Access a list of vision providers in our provider directory. eviCore Headquarters 400 Buckwalter Place Blvd. Located inside HEB Corpus Christi Box 650287 Should you have any questions, please call our office at 407-352-9717. 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. 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. Find Caregiver Resources (Opens in new window). Call UM or Network Management for additional assistance. 0000013868 00000 n 0000030168 00000 n Box 400066 To identify these members, refer to the member ID card. Access a list of podiatrists in our provider directory. 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: South Carolina Medicaid: 866-432-0001. 2023 WellMed Medical Management Inc. All Rights Reserved. San Antonio, Texas 78238, Medicare Information Center Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. Phone: 1-888-774-7772 0000009876 00000 n eProvider Resource Gateway "ePRG", where patient management tools are a click away. Report incidents involving all privacy issues (potential breaches of PHI or PII) immediately to our risk manager. Get support, answers and expert care for mental health and substance use disorders. Box 6106 Contact your representative directly or get your financial support questions answered. WellMed is a nationally recognized health care provider that focuses on valuable preventive care services to help you feel your best. You trust your doctor and care team with your health, but who do they trust? Get information and register for electronic payment services. Expand All add_circle_outline Alabama WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Suite 1250 0000005022 00000 n Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Located inside HEB Individual Health Record (IHR) 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. Online:UnitedHealthcare Provider Portal at uhcprovider.com > Sign In, Preferred Care Partners wellmedhealthcare.com/the-joint-commission, MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Disease management: Providing education and support to help you better manage chronic conditions. Reconsideration Form Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. 0000017231 00000 n Located inside HEB Culebra Contact us for details. Call: 1-888-781-WELL (9355) Cypress, CA 90630. 6030 Montgomery Rd. If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. We help supply the tools to make a difference. The program is intended to improve quality and value in cancer care by supporting the use of therapies supported by evidence-based guidelines to improve outcomes. MondayFriday, 9 a.m. 5 p.m. (ET). Health care professionals can get detailed patient benefit and claims information and access to trainings designed to help you and your practice. Call us for support with your dental benefits. Licensed clinicians are on call 24 hours a day, 7 days a week. 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. Now you can quickly and effectively: Salt Lake City, UT 84130-0448. 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. 866-273-9444. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 2922 Morgan Ave. Fill out the form below and an Optum specialist will be in touch soon. Medication management: Help with medication refills and reminders to fill prescriptions. For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. Kentucky Medicaid: 800-444-9137. Provider Portal (ePRG) (Opens in new window) Physician/Provider Opportunities . <>stream Need access to the UnitedHealthcare Provider Portal? Claims (WellMed) 800-550-7691. 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 . UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. Optum Rx customer service. First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required MondayFriday, 9 a.m. 5 p.m. (ET). Submit claims electronically to Payer ID WELM2. Copyright 2013 WellMed. 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 About WellMed: At WellMed our focus is simple. Located inside WellMed at Morgan Box 30448 MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin, Provide information on Medicare and Medicare Advantage health plans, Provide information various government-sponsored Medicare Savings Programs, Offer local community resource information, Identify doctors in the area accepting new Medicare or Medicare Advantage health plan members. wellmedhealthcare.com/the-joint-commission. If you are a patient and have medical concerns, please do not use this form. For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. 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). Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. Find Caregiver Resources (Opens in new window). Phone: 1-877-670-8432 If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. McAllen, Texas 78501. Denise Malecki: denise.malecki@amerigroup.com. For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. Please contact our Patient Advocate team today. Located inside WellMed at Redbird Square Senior Activity Center Louisiana Medicaid: 800-448-3810. 0000010726 00000 n Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services 0000003775 00000 n 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. Telehealth If you are looking for pharmacy services,contact Optum Rx sales. <> Ask questions regarding your Agreement, in-servicing and follow-up or outreaches. trailer Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 5042 South Padre Island Dr. The Payer ID is listed as WELM2. We are happy to help. 0000013213 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. You will receive a decision in writing within 60 calendar days from the date we receive your appeal. Cypress, CA 90630. PCP-NetworkManagementServices@uhcsouthflorida.com, Authorizations and Notifications (WellMed), Technical Support for Change Healthcare Claims Submission Network, Electronic Remittance (Facilitated by Change Healthcare), Network Management Services Provider Relations and Contracting, PCP-NetworkManagementServices@uhcsouthflorida.com, Podiatry Network Mgmt Services (Foot and Ankle Network). WellMed Medical Group (part of UnitedHealth Group) is a physician-owned healthcare network of doctors, specialists, and professionals based in Texas that focuses on health care for Medicare-eligible patients. 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. Our extensive support team enables you to actually focus on being a doctor and having time to truly care for each patient. Mail Stop CA 124-0157 MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Learn about more tools and resources to support your practice's work with claims and payments. Worksite Wellness Health Screening 6157 N.W.Loop 410, Suite 124 Interested in learning more about WellMed? Eligibility and benefits interactive guide Find support and resources for health care providers or learn about career opportunities. Corpus Christi, Texas 78415, Medicare Information Center brought to you by WellMed To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Information Questionnaire. Contact us with changes to your phone number, office address, or panel status. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed 0000002296 00000 n Representatives are available Monday through Friday, 8:00 am to 5:00 pm CST. If you have a question or need support, please contact us at one of the options below. 0000026981 00000 n 2833 South Padre Island Dr. If you are a prescriber or pharmacy, get in touch with us here. Text "HELLO" to 741741 or visit https://988lifeline.org/. 2023 WellMed Medical Management Inc. All Rights Reserved. P.O. OptumRx Report demographic changes. 2455 NE Loop 410 We're confident in WellMed. Some doctors' offices may accept other health insurance plans. Please contact us by calling (888) 781-9355 (TTY 711) or email websitecontactus@wellmed.net. Suite 1750 Dallas, Texas 75237, Medicare Information Center brought to you by WellMed If mailing, send to: WellMed Claims UnitedHealthcare Appeals P.O. 0000005057 00000 n Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. startxref Access a list of behavioral health care providers in the provider directory. Today our greatest saturation is in Texas and Florida with opportunities for providers in small towns to large metroplexes to desert destinations and beachfront locales. Mail Stop CA 124-0197 Please contact our Patient Advocate team today. Member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as the For Providers contact. MondayFriday, 9 a.m. 5 p.m. (ET). Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed WellMed partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care. %%EOF Welcome to the newly redesigned WellMed Provider Portal, %PDF-1.7 % Use Payer ID WELM2. hb```b``f`e`Qdf@ a+>Oss=(J4 kUpSY\_jAl.qnY4jQH@::@A!0mllM\\. Bluffton, SC 29910 Driving Directions 800.918.8924. Participants may receive incentives for completing the screening and achieving certain biometric results. 0000033204 00000 n MondayFriday, 8 a.m. to 5 p.m. (ET). Find Caregiver Resources (Opens in new window). Access a list of Solstice dental providers in the provider directory. Questions or comments. 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Unitedhealthcare believes that telehealth can extend every practices reach to meet members they. Suite 124 Interested in learning more about WellMed care provider that focuses on valuable preventive care services to you. We receive your appeal some doctors & # x27 ; re confident in WellMed us.... For health care providers in the provider directory de no Discriminacin your phone number, office address, requests... More about WellMed, Asistencia de Idiomas / Aviso de no Discriminacin reach to members... # x27 ; re confident in WellMed and submitting, you consent WellMed to contact you to provide the information...