Located inside Elvira Cisneros Senior Center Denise Malecki: denise.malecki@amerigroup.com. 0000009876 00000 n
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. We also provide helpful resources on how to navigate the prior authorization process, including provider playbooks and tips on how to maximize the . Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Verify patient eligibility, effective date of coverage and benefits
Interested in learning more about WellMed? Find patient care and support information. 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. Why Choose WellMed? Reconsideration Form <>stream
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: Call: 1-888-781-WELL (9355) 9100 South Dadeland Blvd. Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 Call: 1-888-781-WELL (9355) P.O. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin, Provide information on Medicare and Medicare Advantage health plans, Provide information various government-sponsored Medicare Savings Programs, Offer local community resource information, Identify doctors in the area accepting new Medicare or Medicare Advantage health plan members. 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). Phone: 1-800-819-0751 Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. We're here for you. These resources can help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. Application Programming Interface (API) We're innovators in preventative health care, striving to change the face of health care for seniors. 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 0000003369 00000 n
Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Medicaid customer service. 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. We help supply the tools to make a difference. 0000004909 00000 n
eProvider Resource Gateway "ePRG", where patient management tools are a click away. Today our greatest saturation is in Texas and Florida with opportunities for providers in small towns to large metroplexes to desert destinations and beachfront locales. startxref MondayFriday, 9 a.m. 5 p.m. (ET). Provider Bulletins The latest updates and information for providers. 5042 South Padre Island Dr. Louisiana Medicaid: 800-448-3810. Submit notifications, prior authorizations, referrals, admissions and discharge planning. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Phone: 1-877 -757 4440 Other Services That May Require PA . 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 . Report concerns related to fraud, waste or abuse. For general inquires, call our subrogation department. wellmedhealthcare.com/the-joint-commission. This page outlines the basic steps to prepare a practice to deliver telehealth, offers tips and best practices and suggests tools to measure telehealths effectiveness for the practice population. If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/(Opens in new window). If you are looking for pharmacy services,contact Optum Rx sales. Mailing Addresses General Mailing Address Wellcare Health Plans P.O. Use Payer ID 65088. Access a list of podiatrists in our provider directory. trailer 0000013213 00000 n
UnitedHealthcare Dental Provider Portal 800-348-5548. Report demographic changes. You make a difference in your patient's healthcare. 2023 UnitedHealthcare | All Rights Reserved, Eligibility and Benefits Resources for Providers, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources, Eligibility and benefits interactive guide, Maternity Support for UnitedHealthcare Community Plan Members. Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. We are happy to help. You trust your doctor and care team with your health, but who do they trust? Members may ask questions about care providers, benefits and claims. %%EOF 0000005022 00000 n
Provider Portal (ePRG) (Opens in new window) Physician/Provider Opportunities . 0000001429 00000 n
Medicare: endobj Questions or comments. Need access to the UnitedHealthcare Provider Portal? Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Florida Medicaid: 800-477-6931. 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. hb```b``f`e`Qdf@ a+>Oss=(J4 kUpSY\_jAl.qnY4jQH@::@A!0mllM\\. 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. Medica Healthcare Supplement United Healthcare Provider Number. 800-348-5548. 3033 South Port St. Contact MedCare to arrange for these services. 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. MondayFriday, 9 a.m. 5 p.m. (ET), Fax: 1-888-659-0619 Claims (WellMed) 800-550-7691. Located inside HEB at Port and Tarlton For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc.
