Do not resubmit claims that were either denied or pended for additional information using EDI or paper claims forms. Review our Quick Start Guide for the most recent checklist. CLAIM.MD | Payer Information | WellMed Payer Information WellMed Payer ID: WELM2 This insurance is also known as: WMMI Wellcare WellMed Medical Management, Inc. WELLMED NETWORKS, INC. UHC Medicare Advantage Other ID's: TH023 Need to submit transactions to this insurance carrier? In some cases, the Payer ID listed on uhcprovider.com/edi may be different from the numbers issued by your clearinghouse. Use the following address to send UnitedHealthcare . Pharmacy Claims:OptumRx, PO Box 650334, Dallas, TX 75265-0334 866-293-1796 800-985-3856 855-789-1977 TTY 711 844-569-4147 Mail to Address Member Name Member ID Job ID Processed Date Expected Mail Date Actual Mail Date NEW M ENGLISH NEW M ENGLISH 000100001 . Box 30750 Tampa, FL 33630-3750 For appeals or reconsiderations, the new claims address is: VHA Office of Community Care ATTN: CHAMPVA Claims MedStar Family Choice. 84130-0755. Primary payer claim payment/denial date as shown on the Explanation of Payment (EOP), Confirmation received date stamp that prints at the top/bottom of the page with the name of the sender. Health Plan (80840):911-87726-04 Member ID:9999999-99 Group Number: HCFAH4 Member: SUBSCRIBER BROWN PLAN CODE: R9Q PCP Name: PROVIDER BROWN Payer ID: LIFE1 PCP Phone: (999) 999-9999 MEDICAL NETWORK NAME H0609 PBP# 027 610097 SHCO 9999 RxBin: RxPCN: RxGrp: AARP MedicareComplete Plan 2 (HMO) Copay: PCP $0 ER $75 Spec $25 As private practitioners, our clinical work alone is full-time. Only for claims where the submit claims to address on the medical ID card is a CoreSource address in the state of Ohio. Visit UHCCommunityPlan.com/HIfor current member plan information including sample member ID cards, provider directories, member handbooks, dental plans, vision plans and more. Claim Type Payer ID Purpose; 13162: 1199 National Benefit Fund: Entire USA: COMMERCIAL: Institutional: Electronic Funds Transfer (EFT) 13162: 1199 . In some cases, you might not bill the correct payer. Use Payer ID 87726. We and our partners use cookies to Store and/or access information on a device. If a member has or develops ESRD while covered under an employers group benefit plan, the member must use the benefits of the plan for the first 30 months after becoming eligible for Medicare due to ESRD. Every provider we work with is assigned an admin as a point of contact. You want to know you can call your billing admin, a real person you've already spoken with, and get immediate answers about your claims. Save my name, email, and website in this browser for the next time I comment. Hawaii: Registration requirement for Medicaid providers. It's everything you need to run your business. Were here to help! Use the following address to send UnitedHealthcare correspondence or enrollment forms through the mail if you have a Medicare Advantage, Medicare prescription drug or Medicare Special Needs plan. 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.

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