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Iowa Provider Contact Information

To Contact Us About Electronic Resources Phone or Fax

In-State Health Benefit or Claim Status Information

Blue Access®, Blue Choice®, or Blue Advantage®

Contact us Securely: 

Ask & Track a Question  

 

Secure Web Tools:

 

View WHPI service area 

800-362-2218
515-376-4688

Monday–Friday, 9 a.m.–5 p.m.

Classic Blue®, Senior Blue® and Alliance SelectSM

800-362-2218
515-376-4688

 

Monday–Friday, 9 a.m.–5 p.m.

Federal Employee Program (FEP)

Contact us Securely: 

Ask & Track a Question  

800-532-1537
515-376-4784
Fax: 515-376-9066

 

Monday–Friday, 9 a.m.–5 p.m.

Out-of-State (BlueCard) Health Benefit or Claim Status Information

Claims

 

800-846-9181
515-376-6800

Eligibility

 

800-676-2583

Blue Dental

Reimbursement, Policies, Procedures, or Guidelines

 

877-258-3685
515-558-7744

Capitation

Payment

Email: Capitation Hotline 

515-376-4333

Case Management Situation

A case management situation

800-552-3993, option 1, enter case manager’s extension

Submitting Precertification/Admission Notification or Continued Stay Review

Secure Web Tools:

 

Please use the Authorization Table to determine if a pre-service review requirement exists.

 

For contracting providers, please use the online Utilization Management Tool or method as directed via the Authorization Table.

 

For non-contracted providers or providers outside of Iowa and South Dakota, please call 800-552-3993. 

800-552-3993, option 2

Submitting or tracking a Prior Approval request

Secure Web Tools:  

 

Please use the Authorization Table to determine if a Prior Approval or other pre-service review requirement exists.

 

For contracting providers, please use the online Utilization Management Tool or method as directed via the Authorization Table.

 

For non-contracted providers or providers outside of Iowa and South Dakota, use the  prior approval form pdf.

800-552-3993, option 2

Claims

Electronic claims submission

Email: EC (Electronic Commerce) Solutions 

800-407-0267
Fax: 800-691-1038

 

Monday-Friday, 7 a.m. to 5:30 p.m.

Contracting & Credentialing

Contracting materials or billing numbers

Email: Provider Application and Credentialing 

800-708-1342, option 1
515-376-5100, option 1
Fax: 515-376-9035

Changes in provider address or taxpayer identification number (TIN). Note: A completed W-9 Form must accompany any Taxpayer ID change

Submit: Provider Change Form 

800-708-1342, option 1
515-376-5100, option 1
Fax: 515-376-9035

Disease Management

Asthma, diabetes, or cardiovascular disease management programs

Email: Disease Management email

800-222-9862, option 1

Network Engagement

Questions about Wellmark policies, procedures, guidelines, or initiatives

See Iowa Territories Map PDF for your business partner’s contact information

See map or call 800-700-9137

Fax: 515-376-9039

Newsletter or Provider Guide

Topic Suggestions / Feedback / Questions

Email: McCormickD@Wellmark.com 

 

Outpatient Diagnostic Imaging

 

888-800-4497

 

Monday-Friday, 7:30 a.m.-6 p.m.

Patient Referrals

Blue Choice® or Blue Advantage®

Contact us securely on the Provider Portal  under Utilization Management & Authorizations.

Emergency Referrals: 877-353-7390

Pharmacy

Contracting, Reimbursement, Policies, Procedures, or Guidelines  

800-600-8065

 

Monday-Friday, 7 a.m.–7 p.m., CT

Saturday & Sunday, 8 a.m.-5 p.m., CT

Web Self-Service Tools

Support

E-mail: EC (Electronic Commerce) Solutions 

800-407-0267
Fax: 800-691-1038

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