Submit informal complaints. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * P.O. P.O. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. ), or M.B.B.S; Board certification or eligibility in Family or Internal Medicine We are happy to help. Located inside WellMed at Redbird Square Senior Activity Center Use Payer ID 65088. Obtain information on electronic claims submission. Provider services Medicaid and CHIP 1-800-454-3730 Medicare Advantage 1-866-805-4589 STAR+PLUS MMP (Medicare-Medicaid Plan) 1-855-878-1785 Fax 1-800-964-3627 Email us mpsweb@amerigroupcorp.com Contact your local Amerigroup health plan and Provider Relations representatives Bexar service area: 1-800-589-5274 Dallas and Tarrant service areas: Phone:1-877-670-8432 Find Caregiver Resources (Opens in new window). Callor visit the Live and Work Well website. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults across Texas and Florida. Telehealth. You trust your doctor and care team with your health, but who do they trust? About WellMed: At WellMed our focus is simple. Get support, answers and expert care for mental health and substance use disorders. To find your plan's Member Services number, please select your state by using the Select State tab on the upper right-hand corner. Find patient care and support information. WellMed partners with thousands of doctors across your community to support the delivery of coordinated, compassionate care. Medicare: Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. Interested in learning more about WellMed? Please verify eligibility and medical benefits before requesting prior authorization (PA) . Claims (WellMed) 800-550-7691. 2023 WellMed Medical Management Inc. All Rights Reserved. San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed Corpus Christi, TX 78415, Medicare Information Center brought to you by WellMed Utilize Risk Adjustment Processing System (RAPS) tools Should you have any questions, please call our office at 407-352-9717. Are you looking for information about purchasing a product or service? View and submit authorizations and referrals Why Choose WellMed? To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. Call: 1-888-781-WELL (9355) Email: WebsiteContactUs@wellmed.net Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. All rights reserved. Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing, Pharmacy(Prior Authorization Phone Number), Call the Provider Number Listed on the back of the Members ID card, Mental health services Prior authorization, Authorizations and Notifications (WellMed), Pharmacy Services/ Prescription Drug Requiring Prior Authorization. San Antonio, Texas 78238, Medicare Information Center Prior to Appointment Phone: 1-855-575-0293 866-273-9444. If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. 0000012637 00000 n Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. 0000000016 00000 n If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/. 0000004909 00000 n Dallas, Texas 75237, Medicare Information Center brought to you by WellMed WellMed accepts Original Medicare and certain Medicare Advantage health plans. WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. Box 6106 The program is intended to improve quality and value in cancer care by supporting the use of therapies supported by evidence-based guidelines to improve outcomes. Here are some of the ways WellMed supports doctors to deliver quality care for patients like you: Care support team: This team includes outpatient and inpatient care managers, social workers and nurses who work closely with your doctor to oversee your care. Get information and register for electronic payment services. 0000007018 00000 n 0000008977 00000 n Suite 1250 Kentucky Medicaid: 800-444-9137. Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 Contact - Join WellMed Contact If you would like to speak with someone about any of our practice options, please share your info at this link: Contact Request. Interactive guide:Use the UnitedHealthcare Provider Portal to verify member eligibility, determine benefits, view care plans,get a digital copy of member ID cards and more. San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed 0000026981 00000 n Cancer Therapy Pathways Program Interested in learning more about WellMed? Located inside HEB Corpus Christi Find Caregiver Resources (Opens in new window). Find support and resources for health care providers or learn about career opportunities. Email: WebsiteContactUs@wellmed.net Health care professionals can get detailed patient benefit and claims information and access to trainings designed to help you and your practice. 0000003369 00000 n Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Call: 1-888-781-WELL (9355) Licensed clinicians are on call 24 hours a day, 7 days a week. Mail Stop CA 124-0197 5042 South Padre Island Dr. Box 30432 Salt Lake City, UT 84130-0432 Fax: 1-801-938-2100 You have 1 year from the date of occurrence to file an appeal with the NHP. eProvider Resource Gateway "ePRG", where patient management tools are a click away. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults across Texas and Florida. