WellMed Medical Management, Inc. is a Managed Services Organization that supports doctors and their journey to care for patients with Medicare Advantage. 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. . According to a 2018 AARP survey, 77% of adults age 50 and older want to remain in their homes as they age, but fewer than 6 in 10 think that option will be open to them. Member Services toll-free number: 1-800-668-3813 TTY 711. By selecting the continue button you will leave Wellmarks website. We understand that maintaining a healthy community starts with providing care to those who need it most. 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. 1685 Gulf To Bay Blvd, Clearwater FL, 33755. Please contact your insurance provider prior to your WellMed appointment to review your insurance coverage. Our 250+ doctors, physician assistants and nurse practitioners put patients first. Search for a Summary of Benefits and Coverage (SBC) or Coverage Manual for specific medical and prescription coverage information for your plan. We're innovators in preventative health care, striving to change the face of health care for seniors. All Rights Reserved. Prior authorization requests for Preferred Care Partners members assigned to a Primary Care Physician belonging to Preferred Care Partners Medical Group (PCPMG) may be done online at eprg.wellmed.net. These are independent companies providing dental services on behalf of Wellmark Advantage Health Plan, Inc. Live-agent chat is the easiest and fastest way to get real-time support for an array of topics, including: Member Eligibility Claims adjustments Authorizations Escalations You can even print your chat history to reference later! By providing your email address to WellMed, you are agreeing to the terms and conditions (Opens in new window) on Subscribing to Online Communications in our privacy policy (Opens PDF in new window). Calling this number will direct you to SimplyEnroll, a licensed insurance agency.*. If you need technical help to access the UnitedHealthcare Provider Portal, please email ProviderTechSupport@uhc.com or call our UnitedHealthcare Web Support at 866-842-3278, option 1. 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. The system runs ambulatory care practices and senior care centers. If a member is admitted through the emergency room, you must notify us no later than 24 hours from the time the member is admitted for purposes of concurrent review and follow-up care. Show Phone Number. Reset Lookup. * Requests for non-participating care providers need additional authorization. {services} on behalf of Wellmark. Look for a doctor that's in-network so you can make the most of your plan benefits, Search by ZIP code to narrow down your search, Filter your results by language spoken, gender, specialty, ratings, and more to find the doctor that's right for you, If youre already a Humana member, select the "View all covered plans" link next to each provider's name for a full list of which plans they accept. About WellMed: At WellMed our focus is simple. D-SNP Patients Must Verify Medicaid Eligibility Annually. Medical Stock photos used. Providers Overview Location Reviews Providers Dr. Yamama Alkourbah, MD Internal Medicine 1 Rating Dr. Maria Famatigan, MD Internal Medicine 3 Ratings Lisa Hendrix, NP Nursing (Nurse Practitioner) 0 Ratings 2. Need access to the UnitedHealthcare Provider Portal? If you provide the service before the coverage decision is rendered, and we determine the service was not a covered benefit, we may deny the claim. WellMed Medical Management, Inc. (play video in new window after showing disclaimer), Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. Learn more WellMed Providers are doctors, physicians or other health care professionals that accesses information to help patients or track a refund. If they cant answer that easily, its a problem. If you are a patient and have medical concerns, please do not use this form. CareerBuilder TIP. Help us improve CareerBuilder by providing feedback about this job: Report this job Job ID: 0525367DE81F3B2B4BCC99E7AE4. Are you a member looking for a provider? New Provider Portal You spoke. We are happy to help. ** Shop for Part C plans Medicare Supplement Insurance (Medigap) We're impacting 240,000 lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. Our post-acute network has been proven to deliver quality care while delivering cost efficiencies. Privacy Policy|Advertising Policy|Privacy Preferences Center|Do Not Sell My Personal Information. Your providers need to be willing to spend time with you and speak with one another to have the best plan going forward. To confirm the current rating, please visit the A.M. Best website, www.ambest.com External Site. We're innovators in preventative health care, striving to change the face of health care for seniors. Make an Appointment. For additional questions call us at 1-877-670-8432 or email us at. Your Care Team can help coordinate tests, imaging, labs, physical therapy, and can even help bridge communication gaps between provider offices. How does your mental and physical health compare to one year ago? : 888-781-WELL (9355). Struggling to access your FiberHome modem settings in Jakarta? Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Once you register and have access to the provider portal, you will find a variety of video training available in the Resources section of the portal. To better assist you, please first select your state. Please contact our Patient Advocate team today. Note: When selecting a Blue Distinction Center, please confirm the Blue Distinction Center facility or provider is in your health plan network. Hear what our patients say about WellMed care. Over 6,000 providers in the WellMed system provide services in dermatology, geriatrics, cardiology, family practice, hospital medicine, internal medicine, neurology, osteopathy, palliative care, pain management, podiatry, rheumatology, and wound care. Every day, we focus on offering the personalized care you deserve. The WellMed provider portal provides you with the information, tools and resources you need to support the day-to-day needs of your patients and office. Enter CPT Code. Notice Regarding Your Rights and Protections Against Surprise Medical Bills, If you have an Affordable Care Act plan, search for a. Optum, the fastest growing part of UnitedHealth Group, is a leading information and technology-enabled health services business. This content is not available in your current region. Use of this website and any information contained herein is governed by the Healthgrades User Agreement. Provider Directory This directory provides a list of Cigna-HealthSpring's network providers. The WellMed provider portal helps you spend less time on administration so you can focus more on patient care. ATTENTION: If you speak English, language assistance services, free of charge, are available to you. George M. Rapier III, MD, founded WellMed in 1990 as a single clinic in the Medical Center area of San Antonio, Texas. To access the training video's in the portal, please register for an account and request access to your contract or medical group. We have been leading the industry since 1990 and have a proven process to support our doctors and their patients. Requests for referrals must be submitted electronically on. ET on the next business day if 24-hour notification would require notification on a weekend or federal holiday). One of the most important things is to communicate that, like most people, you want to stay at home as long as possible. Careers Contact . You must register and have an account with them. Jobs . The overwhelming majority of older Americans want to remain in their home as they age. {company} is an independent company providing We require prior authorizations to out-of-network specialty or ancillary care providers when the member requires a necessary service that cannot be provided within the available Preferred Care network. The all new Provider Portal is now live! Referrals are necessary for most participating specialists. If you have questions, please contact Wellmark Customer Service at the number on the back of your ID card. Providers Overview Location Reviews. Palm Beach Members: The Simple Referral Process helps PCPs coordinate member care. