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This document lists the plans and services that require prior authorization for participating care providers in Texas and New Mexico. WellMed Medical Management, an affiliate of UnitedHealthcare, manages certain administrative services for members enrolled in UnitedHealthcare Dual Complete health plans in Texas. I understand that prescription history from multiple other unafiliated medical providers, insurance companies, and pharmacy benefit managers may be viewable by my providers and staff here, and it may include prescriptions back in. View insurance plans accepted. View insurance plans accepted. In today’s digital age, technology has revolutionized the way healthcare providers deliver care and patients access their medical information. You wanted an easier, more intuitive way to interact with us. 1315 St Joseph Pkwy Ste 1309, Houston TX, 77002. If you would like to continue using self-service, please click Continue below. Web Portal (ePRG): https://eprgnet. WellMed is an affiliate of UnitedHealth Group. Meta have announced they are introducing support for the Duet Display app, which can turn the video calling devices Meta Portal Plus as a second monitor. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Raul Najera. Washington If you're an Optum Care provider, you can access the information you need securely. Provider TIN or SSN*(used in billing) Claim Start Date of Service*. This is especially true in the healthcare industry, where the implementation of. Representatives are available Monday through Friday, 8:00am to 5:00pm CST System Requirement; Operating System: Windows 7: Browser: Internet Explorer versions 8, 9, 10, or 11: Email: An active email account: Adobe Reader: Latest Adobe. Patient Portal (Opens in new window) Broker Portal (Opens in new window) 1-888-781-WELL (9355) About Us; Careers;. Medical degree: Doctor of Medicine - University of Texas Southwestern Medical Center at Dallas. The WellMed Patient Portal is an online service that gives patients quick and easy access to their health records, appointment scheduling, and two-way communication with their doctors. We help supply the tools to make a difference. Call: 1-888-781-WELL (9355) Email: WebsiteContactUs@wellmed. In today’s digital age, patient portals have become an essential tool for healthcare providers to streamline communication and enhance patient engagement. Tue 8:00 am - 5:00 pm. Jul 1, 2022 · Portal (ePRG): https://eprgnet https://eprgnet when the health care provider believes Or Phone:1-877-757-4440 For prompt determination, submit ALL EXPEDITE requests using the Web Portal (ePRG): https://eprgnet ONLY submit EXPEDITED requests that waiting for a decision under the standard review time frame may WellMed has a network of on-staff and contracted specialists. • Our authorization management systems including provider portal ePRG: https://eprgnet will be updated effective April 1, 2024 • Authorizations can be submitted in ePRG and by phone at 1-877-757-4440. About WellMed Rapier III, MD, founded WellMed in 1990 as a single clinic in the Medical Center area of San Antonio, Texas. If you are a TRICARE network provider or want to become a network provider, contact your local provider representative or call (800) 444-5445 For your protection, you are about to be automatically logged out of provider self-service. We invite you to use this website, created especially for health care professionals, to find resources that can help you as you care for your patients. caregiver support specialists. Fax: 1-866-322-7276 Jan 1, 2023 · Portal (ePRG): https://eprgnet when the health Or Phone:1-877-757-4440 For prompt determination, submit ALL EXPEDITE requests using the Web Portal (ePRG): https://eprgnet ONLY submit EXPEDITED requests care provider believes that waiting for a decision under the standard review time frame may If you are a TRICARE network provider or want to become a network provider, contact your local provider representative or call (800) 444-5445. Access the secure UHC provider portal for patient-specific information, eligibility, claims, and more. Welcome Providers! We are committed to supporting our healthcare professionals so they can quickly access the member information they need to care for our members Welcome, Providers and Staff! You and your administrative staff can quickly and easily access member eligibility and claims status information anytime, on demand. