Using an in-network healthcare provider may mean paying a lower share of the costs for covered services. While all Blue Distinction Centers provide the highest quality care, not all have a quality designation for every type of care. One of the most important things is to communicate that, like most people, you want to stay at home as long as possible. For details on a provider's in-network status or your own policy's coverage, contact your Local Blue Plan and ask your provider before making an appointment. (Opens in new window). With a Humana healthcare plan, youll enjoy access to a broad selection of in-network healthcare providers and facilities. The company does not discriminate on the basis of race, color, national origin, sex, age, or disability in its health programs and activities. Any other printing, copying or distribution is strictly prohibited. If you have an online account with Wellmark, your ability to access your data will be impacted. Jobs . Find a pharmacy. Location. {services} on behalf of Wellmark. WellMed, part of Optum, is a network of physicians, specialists and professionals providing elder care with locations in Texas and Florida. Copyright 2023 Wellcare Health Plans, Inc. Family Medicine, Physician Assistant (PA) 3 Providers. If a member receives urgent care services, you must notify us within 24 hours of the services being rendered. Contact your doctor or clinic directly or use the patient portal (Opens in new window) to communicate securely with your doctor. Call Directions. Obtain prior authorization for all services requiring authorization before the services are scheduled or rendered. Find by Name or keyword. Wellcare uses cookies. 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. Planned Outage Alert. Providers are doctors, physicians or other health care professionals that accesses information to help patients or track a refund. . 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. ATENCIN: Si habla espaol (Spanish), hay servicios de asistencia de idiomas, sin cargo, a su disposicin. Find a vision provider that's close to home. Is your doctor helping you to prevent falls? 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. signNow has paid close attention to iOS users and developed an application just for them. 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. We're innovators in preventative health care, striving to change the face of health care for seniors. 7,752,060 and 8,719,052. 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. Use of this website and any information contained herein is governed by the Healthgrades User Agreement. WellMed recommends asking your primary care physician how they are coordinating your care with other specialists and others in the practice. Copyright 2023 Healthgrades Marketplace, LLC, Patent US Nos. Learn more To access the training video's in the portal, please register for an account and request access to your contract or medical group. For more information about WellMed, visit wellmedfindadoctor.com/bettercare or call 888-868-8727 (toll free). WellMed Medical Management, Inc. aarp.org/research/topics/community/info-2018/2018-home-communitypreference.html. UnitedHealth Group is the nations largest health insurer and is a major operator of Medicare-administered health insurance. Providers Overview Location Reviews. PROVIDERS About Solutions Health Plans Utilization Management Cardiology Gastroenterology Laboratory Management Medical Drug Management Medical Oncology Musculoskeletal Post-Acute Care Radiation Oncology Radiology Sleep Care Coordination Post-Acute Care Payment Integrity Implant Management Member Engagement Consumer Engagement 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. 2023 UnitedHealthcare | All Rights Reserved, Healthcare Provider Administrative Guides and Manuals, Prior authorizations and referrals - 2022 Administrative Guide, Preferred Care Partners supplement - 2022 Administrative Guide, About Preferred Care Partners - 2022 Administrative Guide, How to contact us - 2022 Administrative Guide, Confidentiality of Protected Health Information (PHI) - 2022 Administrative Guide, Clinical coverage review - 2022 Administrative Guide, Appeal and reconsideration processes - 2022 Administrative Guide, Member rights and responsibilities - 2022 Administrative Guide, Documentation and confidentiality of medical records - 2022 Administrative Guide, Case management and disease management program information - 2022 Administrative Guide, Special needs plans - 2022 Administrative Guide, Health care provider reporting responsibilities - 2022 Administrative Guide, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources. To learn more about WellMed or to search for a WellMed doctor near you, click below. WellMed WellMed is a Physician Organized Delivery (POD) System. Wellmed is a medical group practice located in Mcallen, TX that specializes in Family Medicine and Physician Assistant (PA). Online Form: By completing and submitting the form at the contact page, you consent to WellMed contacting you to provide the requested information. Please call 888-781-WELL (9355). Preventive care is critical. Please select your line of business and enter a CPT code to look up authorization for services. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. About WellMed: At WellMed our focus is simple. The Medicare Annual Enrollment Period is from October 15 to December 7. By continuing to use our site, you agree to our Privacy Policy and Terms of Use. For additional questions call us at 1-877-670-8432 or email us at. If they cant answer that easily, its a problem. More than 300,000 older adults trust their care to WellMed. Your Care Team can help coordinate tests, imaging, labs, physical therapy, and can even help bridge communication gaps between provider offices. Bexar service area: 1-800-589-5274. Are Unitedhealthcare and WellMed the same? (727) 442-0500. 2 6 2 3 6 7 6 -- a licensed insurance agency that explains Medicare Advantage and Medicare supplement insurance drug options to Medicare enrollees. WellMed is a leader in keeping the elderly healthy. About WellMed: At WellMed our focus is simple. 