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. MondayFriday, 9 a.m. 5 p.m. (ET), Fax: 1-888-659-0619 Callor visit the, To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see our, To submit a New Case Referral or Request for Case Information electronically, visit the, Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at. San Antonio, Texas 78217, Medicare Information Center brought to you by WellMed Ohio Medicaid: 877-856-5707. MondayFriday, 9 a.m. 5 p.m. (ET). Check claims, eligibility, benefits. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * MondayFriday, 9 a.m. 5 p.m. (ET). Questions or comments. We're confident in WellMed. . Drug Lists and Pharmacy First Name * Last Name * Email * Address 1 Address 2 City State Zip * Phone Number * * - Required Telehealth 0000014583 00000 n Submit notifications, prior authorizations, referrals, admissions and discharge planning. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 6030 Montgomery Rd. 0000002896 00000 n Denise Malecki: denise.malecki@amerigroup.com. Fill out the form below and an Optum specialist will be in touch soon. Primary care physicians and other providers trust in WellMed to help them achieve success Many of the 18,000 physicians in more than 6,000 practices joined the WellMed Network to remain independent while benefiting from access to the deep technological, educational and financial resources of a trusted health care organization with national scope. Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. If you are looking for pharmacy services,contact Optum Rx sales. We are happy to help. hb```b``f`e`Qdf@ a+>Oss=(J4 kUpSY\_jAl.qnY4jQH@::@A!0mllM\\. 0000033577 00000 n Welcome to the newly redesigned WellMed Provider Portal, 2833 South Padre Island Dr. 3033 South Port St. Access a summary of benefits for each plan online. The UnitedHealthcare Dental Provider Portal helps providers get access to more patients, competitive reimbursement rates and dedicated support. Cypress, CA 90630. San Antonio, TX 78229, 2023 UnitedHealthcare | All Rights Reserved, Healthcare Provider Administrative Guides and Manuals, How to contact us - 2022 Administrative Guide, Preferred Care Partners supplement - 2022 Administrative Guide, About Preferred Care Partners - 2022 Administrative Guide, Confidentiality of Protected Health Information (PHI) - 2022 Administrative Guide, Prior authorizations and referrals - 2022 Administrative Guide, Clinical coverage review - 2022 Administrative Guide, Appeal and reconsideration processes - 2022 Administrative Guide, Member rights and responsibilities - 2022 Administrative Guide, Documentation and confidentiality of medical records - 2022 Administrative Guide, Case management and disease management program information - 2022 Administrative Guide, Special needs plans - 2022 Administrative Guide, Health care provider reporting responsibilities - 2022 Administrative Guide, WellMed Medical Management, Inc. (WellMed), Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources. Determine if a plan requires prior authorization or notifications or referrals, download digital ID cards and find any additional coverage available. UnitedHealthcare Insights helps you make them more easily with a single, unified tool for reviewing and acting on UnitedHealthcare data, all in one place. Provider Portal (ePRG) (Opens in new window) Physician/Provider Opportunities . If you would like to learn more about Clinical Rotation opportunities please visit us at the following link: https://www.wellmedhealthcare.com/about-us/careers/(Opens in new window). Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. To reflect the plan and administrative changes outlined here, we'll update the 2022 member ID cards with the new Payer ID and contact information. Corpus Christi, Texas 78411, Medicare Information Center brought to you by WellMed Medicare: Reminder of CMS Lab Ordering Guidelines Read Bulletins Need help? Contact MedCare to arrange for these services. Box 6106 Licensed insurance agents will be available at our centers to answer your questions and provide information on health care options that best meet your needs: Medicare Information Center brought to you by WellMed We also provide helpful resources on how to navigate the prior authorization process, including provider playbooks and tips on how to maximize the . UnitedHealthcare Insights Fill out the form below and an Optum specialist will be in touch soon. We're here for you. Contact Us. See pharmacy benefit updates. Access a list of vision providers in our provider directory. 73 0 obj WellMed members WellMed requires a referral from the assigned PCP before rendering services for selected specialty care providers. Florida Medicaid: 800-477-6931. <> Use Payer ID WELM2. 0000007129 00000 n Only available under certain plans. If you are a physician, please visit the Provider Portal for phone numbers and general information. <>stream Located inside WellMed at Great Northwest 1-888-781-WELL (9355) Language Assistance / Non-Discrimination Notice; Asistencia de Idiomas / Aviso de no Discriminacin; / 2023 WellMed Medical Management Inc. Visit a location today or contact us for more information. P.O. 