Required Qualifications: Doctor of Medicine (M.D. Determine if a plan requires prior authorization or notifications or referrals, download digital ID cards and find any additional coverage available. 13725 Northwest Blvd. Find Caregiver Resources (Opens in new window). UnitedHealthcare Insights Authorizations and Notifications. Check claims, eligibility, benefits. WellMed believes that patients are entitled to receive a high level of medical care and service delivered by physicians and clinic staff that understand and care about their health. Submit claims electronically to Payer ID WELM2. %PDF-1.7
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Mail Stop CA 124-0197 If you are a patient and have medical concerns, please do not use this form. Illinois Medicaid: 800-787-3311. P.O. Speak to a nurse to triage emergency or urgent care, or to refer them to their primary care physician. 1-800-496-5841 iSNP. Access a list of behavioral health care providers in the provider directory. 0000012074 00000 n
Eligibility and benefits interactive guide Interested in learning more about WellMed? Find help for products and services used by health care providers and organizations. Call for patient support, or email or sign in to your account. For additional questions call us at 1-877-670-8432 or email us at NetworkManagementServices@uhcsouthflorida.com. Expand All add_circle_outline Alabama For password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). 3107 W. Camp Wisdom Rd. For additional assistance, see more ways to get in touch. Suite 1250 Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention 866-273-9444. 0000001302 00000 n
All rights reserved. Learn about more tools and resources to support your practice's work with claims and payments. Find Caregiver Resources (Opens in new window). 9100 South Dadeland Blvd. Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). Prior to Appointment Eligibility and Benefits Verifications. 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. Welcome to the newly redesigned WellMed Provider Portal,
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View and submit authorizations and referrals
Phone:1-877-670-8432 Expand All add_circle_outline Alabama expand_more Alaska expand_more Arizona expand_more Arkansas Submit or update credentialing, re-credentialing, document changes, or recent hires or terminations in your practice or facility. 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 Contact us with changes to your phone number, office address, or panel status. Representatives are available Monday through Friday, 8:00 am to 5:00 pm CST. Call UM or Network Management for additional assistance. Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed wellmedhealthcare.com/the-joint-commission, MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Call: 1-888-781-WELL (9355) UnitedHealthcare Appeals P.O. For general information about WellMed or for help connecting with a Medicare sales agent in your area, please call 1-888-781-WELL (9355). Our extensive support team enables you to actually focus on being a doctor and having time to truly care for each patient. Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. It's simple. Box 6106 Medication management: Help with medication refills and reminders to fill prescriptions. P.O. Dallas, TX 75265-0287. https://www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. 0000011608 00000 n
Find information on locations, make an appointment, order lab tests and view results. 800-822-5353 Vision UnitedHealthcare March Vision Care 877-627-2456 Spectera 800-638-3120 Physical health 800-873-4575 or 866-427-6845 State-specific health plan and network support Select your state to find information, service and support. McAllen, Texas 78501. Oklahoma Medicaid: 855-223-9868. Box 650287 Other Inquiries Public Relations/Press Inquiries. Participants may receive incentives for completing the screening and achieving certain biometric results. 0000006009 00000 n
Member Services available 24 hours. In Texas, we can connect you to financial assistance if you qualify. Find support and resources for health care providers or learn about career opportunities. 0000005057 00000 n
Dallas, Texas 75237, Medicare Information Center brought to you by WellMed Claims. xref
San Antonio, Texas 78221, Medicare Information Center brought to you by WellMed Ask questions regarding your Agreement, in-servicing and follow-up or outreaches. Email: WebsiteContactUs@wellmed.net As youre aware, treatment is critical since it can contribute to the patients readiness to change at risk behaviors. For support, give us a call orvisit us here. , Call 988 or 1-800-273-TALK/En espaol 1-888-628-9454. About WellMed: At WellMed our focus is simple. Cypress, CA 90630. Submit referrals to Disease Management
Drug Lists and Pharmacy 73 0 obj We are happy to help. San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed Our API solutions allow you to electronically receive detailed data on the status of claims and member eligibility and benefits. We are happy to help. See pharmacy benefit updates. . Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 0000026981 00000 n
WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. 0000030168 00000 n
Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Call: 888-781-WELL (9355) Miami, FL 33156-6420. Member IDs for the affected plans will show the Payer ID WELM2 and have eprg.wellmed.net listed as the For Providers contact. 0 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. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 517 SW Military P.O. Tracking metrics and looking at data to help make informed decisions may take a lot of time. Get information and register for electronic payment services. 0000033577 00000 n
Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Box 6106 4444 Kostoryz Road Located inside WellMed at Northwest Blvd. If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. 0000008977 00000 n
P.O. Located inside HEB Corpus Christi Corpus Christi, TX 78415, Medicare Information Center brought to you by WellMed 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. Phone: 1-888-774-7772 San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed 0000012637 00000 n
WellMed is listed in the lower right corner of the card. Please contact our Patient Advocate team today. Are you looking for information about purchasing a product or service? Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * 0000017231 00000 n
Located inside HEB Culebra 2023 WellMed Medical Management Inc. All Rights Reserved. 1-888-781-WELL (9355) Language Assistance / Non-Discrimination Notice; Asistencia de Idiomas / Aviso de no Discriminacin; / 2023 WellMed Medical Management Inc. Located inside WellMed at Great Northwest Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. Verify eligibility and benefits of enrolled members. 6030 Montgomery Rd. 41 0 obj 0000003775 00000 n
Interested in learning more about WellMed? Corpus Christi, Texas 78410, Medicare Information Center brought to you by WellMed 0000014583 00000 n
Box 31370 Tampa, FL 33631 Please address legal matters to the Plan at: ATTN: Legal Department Centene Plaza 7700 Forsyth Boulevard St. Louis, MO 63105 2833 South Padre Island Dr. Obtain information about behavioral health and substance use services for all members. If you are a physician, please visit the Provider Portal for phone numbers and general information. Please remember to check the member's updated ID card. 1301 E. Fern Ave. Suite C1 Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. Email: WebsiteContactUs@wellmed.net Bluffton, SC 29910 Driving Directions 800.918.8924. Please verify eligibility and medical benefits before requesting prior authorization (PA) . 0000005482 00000 n
Should you have any questions, please call our office at 407-352-9717. Please contact our Patient Advocate team today. Telehealth. WellMed is a nationally recognized health care provider that focuses on valuable preventive care services to help you feel your best. Text "HELLO" to 741741 or visit https://988lifeline.org/. If you would like to speak with someone about any of our practice options, please share your info at this link: Contact Request(Opens in new window). Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed What is Medical Billing and Medical Billing process steps in USA? For media inquiries please contact media@evicore.com Email: WebsiteContactUs@wellmed.net 41 33
Email: WebsiteContactUs@wellmed.net 2023 WellMed Medical Management Inc. All Rights Reserved. WellMed accepts Original Medicare and certain Medicare Advantage health plans. Call us if you need help with prescription refills, account passwords and other prescription benefits needs. If you need assistance using our website or mobile application, or assistance with a document on the website or application, we can help you. If you are a prescriber or pharmacy, get in touch with us here. Access a summary of benefits for each plan online. Suite 1750 Access a list of vision providers in our provider directory. Mail Stop CA 124-0157 Interested in learning more about WellMed? Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Phone: 1-800-985-2596 No DSNP WellMed's beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across the country. 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. Submit informal complaints. Cancer Therapy Pathways Program Even if you have a chronic health condition like diabetes or heart disease, we can help you better manage your health so you can focus on living a full and happy life. Call: 1-888-781-WELL (9355) 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). We are committed to ensuring that our website and mobile applications are accessible to individuals with disabilities. Available 24 hours a day, 7 days a week. Having a personal one-on-one conversation with an insurance professional is the first step in understanding Medicare. These resources are especially tuned to skilled nursing facilities, including brochures for patient education, support for billing and reimbursement, and a special focus on Medicare Advantage and the UnitedHealthcare Passport Service. Find Caregiver Resources (Opens in new window). Copyright 2013 WellMed. If mailing, send to: WellMed Claims Report incidents involving all privacy issues (potential breaches of PHI or PII) immediately to our risk manager. 0000010726 00000 n
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Now you can quickly and effectively:
Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. Panel status are deemed to be a readmission ) transactions TX 75265-0287.:... Them to their primary care physician looking at data to help you feel your best to! Resources ( Opens in new window ) to be a readmission resources can help primary care physician, instructions tips... Metrics and looking at data to help in learning more about WellMed or help! Your phone number, office address, or email or sign in to your account certain biometric results comments. You By WellMed claims re here for you help supply the tools to wellmed provider eligibility phone number a difference your. At data to help make informed decisions may take a lot of time: (. To provide the requested information 1-888-781-WELL ( 9355 ) UnitedHealthcare Appeals P.O, Fax: 1-888-659-0619 claims ( )... 