The latest updates and information for providers. Visit a location today or contact us for more information. Buddy Castellano: buddy.castellano@anthem.com 6157 N.W.Loop 410, Suite 124 Email questions or comments to Network Management Services (NMS) at PCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services. Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. Phone: 1-800-985-2596 No DSNP Located inside WellMed at Redbird Square Senior Activity Center Cancer Support Program 4444 Kostoryz Road Request forms or other materials. Interested in learning more about WellMed? Report incidents involving all privacy issues (potential breaches of PHI or PII) immediately to our risk manager. Required Qualifications: Doctor of Medicine (M.D. Hours of operation: 8 a.m to 7 p.m. Eastern time, Monday through Friday. We are happy to help. 101 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 WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. 0000003369 00000 n Phone number - 877-813-3134 Corpus Christi Medicare Information Center brought to you by WellMed Located inside HEB Corpus Christi 4444 Kostoryz Road Corpus Christi, TX 78415 Medicare Information Center brought to you by WellMed Located inside WellMed at Morgan 2922 Morgan Ave. Corpus Christi, Texas 78405 Reconsideration Form Initiate requests for notifications and authorizations electronically. Only available under certain plans. Check claims, eligibility, benefits. Application Programming Interface (API) Verify patient eligibility, effective date of coverage and benefits 1-800-356-3477. 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. San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed Located at Salvation Army Salt Lake City, UT 84130-0508. Phone:1-877-670-8432 Corpus Christi, Texas 78415, Medicare Information Center brought to you by WellMed 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. Located inside HEB Box 650287 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. As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. 2023 WellMed Medical Management Inc. All Rights Reserved. 13725 Northwest Blvd. Learn about more tools and resources to support your practice's work with claims and payments. Individual Health Record (IHR) 1-888-781-WELL (9355) Language Assistance / Non-Discrimination Notice; Asistencia de Idiomas / Aviso de no Discriminacin; / 2023 WellMed Medical Management Inc. Located inside HEB at Port and Tarlton 0000004384 00000 n Contact your representative directly or get your financial support questions answered. Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed About WellMed: At WellMed our focus is simple. Submit claims electronically to Payer ID WELM2. 0000010726 00000 n Please verify eligibility and medical benefits before requesting prior authorization (PA) . 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