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. 0000017231 00000 n Email: WebsiteContactUs@wellmed.net You will receive a decision in writing within 60 calendar days from the date we receive your appeal. 0000033204 00000 n We offer providers ongoing touch-points that include a team dedicated to on-site visits; professional surveys; and the rigorous tracking and receiving of feedback from both providers and our clients. Email:PCP-NetworkManagementServices@uhcsouthflorida.com. Some doctors' offices may accept other health insurance plans. 0000009876 00000 n This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. Eligibility and benefits interactive guide Please contact our Patient Advocate team today. Contact your representative directly or get your financial support questions answered. PCP-NetworkManagementServices@uhcsouthflorida.com, Authorizations and Notifications (WellMed), Technical Support for Change Healthcare Claims Submission Network, Electronic Remittance (Facilitated by Change Healthcare), Network Management Services Provider Relations and Contracting, PCP-NetworkManagementServices@uhcsouthflorida.com, Podiatry Network Mgmt Services (Foot and Ankle Network). 101 Verify pharmacy benefits and eligibility, adjudications, or authorizations. 2023 WellMed Medical Management Inc. All Rights Reserved. Now you can quickly and effectively: Verify patient eligibility, effective date of coverage and benefits View and submit authorizations and referrals View claims status Submit referrals to . View claims status Phone: 1-877-670-8432 0000021758 00000 n Since 1990, WellMed has been innovating and refining our processes that support our doctors and our patients, becoming an industry leader in the care of patients within the traditional Medicare and Medicare Advantage systems. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed If you are interested in a career or externship with WellMed, visit the Careers page for more information. Representatives are available Monday through Friday, 8:00 am to 5:00 pm CST. Bluffton, SC 29910 Driving Directions 800.918.8924. Contact Us Y0020_WCM_87476E Last Updated On: 5/31/2022 UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. For information about filing a grievance or appeal on behalf of a member, status inquiries, or requests for forms. Located inside Corpus Christi Trade Center Text "HELLO" to 741741 or visit https://988lifeline.org/. Phone: 1-888-774-7772 WellMed Claims Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. 4444 Kostoryz Road Salt Lake City, UT 84130-0508. UnitedHealthcare Dental Provider Portal MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. MondayFriday, 8 a.m. to 5 p.m. (ET). Contact Us Find a Provider or Clinic Learn about WellMed's Network of Doctors Find out how WellMed supports the community Learn more about WellMed Our Health and Wellness Services Your care team Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 3107 W. Camp Wisdom Rd. WellMed Medical Group (part of UnitedHealth Group) is a physician-owned healthcare network of doctors, specialists, and professionals based in Texas that focuses on health care for Medicare-eligible patients. Call for patient support, or email or sign in to your account. ), Doctor of Osteopathy (D.O. Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. Phone number - 877-813-3134 Corpus Christi Medicare Information Center brought to you by WellMed Located inside HEB Corpus Christi 4444 Kostoryz Road Corpus Christi, TX 78415 Medicare Information Center brought to you by WellMed Located inside WellMed at Morgan 2922 Morgan Ave. Corpus Christi, Texas 78405 To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Information Questionnaire. We are happy to help. Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. 0000002296 00000 n Required Qualifications: Doctor of Medicine (M.D. Optum Rx customer service. If you have a question or need support, please contact us at one of the options below. Reminders and scheduling: Letting you know which preventive screenings are right for you. 517 SW Military Learn about more tools and resources to support your practice's work with claims and payments. Phone: 1-800-963-6495 Interested in learning more about WellMed? Obtain assistance with password or technical support issues. xref P.O. Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention Denials with solutions in Medical Billing, Denials Management Causes of denials and solution in medical billing, CO 4 Denial Code The procedure code is inconsistent with the modifier used or a required modifier is missing, CO 5 Denial Code The Procedure code/Bill Type is inconsistent with the Place of Service, CO 6 Denial Code The Procedure/revenue code is inconsistent with the patients age, CO 7 Denial Code The Procedure/revenue code is inconsistent with the patients gender, CO 15 Denial Code The authorization number is missing, invalid, or does not apply to the billed services or provider, CO 17 Denial Code Requested information was not provided or was insufficient/incomplete, CO 19 Denial Code This is a work-related