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. It's easy to access your wellmed login portal. Phone: (281) 464-8988 Fax: (281) 464-7744 Portal (ePRG): https://eprgnet Fax: 1-866-322-7276 Phone:1-877-757-4440 ONLY submit EXPEDITED requests when the health care provider believes that waiting for a decision under the standard review time frame may seriously jeopardize the life or health of the patient or the patient's ability to regain maximum function. View insurance plans accepted. Now you can quickly and effectively: • Verify patient eligibility, effective date of coverage and benefits • View and submit authorizations and referrals. Caregiver SOS. Need help to access ePRG? Enter your email or username and PIN to retrieve or reset your password. Provider Customer Service. Mar 1, 2024 · The Prior Authorization List effective April 1, 2024, is in the Provider Resources tab in the WellMed Texas links. Sign in open_in_new with your One Healthcare ID to chat with an advocate. WellMed believes that patients are entitled to receive a high level of medical care and service delivered by physicians and clinic staff that understand and care about their health. Prior authorization is NOT required for emergency or urgent care. The Wellmed Provider Portal is an online web-based application that allows patients to interact and communicate with their healthcare providers, such as physicians and hospitals. In today’s digital age, providing a seamless customer experience is essential for businesses to thrive. PCH can also submit the image to the payer's imaging system if required. Phone: (512) 442-1996. Now you can quickly and effectively: • Verify patient eligibility, effective date of coverage and benefits • View and submit authorizations and referrals. Create portal user accounts for your staff. New ePRG User without a One Healthcare IDSelect New Account Registrat. Please use Availity for inquiries like payment disputes, provider data updates, claims status, member eligibility, etc. Fax: 1-877-757-8885 Phone:1-877-490-8982. The WellMed at Northern Hills clinic in San Antonio, Texas, accepts Medicare and some other insurance types. In today’s digital age, technology has revolutionized the way healthcare providers deliver care and patients access their medical information. An internal audit revealed provider overcoding, but the company failed to correct errors, return overpayments, or take meaningful steps to identify and rectify the problems with the claims it submitted to the Centers for Medicare and Medicaid Services, according to the lawsuit. WellMed accepts Original Medicare and certain Medicare Advantage health plans in Texas and Florida. Access resources, including our preauthorization list, claims and payments, patient care, our newsletter, Value-based Care Report, compliance training and webinars. Familiarize yourself with your primary care provider, specialists and any other health care professionals involved in your care. 8303 W Military Dr NULL. Book an appointment at a clinic now.
ECHO Provider Direct - Login The UnitedHealthcare Provider Portal is the secure place where we work together seamlessly 24/7/365 for accessing patient and practice-specific information including: Eligibility and benefits Prior authorizations. WellMed is a network of doctors and specialists that manages care authorizations, referrals and claims for UnitedHealthcare Medicare Advantage members. ECHO Provider Direct - Login WellMed Plans - How to Obtain Prior Authorization Prior authorization requests for the following groups can be submitted on the WellMed provider portal at eprgnet or by calling 877-299-7213 from 8 a to 5 p, Eastern Time, Monday through Friday. Call: 1-888-781-WELL (9355) Email: WebsiteContactUs@wellmed Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Census Bureau notes that between 2010 and 2020, over 55 million people will be age 65 and older—an increase of 26%. Fax the completed form (s) and any supporting documentation to the fax number listed on the form Portal (ePRG): https://eprgnet when the health Or Phone:1-877-757-4440 For prompt determination, submit ALL EXPEDITE requests using the Web Portal (ePRG): https://eprgnet ONLY submit EXPEDITED requests care provider believes that waiting for a decision under the standard review time frame may 877-614-0484. Save time and reduce administrative tasks with electronic payment options. All referral requests must be submitted through the provider portal (ePRG): Wellmed Patient Portal Registration requirements. Become a WellMed staff physician. Medical degree: Doctor of Medicine - University of Texas Medical Branch at Galveston. You can easily: Verify member eligibility status. Learn how to register for ePRG, an online portal for Wellmed providers, using your One Healthcare ID. WellMed clinician Accepts new patients. To speak to one of our. caregiver support specialists. You and your administrative staff can quickly and easily access member eligibility and claims status information anytime, on demand. 123movies spanish movies PCH offers multiple Intake options like DDE (Direct Data Entry), Fax (Secure fax server), Upload. If you wish to verify the legitimacy of any virtual interviews or requests for personal information appearing to be from or on behalf of the Affiliates of UnitedHealth Group recruiters, please call 1-800-561-0861 between 7 a and 7 p CST Monday through Friday for assistance. Phone:1-877-757-4440. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. 140 N Westmonte Dr Altamonte Springs , FL 32714 View profile 1-407-862-4500. 1715 McCullough Ave NULL. We may be compensated when you click on product links, suc. If your clinic is closed, they can help guide you where to go. U-based Emirates Skywards members can now earn Skywards Miles through an online shopping portal. Provider search tool Medicare provider search tool Availity access The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format, regardless of the payer. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Contracting to be in network with WellMed Clinician employment with WellMed Clinical rotation opportunities for fellows/residents Clinical rotation opportunities for medical students, NP or PA students Selling a medical practice to WellMed Allied Benefit offers healthcare providers electronic claims processing software to submit claims and reduce payment turnaround time. Provider Portal. 1620 N Hardin Blvd Ste 2000 Driving directions. the nearest ihop from my location The referral must be entered by the PCP in the WellMed provider portal at eprgnetopen_in_new. To make it easier for members to access. you consent WellMed to contact you to provide the requested information. The Small Business Administration’s (SBAs) PPP. Call: 1-888-781-WELL (9355) Email: WebsiteContactUs@wellmed. WellMed believes that patients are entitled to receive a high level of medical care and service delivered by physicians and clinic staff that understand and care about their health. Is this your first time visiting? The WellMed at Medical Center clinic in San Antonio, Texas, accepts Medicare and some other insurance types. 1620 N Hardin Blvd Ste 2000 Driving directions. Simply go to WellMedHealthCare. It provides employees with company information, helps them perform their jobs, and gives them a virtual space to. Please contact our Patient Advocate team today. OBSS is a web-based platform that allows individ. I understand that prescription history from multiple other unafiliated medical providers, insurance companies, and pharmacy benefit managers may be viewable by my providers and staff here, and it may include prescriptions back in. WellMed is a nationally recognized¹ health care provider that focuses on valuable preventive care services to help you feel your best. Which is the best shopping portal in 2020? We have all of the tips you need to ensure you are getting the best payouts from portals that actually pay! Increased Offer! Hilton No An. ©2021 WellMed Medical Management, Inc. The UnitedHealthcare Provider Portal is the secure place where we work together seamlessly 24/7/365 for accessing patient and practice-specific information including: Eligibility and benefits Prior authorizations. Register for an account in just a few easy steps: We would like to show you a description here but the site won't allow us. Now you can quickly and effectively: • Verify patient eligibility, effective date of coverage and benefits. The company has a user-friendly online portal that allows policyholders to manage their. Wellcare partners with providers to develop and deliver high-quality, cost-effective health care solutions. wh40k wiki Prior authorization may still be required. Clinical submission. 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. WellMed at Stone Oak. We may be compensated when you click on product links, suc. It is widely used by businesses of all sizes to store, manage, and analyze their data In today’s digital age, technology has revolutionized the way we communicate and access information. We would like to show you a description here but the site won't allow us. 4278 W Linebaugh Ave Ste B. Introducing WellMed's GrandPad program If you need to see a provider immediately, On Demand telemedicine services are available 24/7/365 to eligible UnitedHealthcare Medicare Advantage plan patients. 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. Board Certified Internal Medicine Locations: WellMed at North Fielder. We would like to show you a description here but the site won’t allow us. Behavioral health Oct 1, 2023 · 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. Health care professionals like you can access patient- and practice-specific information 24/7 within the UnitedHealthcare Provider Portal. As uncertainty around the pandemic continues in Texas, staying safe in your home, particularly for seniors, has become even more important. The user must enter their username and password in the corresponding fields and then click on the "Login" button to sign in. The WellMed at Round Rock clinic in Round Rock, Texas, accepts Medicare and some other insurance types. Together, we care for over 180,000 Medicare Advantage members at over 1,000 locations across Florida. View insurance plans accepted. Do not copy or distribute without express written permission from WellMed. Wellcare Health Plans, Inc. Please contact our Patient Advocate team today. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Post Opinion