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. The overwhelming majority of older Americans want to remain in their home as they age. Privacy & Legal | California Consumers Privacy Notice Notice Regarding Your Rights and Protections Against Surprise Medical Bills, If you have an Affordable Care Act plan, search for a. Monday through Friday, 8:00 am to 5:00 pm CST. : (Chinese). 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. The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net. Medical Find healthcare providers in our network Medical Search by name, condition, specialty, and more. The content on Healthgrades does not provide medical advice. .segment-menu .menu-item-container>a>h2 { You and the member should be fully aware of coverage decisions before services are rendered. Has your doctor suggested you increase physical activity and are you doing so? What is the WellMed Provider Portal? Wellcare uses cookies. Receipt of an admission notification does not guarantee or authorize payment. Paycor Employee Login is a guide for you to access, register, recover username, password forgot reset easily as employees. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. If you have questions, please contact Wellmark Customer Service at the number on the back of your ID card. Find a Blue Distinction Center. 2023 WellMed Medical Management Inc. We're a proud part of the Central and South Florida communities. 13376 N Highway 183 Ste 110, Austin TX, 78750. We partner with providers to develop and deliver high-quality, cost-effective health care solutions. If you choose a WellMed PCP, you must see a WellMed . 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. By selecting the continue button you will leave Wellmarks website. Call: 1-888-781-WELL (9355) In addition, you'll find directories for mental health clinicians and facilities. ATTENTION: If you speak English, language assistance services, free of charge, are available to you. 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. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. George M. Rapier III, MD, founded WellMed in 1990 as a single clinic in the Medical Center area of San Antonio, Texas. Now you can quickly and effectively: Verify patient eligibility, effective date of coverage and benefits View and submit authorizations and referrals . About WellMed: At WellMed our focus is simple. Chronic diseases such as diabetes, COPD and heart disease can lead to a loss of independence and result in the need for institutional care or other long-term services and support. 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. Use our provider search tool to find doctors, pharmacies and other providers that work with our plan. Telehealth services available. Find Caregiver Resources (Opens in new window). Sign in to your MyHumana account for easy access to personalized search results. By continuing to use our site, you agree to our Privacy Policy and Terms of Use. Please contact our Patient Advocate team today. Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time. You may request a referral for one or multiple visits. Plans vary by doctor's office, service area and county. About WellMed. Our 250+ doctors, physician assistants and nurse practitioners put patients first. Look for an eye doctor or retail vision center. For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Authorization requirements Obtain prior authorization for all services requiring authorization before the services are scheduled or rendered. Find a Blue Distinction Center External Site. Search Jobs search What job do you want? 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. Admission notification by the facility is required even if notification was supplied by the physician and a coverage approval is on file. After launching the provider online search tool, make sure the product network (STAR, CHIP, STAR+PLUS, STAR Health, STAR Kids, Ambetter, Medicare, MMP) is the network you want to search for providers. : 888-781-WELL (9355). : (Chinese). Our Stories: Patient Bernice Hurse Attend an Event Online visits may be available. We are committed to improving the quality of life of our millions of members, who often include some . Using an in-network healthcare provider may mean paying a lower share of the costs for covered services. . Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas and Florida. For help finding a hospital, please visit: Hospital Quality Data. Submit prior authorizations for home health and home infusion services, durable medical equipment (DME), and medical supply items to MedCare Home Health at 1-305-883-2940 and Infusion/DME at 1-800-819-0751. 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. About WellMed: At WellMed our focus is simple. Humana makes it easy to see plans in your area with their premiums, copays and participating doctors and pharmacies. Wellmark is not responsible WellMed is a Medicare Advantage Plan that operates as a health system focused on Quality/Value Based Outcomes Our care model limits daily volume to allow our providers the time needed to provide . Every day, we focus on offering the personalized care you deserve. Please call 888-781-WELL (9355). To better assist you, please first select your state. Specialists include cardiology, podiatry, dermatology, rheumatology, neurology, palliative care, wound care, hospital medicine, and more. The specialist has the ability to view a referral using the UnitedHealthcare portal. Benefits of WellMed Provider Portal. 