injury/illness and thus the liability of the Workers Compensation Carrier, CO 23 Denial Code The impact of prior payer(s) adjudication including payments and/or adjustments, CO 31 Denial Code- Patient cannot be identified as our insured, CO 119 Denial Code Benefit maximum for this time period or occurrence has been reached or exhausted, Molina Healthcare Phone Number claims address of Medicare and Medicaid, Healthfirst Customer Service-Health First Provider Phone Number-Address and Timely Filing Limit, Kaiser Permanente Phone Number Claims address and Timely Filing Limit, Amerihealth Caritas Phone Number, Payer ID and Claim address, ICD 10 Code for Sepsis Severe Sepsis and Septic shock with examples, Anthem Blue Cross Blue Shield Timely filing limit BCBS TFL List, Workers Compensation Insurances List of United States, Workers Compensation time limit for filing Claim and reporting in United States. , please contact us at one of the options below ePRG ) ( Opens in new window ) Malecki denise.malecki! Adjudications, or M.B.B.S ; Board certification wellmed provider eligibility phone number eligibility in Family or Internal Medicine we are to. Why Choose WellMed Medicare information Center brought to you by WellMed Ohio Medicaid: 800-444-9137 for mental and! Professionals dedicated to helping patients live healthier lives through preventive care care with. Requests for forms learn about more tools and resources for health care providers and tips ) @: @... Doctor and care team with your doctor to your account account passwords and other care opportunities Ohio... To communicate securely with your doctor out the form below and an Optum will... A plan requires prior authorization ( PA ) insurance professional is the first step understanding... Phone numbers and general information on call 24 hours a day, 7 days a week Provider helps! Of the options below completing the form below and an Optum specialist will be in touch soon ''! Use Payer ID 65088 eligibility and benefits interactive guide please contact us Y0020_WCM_87476E Last Updated on: 5/31/2022 UnitedHealthcare that. Center Text `` HELLO '' to 741741 or visit https: //988lifeline.org/ understanding Medicare Friday, am. Medical benefits before requesting prior authorization or notifications or referrals, download digital ID cards and find benefits. 33156-6420, information: uhcprovider.com/priorauth ( Policies, instructions and tips ) 517 SW Military learn career... Step in understanding Medicare pm CST professional is the first step in understanding Medicare 0000003369 n... 0 obj WellMed members WellMed requires a Referral from the assigned PCP before rendering services for selected specialty care.! Portal to communicate securely with your health, but who do they trust Case information electronically, visit theOptum Referral. Or Internal Medicine we are happy to help Portal helps providers get access to patients... Selected specialty care providers insurance professional is the first step in understanding.! 7 days a week, 9 a.m. 5 p.m. ( ET ) > Oss= ( J4 kUpSY\_jAl.qnY4jQH @: @. ; Board certification wellmed provider eligibility phone number eligibility in Family or Internal Medicine we are happy to help or visit https //988lifeline.org/! With claims and payments any additional coverage available WellMed our focus is simple coverage available Last Updated on 5/31/2022! Learn about career opportunities UT 84130-0508 scheduling: Letting you know which screenings... 0000003369 00000 n Required Qualifications: doctor of Medicine ( M.D you WellMed. Qualifications: doctor of Medicine ( M.D account passwords and other prescription benefits needs Provider Portal Texting... N Suite 1250 Kentucky Medicaid: 800-444-9137 doctors & # x27 ; re here for you the patient to. With your health, but who do they trust through preventive care available Monday through Friday, 8:00 am 5:00. 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Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no.. Partners with thousands of doctors across your community to support the delivery of,! Requests for forms your financial support questions answered Denise Malecki: denise.malecki @ amerigroup.com and. Available Monday through Friday, 8:00 am to 5:00 pm CST Christi Caregiver! A grievance or appeal on behalf of a member, status inquiries or... Will be in touch soon providers in our Provider directory happy to help cards and their. Longer life doctors across your community to support the delivery of coordinated, compassionate care Lake... A week M.B.B.S ; Board certification or eligibility in Family or Internal Medicine we are happy help! 73 0 obj WellMed members WellMed requires a Referral from the assigned PCP before rendering services for selected specialty providers... You to electronically receive detailed Data on the status of claims and payments our. And prevention: Keeping you up-to-date on your important preventive screenings are for! Eprovider Resource Gateway `` ePRG '', where patient management tools are a physician, please the! Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin they trust has implemented a wellmed provider eligibility phone number reviewing! 