FOR NETWORK PROVIDERS
Partner with us.
WelbeHealth brings high-touch medical and social services to frail seniors in underserved communities. We’re looking for partners who share our vision of every human being participating in society through their final days.
WelbeHealth’s PACE Model and Day Centers
Through WelbeHealth’s Program of All-Inclusive Care for the Elderly (PACE), we provide full medical coverage and whole-person care. Our team supports participants 24/7, and includes:
- Primary and specialist care
- Transportation to medical appointments
- Social activities
- Dental, vision and hearing
- Prescriptions with home delivery
- Physical and occupational therapy
- Mental health support
- Social work services
- Nutrition support, in-home services, and more.
At WelbeHealth’s PACE day centers, seniors can take art classes, join exercise groups, and attend special events. The center contains a medical clinic, rehabilitation gym, recreation space, and a separate space for dementia care. Our centers have doctors, therapists, social workers and more, who all specialize in caring for seniors.
SERVICE AREAS AND EXPANSIONS
WelbeHealth is rapidly expanding into new areas. Currently, we have locations in these areas of California:
Resources for the WelbeHealth Provider Network
During the credentialing process, we’ll work with you to verify your qualifications, practice history, certifications and registration to practice in a health care field.
Contracted providers are an essential part of delivering quality care to our members. If you are interested in working with us, please contact John Olivarri.
WelbeHealth values our provider partnerships and supports the doctor-patient relationship our participants share with you. Superior customer service and provider relations are one of our highest priorities, and that begins with the credentialing, contracting, and onboarding process.
The onboarding process will begin with WelbeHealth upon completion of the contracting and credentialing process. In advance of that, please review our Welcome Packet and other links below.
Authorization requests must be submitted either via the Provider Portal or a completed Authorization Request Form faxed to (209) 729-5854. Use of the Portal will allow quick, direct submissions and status checks on authorizations. When authorization is not required, call WelbeHealth’s Advocate Hub at (650) 336-0300 to schedule the service.
News & Communications
Important Update Regarding WelbeHealth’s Claims Process
WelbeHealth is providing advance notice of a change in our claims process. Regardless of the Date of Service, effective July 1, 2022, all claims received without the required prior authorization will be denied.
To view/download the WelbeHealth Prior Authorization List, please view it on this website.
Our updated prior authorization process has been shared on various forums since January. The process is performing well with our provider partners over the past five (5) months; especially when our partners submit authorization requests through the WelbeHealth Provider Portal. If you have not already established an account on our portal, please visit https://welbehealth.quickcap.net/ to initiate the process.
Please contact your Provider Relations Representative with any question(s) or email firstname.lastname@example.org. Thank you for the continued care and attention that you provide to our participants.
WelbeHealth Advocate Hub
Our Advocate Hub offers the following services to providers:
- Benefits coverage validation process
- Scheduling of visits and transportation
If you have questions, call our provider service line at 650-336-0300 or email our scheduling team at email@example.com.
For questions or additional support, reach out to your designated provider relations representative.
NORTHERN CA MARKETS
SOUTHERN CA MARKETS
Our objective is to make it easy to schedule care for WelbeHealth participants. We will coordinate initial and follow-up visits with your office. We generally request appointments within 10 calendar days for routine matters, 7 calendar days for urgent requests, and 2 business days for emergencies.
Call our provider services line at (650) 336-0300 or email our scheduling team at firstname.lastname@example.org with any questions.
Access the WelbeHealth provider portal using the “Portal” button below, to submit and monitor authorization requests and claims, and to confirm participant eligibility and benefits.
WelbeHealth accepts both paper and electronic claim submissions. Our standard timely filing requirement for claims submission is 90 days.
For submission of claims electronically, use payer ID is WBHCA. For paper claim submission, mail claims to:
P.O. Box 30760
Tampa, Florida 33630-3760
WelbeHealth is committed to assuring that PACE participants are satisfied with the service delivery or quality of care they receive. WelbeHealth has an established grievance process to address participants’ concerns or dissatisfaction about services provided, provision of care, or any aspect of the Program.
Should you want to review the WelbeHealth Grievance policy, contact your Provider Relations Representative and ask for policy QIC-GA-01.
Information about the WelbeHealth Quality Improvement Plan and Record Keeping, Record Submission, and Records Inspection are in the Provider Manual, including:
- Medical Record Documentation Requirements
- Clinical Practice Guidelines
- Preventive Health Guidelines