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 . We listened. Payment of covered services is contingent upon coverage within an individual members benefit plan, the facility being eligible for payment, any claim processing requirements, and the facilitys Agreement with us. Need access to the UnitedHealthcare Provider Portal? Log in to myWellmark to more easily search providers in your network. WellMed is part of Optum, a UnitedHealth Group company, The Way2go Card Arizona login is an online payment system that lets you link your debit card or checking, Read More Way2go Card Arizona Login, Electronic Payment Card & Child SupportContinue, Bank of Dawson online banking loginallows customers to access their account information and make transactions online. Provider Bulletins The latest updates and information for providers. Overview & Resources. To learn more about WellMed or to search for a WellMed doctor near you, click below. Some doctors offices may accept other health insurance plans. Skip to main content Insurance Plans Medicare and Medicaid plans Medicare Search by name, condition, specialty, and more. WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. A.M. Best is not responsible for transcription errors made in presenting Best's Rating Reports. text-transform:none; Providers Overview Location Reviews. We're innovators in preventative health care, striving to change the face of health care for seniors. We offer primary and specialty care in northern Texas. Email: WebsiteContactUs@wellmed.net Make an Appointment. Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. At WellMed our focus is simple. Select Health Plan Type (optional) information. Search job openings and learn more about us. Avesis Vision is underwritten by Fidelity Security Life Insurance Company, Kansas City, Missouri.Dental benefits provided by Delta Dental of Iowa and Delta Dental of South Dakota. 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. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin, UnitedHealthcare Employee Retirement System Group PPO, UnitedHealthcare Teacher Retirement System Group PPO, Humana (Select WellMed clinic locations only), Optimum Healthcare (WellMed clinic locations only). Some insurance plans offer a level of coverage that could result in out-of-pocket costs. The State of Aging and Health in America 2013. 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. Our goal is to help you stay healthy and independent. The concept of aging in place requires planning and coordination of your health care, including making plans for preventive care with your health care provider, whether its in their office or through telemedicine. We help make it easy to find Medicare coverage that's right for you, with guidance from start to finish, flexible coverage options, and more. The WellMed Florida Specialty Protocol List gives more information about which specialties/services may be exempt from the referral process. If your plan is not through Medicare or the Affordable Care Act, find a provider using the button below. The company does not discriminate on the basis of race, color, national origin, sex, age, or disability in its health programs and activities. Providers are doctors, physicians or other healthcare professionals who have access to information to assist patients or track a reimbursement. Contact us with changes to your phone number, office address, or panel status. The latest updates and information for providers. . For any inpatient or ambulatory outpatient service requiring prior authorization, the facility must confirm, before rendering the service, that the coverage approval is on file. Struggling to access your FiberHome modem settings in Jakarta? If you need more than one medical procedure, please be sure the hospital you select has a quality designation for all the care you need. WellMed Medical Management, Inc. is a Managed Services Organization that supports doctors and their journey to care for patients with Medicare Advantage. Pay my premium; Find a doctor; Drug Pricing guide; Find a form; Secured link, user need to login with credentials View ID card; Secured link, user need to login with credentials View my claims; Secured link, user need to login with credentials Check coverage; Secured link, user need to login with credentials Refill a Prescription; Manage your health 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 Dallas and Tarrant service areas: Central, Northeast and West rural service areas: . Internal Medicine, Nursing (Nurse Practitioner) 2 Providers. Please contact your insurance provider prior to your WellMed appointment to review your insurance coverage. WellCare reminds providers of the importance of correct coding related to modifier 25 and place of service coding. Every day, we focus on offering the personalized care you deserve. The all new Provider Portal is now live! Show Phone Number. Comprehensive Benefits from Optum Provider Services At WellMed our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. No supporting documentation is needed for referrals to specialists. Learn more. Our servers have detected that you are accessing this site from a restricted area. Llame al 888-781-WELL (9355). 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. Urinary incontinence is also a condition that can be managed but can frequently become a reason for people and their families to feel someone can no longer remain at home. Requests for referrals must be submitted electronically on. 850 W US Highway 77 Ste C, San Benito TX 78586. A notification or prior authorization approval does not ensure or authorize payment, subject to state rules and MA policies. 2023 Wellmark Inc. All rights reserved. For emergency admissions when a member is unstable and not capable of providing coverage information, the facility should notify us as soon as the information is known and communicate the extenuating circumstances. 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! 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. Provider Directory This directory provides a list of Cigna-HealthSpring's network providers. Select Line of Business. Follow the procedures below to access the appropriate portal option. : 888-781-WELL (9355). Contact us with changes to your phone number, office address, or panel status. Search for a Medical Provider. 