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WellMed, as a UnitedHealthcare affiliate, is delegated to manage referrals, notification/prior authorization requests, and claim processing for members assigned to WellMed PCPs. The FAQ explains how to identify WellMed PCP members via the member ID card payer ID WELM2, confirms Medicare Advantage notification/prior authorization requirements are the same as non-WellMed PCPs, lists WellMed PCP group numbers, and outlines how to submit requests online or by phone, including hospital admission notification timelines.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/unitedhealthcare-medicare-advantage-members-assigned-to-wellmed-primary-care-providers-frequently-asked-questions/287363/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/unitedhealthcare-medicare-advantage-members-assigned-to-wellmed-primary-care-providers-frequently-asked-questions/287363.png","ImageObject",442,249,{"name":88,"@type":89},"Quinn Holloway","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-23","2026-09-17",true,{"@type":98,"interactionType":99,"userInteractionCount":79},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"Is WellMed a health benefit plan?","Question",{"text":108,"@type":109},"No. WellMed provides care and related health care services, including utilization management, referrals, prior authorization requests, and claims processing for eligible UnitedHealthcare Medicare Advantage members assigned to a WellMed-employed or contracted PCP.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How do I identify a UnitedHealthcare Medicare Advantage member with a WellMed PCP?",{"text":113,"@type":109},"Check the front of the member ID card for Payer ID WELM2. The payer ID can also be found using the listed WellMed payer ID resource.",{"name":115,"@type":106,"acceptedAnswer":116},"Do Medicare Advantage notification and prior authorization requirements differ for members with a WellMed PCP?",{"text":117,"@type":109},"No. UnitedHealthcare protocols apply, and the notification and prior authorization requirements are the same as those for members with non-WellMed PCPs.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},287363,1790002315,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":79,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":73},2336474466712,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","UnitedHealthcare Medicare Advantage members assigned to WellMed primary care providers  \nFrequently asked questions  \nOverview  \nAs a specialty care provider delivering care to UnitedHealthcare® Medicare Advantage members, how you complete tasks such as referrals, claim submissions and case management may vary based on the member’s primary care provider (PCP) .  \nIn Florida, you may see members with a PCP who’s employed by or contracted with WellMed (a WellMed PCP) . WellMed is an affiliate of UnitedHealthcare and is delegated to manage and process all referrals, notification/prior authorization requests and claims for members assigned to a WellMed PCP. More information is [available at](available at wellmedhealthcare.com)[ wellmedhealthcare.com](available at wellmedhealthcare.com).  \nFor more information about referrals, claims and notification/prior authorization requests for all other UnitedHealthcare members, see the UnitedHealthcare Administrative Guide at [UHCprovider.com/guides](UHCprovider.com/guides).  \nKey points  \n• UnitedHealthcare Medicare Advantage members enrolled in a plan in Florida may select a PCP contracted with WellMed  \n• WellMed isn’t a health plan — it’s a network of doctors, specialists and other medical professionals who specialize in providing care for older adults throughout Florida and Texas  \n• WellMed is an affiliate of UnitedHealthcare that manages care authorizations, referrals and claims for UnitedHealthcare Medicare Advantage members assigned to WellMed PCPs  \n• You can identify a member with a WellMed PCP by looking at their member ID card  \n• Medicare Advantage notification and prior authorization requirements listed in the UnitedHealthcare Administrative Guide are the same for members with WellMed and non-WellMed PCPs  \nPCA-27-26-00582-M&R-QRG_05272026  \nFrequently asked questions Is WellMed a health benefit plan?  \nNo. WellMed isn’t a benefit plan. WellMed provides care and other health care services, such as utilization management, referrals, prior authorization requests and claims processing for UnitedHealthcare Medicare Advantage members assigned to a UnitedHealthcare PCP who is also employed or contracted with WellMed.  \nHow doI identify a UnitedHealthcare Medicare Advantage member with a WellMed PCP?  \nThe front of the member ID card will show Payer ID WELM2 . You can also find the Payer ID [at](at eprg.wellmed.net)[ eprg.wellmed.net](at eprg.wellmed.net).  \nSample member ID cards for illustration only; actual information varies depending on payer, plan and other requirements.  \nThe following group numbers are used for UnitedHealthcare Medicare Advantage members assigned to a WellMed PCP.  \n\n| WellMed PCP group numbers |  |  |  |\n| --- | --- | --- | --- |\n| 40199 | 72811 | 82977 | 90352 |\n| 70341 | 80192 | 82978 | 90359 |\n| 70342 | 80193 | 82980 | 90360 |\n| 70343 | 80194 | 90028 | 90403 |\n| 70344 | 82940 | 90078 | 95115 |\n| 70345 | 82958 | 90079 | 95116 |\n| 70346 | 82960 | 90086 | 95117 |\n| 70347 | 82962 | 90349 | 95118 |\n| 70348 | 82969 | 90350 |  |\n| 72790 | 82970 | 90351 |  |\n\nPCA-27-26-00582-M&R-QRG_05272026  \nDo members with a WellMed PCP need to be referred to certain specialists and hospitals?  \nNo. These UnitedHealthcare Medicare Advantage members have access to all specialists, ancillary care providers, facilities and hospitals participating in the UnitedHealthcare Medicare Advantage care provider network in the member’s service area.  \nAre the notification and prior authorization requirements different for UnitedHealthcare Medicare Advantage members with a WellMed PCP?  \nNo. UnitedHealthcare protocols and requirements apply to Medicare Advantage members who select a WellMed PCP. The notification and prior authorization requirements can be found in the [UnitedHealthcare Administrative Guide at](UnitedHealthcare Administrative Guide at UHCprovider.com/guides)[ UHCprovider.com/guides](UnitedHealthcare Administrative Guide at UHCprovider.com/guides).  \nIs there a different list","cbCaidBHRTxVqsjm","https://ap.wps.com/l/cbCaidBHRTxVqsjm","pdf",312104,6,"English","# Overview\n## Key points\n# Frequently asked questions","[{\"question\":\"Is WellMed a health benefit plan?\",\"answer\":\"No. WellMed provides care and related health care services, including utilization management, referrals, prior authorization requests, and claims processing for eligible UnitedHealthcare Medicare Advantage members assigned to a WellMed-employed or contracted PCP.\"},{\"question\":\"How do I identify a UnitedHealthcare Medicare Advantage member with a WellMed PCP?\",\"answer\":\"Check the front of the member ID card for Payer ID WELM2. The payer ID can also be found using the listed WellMed payer ID resource.\"},{\"question\":\"Do Medicare Advantage notification and prior authorization requirements differ for members with a WellMed PCP?\",\"answer\":\"No. UnitedHealthcare protocols apply, and the notification and prior authorization requirements are the same as those for members with non-WellMed PCPs.\"}]","UnitedHealthcare Medicare Advantage Members Assigned to WellMed Primary Care Providers - Frequently Asked Questions | PDF",1789632208]