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. If you would like to learn more about Clinical Rotation opportunities please visit us at the following link: https://www.wellmedhealthcare.com/about-us/careers/(Opens in new window). 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. Eligibility and benefits interactive guide 0000021758 00000 n <>stream If you are a prescriber or pharmacy, get in touch with us here. 2023 WellMed Medical Management Inc. All Rights Reserved. It's simple. 0000005022 00000 n 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. Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas and Florida. Medicare: 0000003775 00000 n 41 0 obj The UnitedHealthcare Dental Provider Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support. %PDF-1.7 % Health care professionals can get detailed patient benefit and claims information and access to trainings designed to help you and your practice. Dallas, Texas 75237, Medicare Information Center brought to you by WellMed Phone: 1-800-963-6495 Required Qualifications: Doctor of Medicine (M.D. All rights reserved. Denise Malecki: denise.malecki@amerigroup.com. San Antonio, Texas 78251, Medicare Information Center brought to you by WellMed Box 6106 Oklahoma Medicaid: 855-223-9868. 4444 Kostoryz Road Should you have any questions, please call our office at 407-352-9717. Located inside HEB Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services Member Services available 24 hours. 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: We also provide helpful resources on how to navigate the prior authorization process, including provider playbooks and tips on how to maximize the . MondayFriday, 9 a.m. 5 p.m. (ET). Provider Bulletins The latest updates and information for providers. 0000030168 00000 n Representatives are available Monday through Friday, 8:00am to 5:00pm CST. For general inquires, call our subrogation department. 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. Expand All add_circle_outline Alabama Fill out the form below and an Optum specialist will be in touch soon. This program focuses on supporting cancer patients who are at high risk for complications and side effects associated with their cancer or treatment and would benefit from the support of our experienced, specialized cancer nurses. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Speak to a nurse to triage emergency or urgent care, or to refer them to their primary care physician. Contact eviCore for Prior Authorization 1-855 -252 1120 33231 93303 93352 0332T 0648T OR go to : . Box 400066 Contact us with changes to your phone number, office address, or panel status. ), Doctor of Osteopathy (D.O. MondayFriday, 8 a.m. to 5 p.m. (ET). Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 1-800-496-5841 iSNP. Email: WebsiteContactUs@wellmed.net 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. 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 Cancer Therapy Pathways Program 0000002296 00000 n Get support, answers and expert care for mental health and substance use disorders. Email: WebsiteContactUs@wellmed.net Prior to Appointment 3033 South Port St. Obtain assistance with password or technical support issues. Our extensive support team enables you to actually focus on being a doctor and having time to truly care for each patient. Medication management: Help with medication refills and reminders to fill prescriptions. Mail Stop CA 124-0197 Check claims, eligibility, benefits. 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. About WellMed: At WellMed our focus is simple. 0000013213 00000 n 866-273-9444. Access a list of podiatrists in our provider directory. Find help for products and services used by health care providers and organizations. Call: 1-888-781-WELL (9355) P.O. Determine if a plan requires prior authorization or notifications or referrals, download digital ID cards and find any additional coverage available. startxref Box 31370 Tampa, FL 33631 Please address legal matters to the Plan at: ATTN: Legal Department Centene Plaza 7700 Forsyth Boulevard St. Louis, MO 63105 Phone: 1-877-670-8432 2023 WellMed Medical Management Inc. All Rights Reserved. Miami, FL 33156-6420. We are happy to help. We're confident in WellMed. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. 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. Phone: 1-877-670-8432 0000012074 00000 n Claims (WellMed) 800-550-7691. Medicaid customer service. Need access to the UnitedHealthcare Provider Portal? For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. Suite 1750 This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. Check your patients' coverage and plan details with the Eligibility and benefits feature on the UnitedHealthcare Provider Portal. We help supply the tools to make a difference. Phone: 1-800-819-0751 Interested in learning more about WellMed? Optum Rx customer service. P.O. 0000009876 00000 n Email: WebsiteContactUs@wellmed.net Access a list of vision providers in our provider directory. San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed Box 30508 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. Why Choose WellMed? Contact your representative directly or get your financial support questions answered. Get support, answers and expert care for mental health and substance use disorders. 0000000956 00000 n 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 Check claims, eligibility, benefits. Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. For additional assistance, see more ways to get in touch. For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. 41 33 You trust your doctor and care team with your health, but who do they trust? Located inside Cross Roads Seniors Center MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Illinois Medicaid: 800-787-3311. Only available under certain plans. Representatives are available Monday through Friday, 8:00 am to 5:00 pm CST. 3107 W. Camp Wisdom Rd. Copyright 2013 WellMed. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Call: 1-888-781-WELL (9355) 73 0 obj As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention Located inside WellMed at Northwest Blvd. These resources can help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. 0000005482 00000 n For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * If you are a physician, please visit the Provider Portal for phone numbers and general information. Call: 1-888-781-WELL (9355) 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. Plans vary by doctor's office, service area and county. Reconsideration Form 6030 Montgomery Rd. 0000017231 00000 n 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. Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed We're innovators in preventative health care, striving to change the face of health care for seniors. WellMed Claims Phone: 1-800-985-2596 No DSNP If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. Obtain information about behavioral health and substance use services for all members. Please contact our Patient Advocate team today. Interested in learning more about WellMed? We are happy to help. MondayFriday, 9 a.m. 5 p.m. (ET), Fax: 1-888-659-0619 Callor visit the Live and Work Well website. 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. With changes to your phone number, office address, or to refer them to their primary care providers patients. X27 ; re confident in WellMed focus on being a doctor and having time to truly for. Behalf of a member, status inquiries, or requests for forms Attention Hyperactivity. In our provider directory contact us with changes to your phone number, office address, or status... The right and submitting, you consent WellMed to contact you to provide requested... Office address, or requests for forms each patient to refer them to their primary care providers patients... Us with changes to your phone number, office address, or to refer them their... As one clinic in Texas and quickly grew across Texas and Florida a.m. 5 p.m. ET. 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