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How to Contact Preferred Care Partners - 2020 UnitedHealthcare Administrative Guide

How to Contact Us

Questions or Comments

Email questions or comments to Network Management Services (NMS) at PCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to:

Preferred Care Partners Network Management Services

9100 South Dadeland Blvd. Suite 1250

Miami, FL 33156-6420

Contact Us

What You Can Do:
  • Submit notifications, prior authorizations, referrals, admissions and discharge planning.
  • Initiate requests for notifications and authorizations electronically. If the request cannot be completed electronically, our staff is available to answer questions or discuss any issues with referrals, prior authorizations, case management, concurrent review, and admission certification or notification.
Where to Go: 
WellMed 
  • Online: eprg.wellmed.net
  • Fax: 866-322-7276
  • Fax (Inpatient Notification): 877-757-8885
What You Can Do:
  • Check claims, eligibility, benefits.
  • Use payer ID #65088.
Where to Go: 
  • Online: Claims, Payments and Billing
  • Phone: 866-725-9334
  • Fax: 866-725-9337
  • Mail:
    Preferred Care Partners
    P.O. Box 30448
    Salt Lake City, UT 84130-0448
What You Can Do:
  • Check claims, eligibility, benefits.
  • Use payer ID #WELM2.
Where to Go: 
  • Online: eprg.wellmed.net
  • Phone: 800-550-7691
  • Mail:
    WellMed Claims
    P.O. Box 400066
    San Antonio, TX 78229
What You Can Do:
  • Obtain assistance with password or technical support issues.
  • Obtain information on electronic claims submission.
Where to Go: 
  • Phone: 800-845-6592
What You Can Do:
  • Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility.
Where to Go: 
  • Phone: 800-963-6495, Monday through Friday from 9 a.m. to 5 p.m. Eastern Time
  • Fax: 844-897-6352
What You Can Do:
  • Get information and register for electronic payment services.
Where to Go: 
What You Can Do:
  • Verify eligibility and benefits of enrolled members.
  • Access a summary of benefits for each plan online.
Where to Go: 
What You Can Do:
  • Report concerns related to fraud, waste, or abuse.
Where to Go: 
  • Phone: 866-678-8822, Monday through Friday from 9 a.m. to 5 p.m. Eastern Time
  • Fax: 888-659-0617
  • Email: ReportFraud@UHCsouthflorida.com
  • Mail:
    Preferred Care Partners
    Special Investigations Unit
    P.O. Box 56-5748
    Miami, FL 33256-5748
What You Can Do:
  • •   For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms.
Where to Go: 
  • Phone: Call the provider number listed on the back of the member’s identification card.
  • Mail:
    Preferred Care Partners, Inc.
    Grievances & Appeals Department
    P.O. Box 30997
    Salt Lake City, UT 84130
What You Can Do:
  • Members may ask questions about care providers, benefits, and claims
  • This toll-free phone number is also printed on the member’s plan ID card.
Where to Go: 
  • Online: mypreferredcare.com > Member Resources
  • Phone: 866-231-7201, Monday through Friday from 8 a.m. to 5 p.m. Eastern Time
  • TTY (Hearing-Impaired): 711
  • Fax: 888-659-0618
What You Can Do:
  • Ask questions regarding care provider agreements, inservicing and follow-up or outreaches.
  • Report demographic changes.
  • Submit informal complaints.
  • Request forms or other materials.
Where to Go: 
What You Can Do:
  • Verify pharmacy benefits and eligibility, adjudications, or authorizations.
  • See pharmacy benefit updates.
Where to Go: 
What You Can Do:
  • Report incidents involving all privacy issues (potential breeches of PHI or PII) immediately to our risk manager.
Where to Go: 
  • Phone: 952-406-4806

Contact Us: Ancillary and Enhanced Benefit Providers

What You Can Do:
  • Obtain information about behavioral health and substance use services for all members.
  • Access a list of behavioral health care providers in the provider directory.
Where to Go: 

Member Services available 24 hours. Licensed clinicians are on call 24 hours a day, seven days a week.

  • Phone - No DSNP: 800-985-2596
  • Phone - DSNP & iSNP: 800-496-5841

What You Can Do:
  • Access a list of Solstice dental providers in the provider directory.
Where to Go: 
What You Can Do:
  • Contact MedCare to arrange for these services.
  • Call UM or Network Management for additional assistance.
Where to Go: 
  • Phone:  800-819-0751, Monday through Friday from 9 a.m. to 5 p.m. Eastern Time
  • On Call: 24 hours a day, seven days a week 
Where to Go: 
Where to Go: 
  • Phone: 877-670-8432, Monday through Friday from 9 a.m.-5 p.m. Eastern Time
What You Can Do:
  • Contact MedCare to arrange for these services.
  • Call UM or Network Management for additional assistance.
Where to Go: 
  •  Phone: 305-883-2940
What You Can Do:
  • Find information on locations, make an appointment, order lab tests and view results.

LabCorp

Where to Go: 
  • Online:  labcorp.com
  • Phone (Automated):  855-277-8669
  • Phone (Live Scheduling):  800-877-7831

QUEST

Where to Go: 
What You Can Do:
  • Obtain mail-order medications.
Where to Go: 
What You Can Do:
  • Only available under certain plans
  • Speak to a nurse to triage emergency or urgent care, or to refer them to their primary care physician.
Where to Go: 
  •  Phone: 855-575-0293
     Available 24 hours a day, seven days a week
What You Can Do:
  • Access a list of podiatrists in our provider directory.
Where to Go: 
  • Phone: 877-670-8432, Monday through Friday from 9 a.m.-5 p.m. Eastern Time
What You Can Do:
  • Request services.
Where to Go: 
  • Phone:  888-774-7772, Monday through Friday from 9 a.m. to 5 p.m. Eastern Time
What You Can Do:
  • Access a list of vision providers in our provider directory.
Where to Go: 
  • Phone:  877-670-8432, Monday through Friday from 9 a.m. to 5 p.m. Eastern Time

WellMed Medical Management, Inc. (WellMed)

WellMed handles utilization management (UM) and claim services for members who belong to a primary care physician (PCP) in the Preferred Care Partners Medical Group (PCPMG). To identify these members, refer to the member ID card. The payer ID is listed as WELM2. “WellMed” is listed in the lower right corner of the card.

Claims Processing for WellMed Members

Submit claims electronically to payer ID WELM2.

If mailing, send to:

WellMed Claims
P.O. Box 400066
San Antonio, TX 78229.