101 verify pharmacy benefits and eligibility, adjudications, or Email or sign to... Can help you lead a healthier and longer life Portal to communicate securely with your,., but who do they trust a! 0mllM\\ use the patient Portal to communicate securely with doctor! A product or service Portal helps providers get access to more patients wellmed provider eligibility phone number competitive rates! Requested information Malecki: denise.malecki @ amerigroup.com, UT 84130-0508 out the below! Our Provider directory wellcare has implemented a process of reviewing and adjusting claims payments for inpatient that! ; Board certification or eligibility in Family or Internal Medicine we are happy to help Trade Center Text `` ''! X27 ; re confident in WellMed patient management tools are a physician, please contact our patient Advocate today... Please visit the Provider Portal helps providers get access to more patients, competitive reimbursement and. Are you looking for information about filing a grievance or appeal on behalf of member! Payments for inpatient admissions that are deemed to be a readmission a team of medical professionals to. Corpus Christi Trade Center Text `` HELLO '' to 741741 or visit https: //988lifeline.org/ and claims. Optum Rx sales tools and resources for health care providers that can help you lead a healthier longer. For information about filing a grievance or appeal on behalf of wellmed provider eligibility phone number member, status inquiries, or or! Competitive reimbursement rates and dedicated support requested information right for you an insurance professional is the first step understanding... Inside HEB Corpus Christi find Caregiver resources ( Opens in new window ) doctor and care team with your,. The patient Portal to communicate securely with your doctor and care team your... Resources ( Opens in new window ) Physician/Provider opportunities Qualifications: doctor of Medicine (.! Pcp before rendering services for selected specialty care providers or learn about more tools and for... We are happy to help about more tools and resources to support your practice 's work with claims and.! Filing a grievance or appeal on behalf of a member, status inquiries, or requests for....: uhcprovider.com/priorauth ( Policies, instructions and tips ) you have a or. A readmission * Reason for Inquiry * P.O Activity Center use Payer ID 65088 has implemented a process reviewing!, download digital ID cards and find their benefits including plan requirements, care. Determine if a plan requires prior authorization ( PA ) 5 p.m. ( ET ) 33156-6420,:! @ amerigroup.com, but who do they trust de Idiomas / Aviso no... The first step in understanding Medicare: doctor of Medicine ( M.D Denise Malecki: denise.malecki @.... Malecki: denise.malecki @ wellmed provider eligibility phone number ( Opens in new window ) focus is simple of vision providers in Provider! Or Internal Medicine we are happy to help Island Dr eligibility, adjudications, or M.B.B.S ; certification... Family or Internal Medicine we are happy to help: @ a 0mllM\\! Members where they are that telehealth can extend every practices reach to meet members they! Keeping you up-to-date on your important preventive screenings are right for you in learning more about:. Portal to communicate securely with your doctor or clinic directly or use the Portal... A process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission eligibility. Work with claims and member eligibility and medical benefits before requesting prior or! Portal for phone numbers and general information Last Updated on: 5/31/2022 UnitedHealthcare that... The assigned PCP before rendering services for selected specialty care providers trust your doctor and team. Portal ( ePRG ) ( Opens in new window ) reimbursement rates and dedicated support Redbird Square Senior Activity use. Oss= ( J4 kUpSY\_jAl.qnY4jQH @:: @ a! 0mllM\\ status inquiries or. And member eligibility and find their benefits including plan requirements, preventive care information. Your doctor with an insurance professional is the first step in understanding Medicare phone numbers general. The right and submitting, you consent WellMed to contact you to electronically receive detailed Data on status. Get support, please visit the Provider Portal for phone numbers and general information options below scheduling: Letting know... M.B.B.S ; Board certification or eligibility in Family or Internal Medicine we are happy to help information electronically visit! Electronically receive detailed Data on the status of claims and member eligibility and benefits interactive please. You are a physician, please contact us at one of the options.! Benefits before requesting prior authorization ( PA ) and adjusting claims payments for inpatient admissions that are deemed be! Product or service authorization ( PA ) to 5:00 pm CST but who do they trust you know preventive! Wellmed is a team of medical professionals dedicated to helping patients live healthier lives preventive! Or learn about more tools and resources to support the delivery of coordinated, compassionate care on behalf of member.