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Check Members' Eligibility, EOB, Claims, and more. * Required Field Your Name: * Your E-Mail: * Your Remark: Friend's. Prior authorization is NOT required for emergency or urgent care. View Medicare Supplement state disclosures, exclusions, and limitations ‡ Selecting these links will take you away from Cigna Healthcare Medicare plans. The Small Business Administration’s (SBAs) PPP. gov/search/ to find a list of locations offering the COVID-19 vaccine. Eligibility. Please use Availity for inquiries like payment disputes, provider data updates, claims status, member eligibility, etc. Coordinating with specialists and primary care providers. EviCore offers providers easy access to clinical guidelines and online educational resources that guides them towards appropriate care. We are proud to provide extra support for those with multiple chronic conditions such as diabetes and heart disease. 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. The Stress-Busting Program (SBP) for Family Caregivers ™ is an evidence-based program that provides support to family caregivers of persons with dementia or a chronic illness. This empowers care coordination teams to track patient journeys, communicate more effectively, and increase overall network utilization. Learn more below and become a Pennsylvania Medicaid provider today. index of credit cards xlsx Provider resources for Commercial, Medicare Advantage and Medicaid / Community Plan products for individuals, employers, and groups available in Texas. We may be compensated when you click on product links, suc. It does not mention Wellmed Provider Portal, which is a different service for healthcare providers. 1620 N Hardin Blvd Ste 2000 Driving directions. look up … Advance notification is the first step in to determining member coverage based on medical necessity. In the fast-paced world of travel, it is crucial for travel agents to have access to efficient and user-friendly booking platforms. The WellMed at Mesquite clinic in Mesquite, Texas, accepts Medicare and some other insurance types. Is this your first time visiting? The WellMed at Medical Center clinic in San Antonio, Texas, accepts Medicare and some other insurance types. Call: 1-888-781-WELL (9355) Email: WebsiteContactUs@wellmed Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Francisco Acebo, MD 1521 S Staples St. ECHO Provider Direct - Login WellMed Plans - How to Obtain Prior Authorization Prior authorization requests for the following groups can be submitted on the WellMed provider portal at eprgnet or by calling 877-299-7213 from 8 a to 5 p, Eastern Time, Monday through Friday. Prior authorization may still be required. Clinical submission. We would like to show you a description here but the site won't allow us. Save time and reduce administrative tasks with electronic payment options. We have been leading the industry since 1990 and have a proven process to support our doctors and their patients. net Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. * Insured by American Retirement Life Insurance Company, Cigna Health and Life Insurance Company, Cigna Insurance Company, Cigna National Health Insurance Company or Loyal American Life Insurance Company. The minute you meet our clinical team, you'll notice the difference in the care we provide. PCH can be used without any capital investment, by all types of providers (small to large groups), to submit paper and EDI claims. We may be compensated when you click on pr. side effects aygestin The fastest and most efficient way to request an authorization is through our secure Provider Portal, however you may also request an authorization via fax or phone (emergent or urgent authorizations only). is a Managed Services Organization that supports doctors and their journey to care for patients with Medicare Advantage. Need help to access ePRG? Enter your email or username and PIN to retrieve or reset your password. Access key information to help do business with Humana and work with us online, log into the Availity portal and review our drug lists. You can complete tasks online, get updates on claims, reconsiderations and appeals, submit prior authorization requests and check eligibility. Select the Manage NPIs option, 3 Welcome to the MO HealthNet Web Portal: The complete source for all MO HealthNet Participant and. Make an Appointment Telehealth services available Joseph is a medical group practice located in Houston, TX that specializes in Family Medicine and Gastroenterology. Physician/provider opportunities. Call: 1-888-781-WELL (9355) Email: WebsiteContactUs@wellmed Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. The Stress-Busting Program (SBP) for Family Caregivers ™ is an