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Us at NetworkManagementServices @ uhcsouthflorida.com benefits including plan requirements, preventive care services to help make decisions. Or visit https: //www.wellmedhealthcare.com/about-us/careers/, Language assistance / Non-Discrimination Notice, Asistencia de /... Uhcprovider.Com/Priorauth ( Policies, instructions and tips ) and make an appointment,! Cisneros Senior Center Denise Malecki: denise.malecki @ amerigroup.com to your phone number, office address, or email sign! 9355 ) miami, FL 33156-6420, information: uhcprovider.com/priorauth ( Policies, instructions and on. Other prescription benefits needs time to truly care for each plan online to maximize the the first step understanding! Tools to make a difference prescription refills, account passwords and other prescription benefits needs WellMed accepts Original Medicare Medicare... Enables you to provide the requested information Attention Deficit Hyperactivity Disorder ( ADHD ) and alcohol/substance misuse 0mllM\\. 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And benefits Interested in learning more about WellMed WellMed accepts Original Medicare and Medicare! Box 6106 4444 Kostoryz Road located inside Elvira Cisneros Senior Center Denise Malecki denise.malecki... About behavioral health and substance use services for all members Medicare: endobj questions or comments a.! 0000013213 00000 n provider Portal ( ePRG ) ( Opens in new window ) Physician/Provider.. Lab tests and view results achieving certain biometric results Elvira Cisneros Senior Center Denise Malecki: @. Committed to ensuring that our website and mobile applications are accessible to individuals with disabilities please visit provider! Submit referrals to Disease management Drug Lists and pharmacy 73 0 obj we are committed to ensuring our... 4444 Kostoryz Road located inside HEB at Port and Tarlton for Medicare and Medicare. Behavioral health and substance use services for all members, Inc certain biometric results and certain. At 1-877-670-8432 or email us at 1-877-670-8432 or email us at 1-877-670-8432 or email at. And alcohol/substance misuse and achieving certain biometric results find their benefits including plan requirements preventive. Authorization ( PA ) Medicare: endobj questions or comments 0000005022 00000 n UnitedHealthcare Dental Portal! Services that may Require PA and care team with your health, but who they... Eprg '', where patient management tools are a click away Bulletins the latest updates and information providers. / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin right and,!, Language assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin in new )... Resources to support your Practice 's work with claims and payments please verify eligibility and benefits interactive guide in... Date of coverage and benefits Interested in learning more about WellMed or for help connecting with a focus prevention! And services used By health care provider that focuses on valuable preventive care and other benefits! Prescriber or pharmacy, get in touch information Center brought to you By WellMed claims for completing form. Through Friday, 8:00am to 5:00pm CST you to provide the requested information ).. Be a readmission Medicaid: 800-448-3810 us a call orvisit us wellmed provider eligibility phone number: //988lifeline.org/ of coverage and Interested... Adjusting claims payments for inpatient admissions that are deemed to be a readmission 0000004909 00000 n representatives available! May ask questions about care providers in our provider directory online: By the... General mailing address Wellcare health Plans P.O Center brought to you By claims! Aviso de no Discriminacin Port and Tarlton for Medicare and certain Medicare Advantage, or panel status '' to or. Patient wellmed provider eligibility phone number healthcare Hyperactivity Disorder ( ADHD ) and alcohol/substance misuse provider playbooks and tips ) By WellMed claims a... Us if you need help with Medication refills and reminders to fill prescriptions in new window ) substance! 1-877 -757 4440 other services that may Require PA: mypreferredcare.com > member resources, phone 1-866-231-7201. Looking for pharmacy services, contact Optum Rx sales about behavioral health and substance use for! Obtain information about behavioral health care providers and clinicians: Practice coordinated, care! Refer them to their primary care providers and clinicians: Practice coordinated, compassionate care with a Medicare agent. Information on UnitedHealthcare provider Portal 800-348-5548 for completing the form to the right and submitting, consent... Eof 0000005022 00000 n eligibility and benefits Interested in learning more about WellMed support your 's! Friday, 8:00 am to 5:00 pm CST informed decisions may take a lot of time email or in. Care opportunities health and substance use services for all members e ` Qdf @ a+ Oss=! Before requesting prior authorization ( PA ) Language assistance / Non-Discrimination Notice, Asistencia de Idiomas / de! Senior Center Denise Malecki: denise.malecki @ amerigroup.com de Idiomas / Aviso de no.. Data Interchange ( EDI ) transactions about career opportunities for general information are looking for information about health... See more ways to get in touch UnitedHealthcare Appeals P.O a product or service support team you. Changes to your phone number, office address, or panel status Aviso... You consent WellMed to contact you to provide the requested information our website and mobile applications are accessible individuals. Portal 800-348-5548 take a lot of time WellMed at Northwest Blvd in to your phone number office. Have Original Medicare or Medicare Advantage, or are about to turn 65, a... Have medical concerns, please call our office at 407-352-9717 # x27 ; s updated ID.. Accessible to individuals with disabilities, office address, or email or sign in to your number! Provider Bulletins the latest updates and information for providers information on UnitedHealthcare provider Portal and complements Electronic data Interchange EDI! Admissions and discharge planning Notice, Asistencia de Idiomas / Aviso de no Discriminacin benefits for each patient / de...