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non-covered charges or other losses or damages resulting from use of . No supporting documentation is needed for referrals to specialists. Wellmark will undergo system updates on Sunday, March 5th. As a provider, you have access to a portal that streamlines your work, keeps you up-to-date more than ever before and provides critical information. About WellMed: At WellMed our focus is simple. Our Stories: Patient Bernice Hurse Attend an Event Online visits may be available. Find a dentist or dental specialist near you. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non-covered charges or other losses or damages resulting from use of Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 713 N Ware Rd, Mcallen TX, 78501. Expand search. If your plan is not through Medicare or the Affordable Care Act, find a provider using the button below. WellMed is a network of physicians, specialists and other medical professionals who specialize in providing care to more than 550,000 older adults with more than 16,000 doctors offices in Texas and Florida. Plans vary by doctors office, service area and county. WellMed is a medical group practice located in El Paso, TX that specializes in Nursing (Nurse Practitioner) and Internal Medicine. WellMed is a network of physicians, specialists and other medical professionals who specialize in providing care to more than 550,000 older adults with more than 16,000 doctor's offices in Texas and Florida. We require prior authorizations to be submitted at least 7 calendar days before the date of service. Admission notification by the facility is required even if notification was supplied by the physician and a coverage approval is on file. We also offer unique services and programs to people with Medicare Advantage. Best's Ratings are under continuous review and subject to change and/or affirmation. To sum up, if you want to explore other health providers, you should have a look on these posts like OptumHealth or search your words on our website. Providers may view the WellMed Specialty Protocol List in the WellMed Provider portal at eprg.wellmed.net in the Provider Resource Tab. 13376 N Highway 183 Ste 110, Austin TX, 78750. WellMed, part of Optum, is a network of physicians, specialists and professionals providing elder care with locations in Texas and Florida. Llame al 888-781-WELL (9355). Find a Blue Distinction Center External Site. Specialists include cardiology, podiatry, dermatology, rheumatology, neurology, palliative care, wound care, hospital medicine, and more. (Opens in new window). Choose My Signature. What is the WellMed Provider Portal? Without a coverage determination, a member does not have the information needed to make an informed decision about receiving and paying for services. Be sure to check your coverage manual to find out if you must go to a Blue Distinction Center for certain procedures to be covered. Enter your One Healthcare ID or email address and password. Fill in the blanks such as firstname, last name, year of birth, email address, one healthcare ID, Besides, you need to type a password and confirm it. Search Jobs search What job do you want? At WellMed our focus is simple. 2023 WellMed Medical Management Inc. 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. Now, WellMed is a network of physicians, specialists and other medical professionals who specialize in providing care to more than 550,000 older adults with more than 16,000 doctors offices in Texas and Florida. Learn more WellMed is a leader in keeping the elderly healthy. . The WellMed provider portal helps you spend less time on administration so you can focus more on patient care. Notice Regarding Your Rights and Protections Against Surprise Medical Bills PDF File. Find a vision provider that's close to home. for the services or content delivered on or through {domain}, including the terms of use and privacy policies that govern the site. Find Caregiver Resources (Opens in new window). Teladoc (Amerigroup Amerivantage . You get a one-stop portal to quickly perform the most important functions that you perform every day. Atlanta, GA: Centers for Disease Control and Prevention, US Dept of Health and Human Services; 2013. The WellMed Florida Specialty Protocol List gives more information about which specialties/services may be exempt from the referral process. Find a Blue Distinction Center. Look for an eye doctor or retail vision center. Wellcare uses cookies. If a member receives urgent care services, you must notify us within 24 hours of the services being rendered. The referral is good for the number of visits approved, valid for 6 months from the date issued. The company does not discriminate on the basis of race, color, national origin, sex, age, or disability in its health programs and activities. Find in-network providers at myuhc.com open_in_new What type of provider are you looking for? A.M. Best is not responsible for transcription errors made in presenting Best's Rating Reports. We are committed to improving the quality of life of our millions of members, who often include some . To learn more about WellMed or to search for a WellMed doctor near you, click below. Please select your line of business and enter a CPT code to look up authorization for services. Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time. With a Humana healthcare plan, youll enjoy access to a broad selection of in-network healthcare providers and facilities. For help finding a hospital, please visit: Hospital Quality Data. Find a pharmacy. If you're enrolled in a Medicare Advantage (MA) plan, you have until March 31 to change your 2023 plan. . Copyright 2023 Healthgrades Marketplace, LLC, Patent US Nos. We have a vast array of locations suitable for a family . Search job openings and learn more about us. Login - WellCare Provider Login Thank you for using our Provider Portal. : (Chinese). Some insurance plans offer a level of coverage that could result in out-of-pocket costs. We have redesigned our website to help you find the information you need more easily. Find a hospital, facility or other service. If the service will not be covered, the member may decide whether to receive and pay for the service. 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