Did you know?

You-centric healthcare. WellSense Southcoast Alliance is a partnership between WellSense Health Plan and Southcoast Health. This accountable care organization (ACO) is made up of doctors, hospitals and other providers who put you first. When we all work together, you and your health take center stage. You're involved every step of the way to ... Find contact information, documents, forms, policies, and other resources for working with WellSense Health Plan in Massachusetts. Call Provider Relations at 888-566-0008 or email [email protected] for help. Provider Login; Contact Us For help with the portal, please contact: BMC HealthNet Plan: MassHealth Members: 888-566-0010 Commonwealth Care Members: 877-957-5300 …

Jan 3, 2024 · Provider manual. Download the WellSense Provider Manual for detailed information on the Plan, including our Medicaid and Medicare Advantage HMO programs. Provider Manual. Section 1: General Information. Section 2: Member Eligibility. Section 3: Credentialing. Section 4: Provider Responsibilities. Section 5: Provider Resources. Provider Portal, HealthTrio at wellsense.org . Mail Claim Review Form, appeal-specific narrative and necessary documentation to: WellSense Health Plan Attn: Provider Administrative Claims Appeals PO Box 55282 . Boston, MA 02205 . Visit . Provider Administrative Claims Policy and Provider Manual Section 10 for detailed information.www.wellsense.org. If the requested service is of a medically urgent nature, as defined in the Provider Manual Section 8.9, please indicate “URGENT” on your request. Emergent admissions and observation notifications need to be faxed to . 1-866-813-8607. If you have any questions, please contact the Plan’s Prior Authorization Department at:WellSense uses a number of pharmacy programs to promote the safe and appropriate use of certain drugs. MassHealth has updated its list of covered drugs, effective 4/1/2023. Please use the link below to check if your drug is covered. Check drug coverage. If a healthcare provider feels that it is medically necessary for you to take a medication ...

Offering the lowest-cost ConnectorCare plans in 2024!*. Our Qualified Health Plans and ConnectorCare plans have a new name! Find your path to health with a WellSense Clarity plan. We offer the lowest-cost* plans for individuals and families available through the state health insurance marketplace, the Massachusetts Health Connector.• For any specific questions on completing a provider application, please call the Provider Relations Unit at (603) 223-4774 or (866) 291-1674 • With any concerns regarding the enrollment process, reach out to Division of Medicaid Services ….

Reader Q&A - also see RECOMMENDED ARTICLES & FAQs. Wellsense provider phone number. Possible cause: Not clear wellsense provider phone number.

Offered through Carelon Medical Benefits Management. (Formerly AIM Specialty Health) Provider portal. Submit a new case for prior authorization, or check on an existing one. Sign in. Clinical guidelines and pathways. Access the evidence-based criteria used in our review process. Visit. If you don’t know who your PCP is, log into your member portal account or call us at 877-957-1300, Option 1 (TTY: 711) Member portal. 3. Check your medications. Your plan includes coverage for thousands of medications. See if your medications are on the list of covered drugs and what they cost.Phone is available primarily for questions but a prior authorization can be initiated by phone. This process does take longer than the portal. Radiology/Cardiology: 888-693-3211 …

Find the phone numbers for WellSense Health Plan provider support in Massachusetts and New Hampshire. Call 888-566-0008 or 877-957-1300, option 3 for Massachusetts, or 855-833-8124 for New Hampshire. See moreTo reach member customer service, call the 800 number on the back of the member’s identification card. You can also call this number for questions about authorization or …

canton movie theater il Documents and forms. Important documents and forms for working with us. Find news and notices; administrative, claims, appeals, prior authorization and pharmacy resources; member support; training and support and provider enrollment documents below. Explore provider resources and documents below. (8) Network Notifications. Provider Notifications. Health Plans in New Hampshire. No matter your path, we have a health plan for you. WellSense offers Medicaid and Medicare Advantage plans for New Hampshire residents. Select an option below to learn more. bojangles eldoradojacksonville airport tsa wait time OnStar is a leading provider of in-vehicle safety and security services. Whether you need emergency assistance, directions, or roadside assistance, OnStar is available 24/7 to help... For Availity-related questions, please visit the Availity Essentials website or contact Availity Essentials client service at 800-282-4548, Monday to Friday, 8 a.m. to 8 p.m. Eastern time. To obtain information pertaining to your network status, contact our National Provider Services Line at 800-397-1630 , Monday to Friday, 8 a.m. to 8 p.m ... alicia smith wxyz tv To enroll in a New Hampshire Medicaid plan, call 1-844-ASK-DHHS or visit NHEasy.NH.gov. *Members can earn a maximum of $250 in cash and non-cash goods and services each State fiscal year which runs from July 1 to June 30. Please see the Member Handbook for a Covered Services List and additional information, including which benefits, services ... iowa police codeselijah holt caledonia mi car accidentlost treasure louisiana WellSense Care Alliance is a partnership between WellSense Health Plan and Tufts Medical Center, Lowell Community Health Center, Lowell General Hospital and MelroseWakefield Hospital. This accountable care organization (ACO) is made up of doctors, hospitals and other providers who put you first. We work alongside each other to make sure ... nidal wonder instagram Such monitoring may result in the acquisition, recording and analysis of all data being communicated, transmitted, processed or stored in this system by a user. If monitoring reveals possible evidence of criminal activity, such evidence may be provided to Law Enforcement Personnel. ANYONE USING THIS SYSTEM EXPRESSLY CONSENTS … middlesex township splash pad32bj residential contract 2023 pdffbi special agent average salary Same as Requesting Provider *Phone: Fax: *Servicing Facility Name and NPI#: Same as Requesting Provider *Phone: Fax: *Contact ... *Patient Account/Control Number: Address: Phone: Diagnosis/Planned Procedure Information (*Denotes required field) *Principal Diagnosis Description: ICD-10 Codes: *Principal Planned Procedure (Description and …