Contact Wellpoint Texas, Inc.

Provider Services

Medicaid and CHIP

1-833-731-2162

Medicare Advantage

1-866-805-4589

STAR+PLUS MMP (Medicare-Medicaid Plan)

1-855-878-1785

Fax

1-800-964-3627

Email us

mpsweb@wellpoint.com

Contact your local Wellpoint health plan and Provider Relations representatives

 

Bexar service area:

1-800-589-5274

Dallas and Tarrant service areas:

Central, Northeast and West rural service areas:

1-800-839-6275

El Paso service area:

1-877-405-9871

Harris, Jefferson and Nueces service areas:

1-800-325-0011

Lubbock service area:

1-877-405-9872

Travis service area:

1-800-315-5385

Email a Provider Experience associate

Did you know that most questions and issues can be resolved by using the Wellpoint provider self-service tools? Please use Availity for inquiries like payment disputes, provider data updates, claims status, member eligibility, etc. You can also live chat with a Wellpoint associate from within the Availity Portal.

For other issues, you can message the Provider Experience team. Your Provider Experience representative will respond – usually within two business days.

The nurse helpline is a 24-hour service your Wellpoint patients can call to speak with a registered nurse who can:

  • Answer medical questions and help determine what kind of care is needed
  • Provide information about after-hours and weekend care when your office is closed, including the location of network urgent care centers or walk-in clinics

We encourage you to tell your Wellpoint patients about this service and share with them the advantages of avoiding the emergency room when it isn’t necessary or the best alternative.

Members can reach the 24-hour Nurse HelpLine by calling the number on their Wellpoint ID card. TTY services are available for members who are deaf or hard of hearing by calling 711. Language translation services are also available.

To find a doctor, group or facility for a patient referral or specialty consultation, use our online provider search tool or the PDF referral directories on the Referrals page of this website.

Teladoc physician consultation services are available through the 24-hour Nurse HelpLine 24/7 for our Medicare Advantage members.

Our care managers are licensed nurses and social workers and are available from 8:30 a.m. to 5:30 p.m. local time, Monday to Friday. Confidential voicemail is available 24 hours a day.

Please call 1-888-830-4300 to reach one of our care managers. Your patients can get information about Condition Care/Population Health program services by visiting the  Wellpoint member site or calling 1-888-830-4300.

Do you have questions for our Technical Support team? Call us for assistance at 1-833-731-2162.

Receive email from Wellpoint

Wellpoint is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email.

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Provider tools & resources

Interested in becoming a provider in the Wellpoint network?

We look forward to working with you to provide quality services to our members.

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