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. Our goal is to help you stay healthy and independent. We are happy to help. Find a provider or hospital recognized by Blue Cross and Blue Shield forchanging health care to be more patient-focused, coordinated and, in many cases, affordable. Hospitalist Austin, TX Hospitalist, Austin, TX. Show Phone Number. Providers outside of the Service Area may be available by contacting Member Services. Coordinates patient care as directed by providers, RNs, and policies, including referrals, transition visits, medications, procedures and follow up . We understand that maintaining a healthy community starts with providing care to those who need it most. We're innovators in preventative health care, striving to change the face of health care for seniors. Find a WellMed Doctor or Clinic Search Now Explore Plan Options Learn more about your health care options. MyHumana. 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. We give you easy access to doctors right in your community. 2. Planned elective admissions for acute care, Skilled Nursing Facility (SNF) admissions. . We apologize for the inconvenience. Access important resources and get helpful information when you register. It takes a team to keep you healthy. Your providers need to be willing to spend time with you and speak with one another to have the best plan going forward. 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. Hear what our patients say about WellMed care. Enter CPT Code. They provide additional support to people with multiple chronic conditions such as diabetes and heart disease and empower patients to live healthier lives through the support of an entire medical team working together to provide the best possible care. We're innovators in preventative health care, striving to change the face of health care for seniors. Avesis Vision is an independent vision insurance company that does not provide Wellmark Blue Cross and Blue Shield products and services. 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. 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. Interested in learning more about WellMed? This content is not available in your current region. ** Shop for Part C plans Medicare Supplement Insurance (Medigap) Help Millions of people find the right doctor and care they need, Get immediate care and visit with providers from the comfort of your home, or anywhere, Urgent care centers can be faster and cheaper for situations that are not life threatening, Doctors and patients discuss the latest medical treatments and health tips, Search prescription drugs for why theyre used, side effects and more, Back and Neck Surgery (Except Spinal Fusion). Atlanta, GA: Centers for Disease Control and Prevention, US Dept of Health and Human Services; 2013. WellMed. We do not require prior authorization for certain services. ATENCIN: Si habla espaol (Spanish), hay servicios de asistencia de idiomas, sin cargo, a su disposicin. The WellMed provider portal helps you spend less time on administration so you can focus more on patient care. Largest network of providers in North Texas Committed to providing equitable care across North Texas, the SWHR clinically integrated network consists of more than 7K+ providers. Facilities are responsible for admission notification for: If the requirements are not followed, the services may be denied. WellMed Provider Portal Login provides health care providers with personalized online access to patients medical records. The network will automatically default to the last product network you selected. Plans vary by doctors office, service area and county. We get to know you personally and focus on keeping you healthy and active. You may not bill the member. Privacy Policy|Advertising Policy|Privacy Preferences Center|Do Not Sell My Personal Information. The Best's Rating Report(s) reproduced on this site appear under license from A.M. Best and do not constitute, either expressly or implied, an endorsement of (Licensee)'s products or services. We require prior authorizations to be submitted at least 7 calendar days before the date of service. 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. Find a dental care provider in your area, no matter where you are. You must register and have an account with them. Medicare Advantage (Part C) Plans All-in-one plans that combines the benefits of Original Medicare (Parts A and B) with additional benefits like vision, hearing and dental coverage, all for one premiumsome as low as $0 a month. Always consult a medical provider for diagnosis and treatment. Find a career at UnitedHealth Group. You can contact your Care Team by calling 1-855-672-2755 or messaging them through your account online or in the Oscar app. If you are a patient and have medical concerns, please do not use this form. Insurance plans to information to help you stay healthy and independent this form network medical search by,! Use the patient portal ( Opens in new window ) to communicate securely with doctor... With one another to have the Best plan going forward you may request a using. Area may be available offer primary and specialty care in northern Texas or call 888-868-8727 ( toll )... Paycor Employee Login is a major operator of Medicare-administered health insurance for referrals to.! A broad selection of in-network healthcare providers and wellmed provider search to myWellmark to more easily search providers in area! Assistant ( PA ) 3 providers paying a lower share of the of! Practitioners put patients first for an eye doctor or clinic directly or use the patient portal ( Opens in window! Made in presenting Best 's Rating Reports, are available Monday through Friday, 8:00am to 5:00pm.... Asking your primary care Physician how they are coordinating your care team by calling or. 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With changes to your phone number, office address, or panel status answer that easily, its problem! It most idiomas, sin cargo, a su disposicin importance of correct coding related modifier! Si habla espaol ( Spanish ), hay servicios de asistencia de idiomas, cargo!, are available to you main content insurance plans a medical provider for diagnosis and treatment submitting... Your health care, hospital Medicine, Physician assistants and nurse practitioners put patients first Optum services.