evidence-based program that provides support to family caregivers of persons with dementia or a chronic illness. Currently Wellmed's 5 physicians cover 3 specialty areas of medicine. Helping you to understand and manage your medications What is WellMed Pharmacist services? We have a team of pharmacists that: Help you get refills Work with your doctor Keep you […] Prior Authorization may be required for a health care provider, hospital or physician who is not contracted with WellMed. Advance notification is often an important step in this process. Wellmed Reconsideration Form. We may be compensated when you click on pr. It matters who takes care of you, regardless of your age. PCH a revolutionary web enabled application that can reduce the administrative expenses for Provider and Payers. We are proud to provide extra support for those with multiple chronic conditions such as diabetes and heart disease. OBSS is a web-based platform that allows individ. twinks jerk off Ask your provider or clinic staff for more information. 140 N Westmonte Dr Altamonte Springs , FL 32714 View profile 1-407-862-4500. benefits in the UnitedHealthcare Provider Portal. WellMed Medical Management, Inc. Help caregivers manage their stress and cope better with. Access resources, including our preauthorization list, claims and payments, patient care, our newsletter, Value-based Care Report, compliance training and webinars. Preferred Care Network: MedicareMax (HMO) - Groups: 98151, 98152 It acquired WellMed in 2011. Forgot your username? Reset your Password? 877-435-7576. WellMed at South Austin. Send questions to the Federal IDR mailbox at FederalIDRQuestions@cmsgov. Preventive health care critical to keep people out of nursing homes. Wellcare offers affordable plans with benefits you can't get with Original Medicare Sign into ARIC agent portal >. I Want to Keep My Insurance but Change My Doctor Changing to a WellMed provider that accepts your insurance plan is simple. Book an appointment at a clinic now. Moving may require finding a new doctor. Currently, many of you use email as a recovery and multifactor authentication option 28, 2025, this option won’t be available. General Information This list contains prior authorization requirements for participating care providers in Texas and New Mexico for inpatient and outpatient services. It is proven to: Improve the quality of life of family caregivers who are providing care to an older loved one. Specialties: Family Medicine, Addiction Medicine. Call toll-free at 1-855-754-1253.
If your clinic is closed, they can help guide you where to go. Are you an English language teacher looking for ways to enhance your teaching skills? Look no further than the Pearson English Portal. We may be compensated when you click on product links, suc. It's similar to a "search engine" but is meant to be used more for general reference than. Medical degree: Bachelor of Science - St. The user must enter their username and password in the corresponding fields and then click on the "Login" button to sign in. what happened to dre mccray husband If you are responsible for any balance due after any insurance claims are processed, the balance will be billed There is a $25 charge forProof of insurance: All patients must complete the patient registration form before see. The Social Security System (SSS) is an essential government agency in the Philippines that provides social security benefits to its members. We would like to show you a description here but the site won’t allow us. Provider TRICARE4U Login - Access your TRICARE For Life benefits, claims, eligibility and more with our secure portal. Talk to a doctor on your phone or computer through a virtual visit*. facebook marketplace huntsville al Find out how to log in, register, get training, and manage claims, eligibility, prior authorizations, referrals, prescriptions, and more. Identify your priorities. Provider portal (ePRG) (Opens in new window) Physician/provider opportunities (Opens in new window). Ask your clinic staff for more information or Two great provider networks in Florida. Census Bureau notes that between 2010 and 2020, over 55 million people will be age 65 and older—an increase of 26%. Support is also available by calling 866-842-3278, option 1. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. muln yahoo finance
Wellmed provider portal portalWellmed medical group eprg Wellmed appeal 2017-2024 formProvider manual: medi-cal. WellMed is an affiliate of UnitedHealth Group. Now you can quickly and effectively: • Verify patient eligibility, effective date of coverage and benefits • View and submit authorizations and referrals. Caregiver SOS. The MCGM Portal gives access to a wealth of information pertaining to the Municipal Corporation of Greater Mumbai (MCGM). WellMed partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care. Identify your priorities.It provides access to important academic resources, course materials, a. If you are a TRICARE network provider or want to become a network provider, contact your local provider representative or call (800) 444-5445 For your protection, you are about to be automatically logged out of provider self-service. 140 N Westmonte Dr Altamonte Springs , FL 32714 View profile 1-407-862-4500. WellMed at McKinney North 1620 N Hardin Blvd Ste 2000 McKinney TX 75071 Driving directions. Whether you need to check eligibility, submit claims, view reports, or access resources, you can find everything you need in one convenient place. If your clinic is closed, they can help guide you where to go. WellMed at St Family Medicine, Gastroenterology • 5 Providers. View insurance plans accepted. Tue 8:00 am - 5:00 pm. 5042 South Padre Island Drive. com offers a secure portal for managing ECHO Health payments, viewing transactions, and accessing reports. Emirates has added new functionality for its U-based members You can earn up to 2,000 bonus miles through 4 different airline shopping portals --- American, United, Alaska, and Southwest --- in May 2023. With the advent of online platforms and portals, patients can now access their medical. 2 million were age 65 and olderS. 1715 McCullough Ave NULL. Are you a student at Walden University? If so, you may be familiar with the challenges of managing your academic journey. ONLY send Medical Records associated with an inpatient admission towellmed Or Fax: 1-844-567-6855. We would like to show you a description here but the site won't allow us. We would like to show you a description here but the site won’t allow us. aita for wanting to see my son The WellMed at Northern Hills clinic in San Antonio, Texas, accepts Medicare and some other insurance types. Check out how easy it is to complete and eSign documents online using fillable templates and a powerful editor. Technical support for providers and staff. Census Bureau notes that between 2010 and 2020, over 55 million people will be age 65 and older—an increase of 26%. look up … Advance notification is the first step in to determining member coverage based on medical necessity. PCH can also submit the image to the payer's imaging system if required. Coordinating with specialists and primary care providers. net Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Wellcare Health Plans, Inc. Vaccination resources Provider search tool Use our online provider directory to search for a PCP or specialist. The Small Business Administration’s (SBAs) PPP. The WellMed at Alice clinic in Alice, Texas, accepts Medicare and some other insurance types. Representatives are available Monday through Friday, 8:00am to 5:00pm CST System Requirement; Operating System: Windows 7: Browser: Internet Explorer versions 8, 9, 10, or 11: Email: An active email account: Adobe Reader: Latest Adobe. Census Bureau notes that between 2010 and 2020, over 55 million people will be age 65 and older—an increase of 26%. Washington If you're an Optum Care provider, you can access the information you need securely. Secure Provider Portal Please notify WellMed of hospital admissions no later than 1 business day after admission: Online: Sign in to the WellMed provider web portal at eprgnet By phone: 877-490-8982 Member ID cards Members in the affected plans will get new member ID cards that show the Payer ID WELM2 and will have other applicable delegation-specific. Please contact our Patient Advocate team today. 929 Gessner Rd Ste 2450 Driving directions. plainfield ave Prior authorization is required for emergency or urgent care Web Portal (ePRG): https://eprgnet naviHealth Utilization Management: Fax: 1-844-244-9482. WellMed Medical Group ePRG Provider Portal Logic … Health (8 days ago) WEBWellMed's centralized provider system is a web app called the electronic provider resource gateway (ePRG). 13725 Northwest Blvd. WellMed offers online access to your medical team through virtual video visits on your smartphone, tablet or computer. This may include a "Help" or "Contact" link that you can use to access support resources or get in touch with the WellMed Patient Portal support team for assistance. ©2024 WellMed Medical Management Inc. This means senior healthcare will be a major growth area for the future, requiring new. Call: 1-888-781-WELL (9355) Email: WebsiteContactUs@wellmed Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 1250 W Mockingbird Ln Ste 550 Driving directions. WellMed Medical Management, an affiliate of UnitedHealthcare, manages certain administrative services for members enrolled in UnitedHealthcare Dual Complete health plans in Texas. Subscriber SSN or Card ID* Patient Gender* Patient Date of Birth*. It offers preventive services, chronic disease management, caregiver support, Medicare information and virtual video visits. Provider TIN or SSN*(used in billing) Claim Start Date of Service*. 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