| To Contact Us About |
Electronic Resources |
Phone or Fax |
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In-State Health Benefit or Claim Status Information
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Blue Access®, Blue Choice®, or Blue Advantage®
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E-mail: Provider Service 
Secure Web Tools: 
View WHPI service area 
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800-362-2218
515-376-4688
Monday–Friday, 9 a.m.–5 p.m.
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Classic Blue®, Senior Blue® and Alliance SelectSM
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800-362-2218
515-376-4688
Monday–Friday, 9 a.m.–5 p.m.
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Federal Employee Program (FEP)
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E-mail: Federal Employee Program Providers
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800-532-1537
515-376-4784
Fax: 515-376-9066
Monday–Friday, 9 a.m.–5 p.m.
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Out-of-State (BlueCard) Health Benefit or Claim Status Information
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Claims
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800-846-9181
515-376-6800
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Eligibility
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800-676-2583
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Blue Dental
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Reimbursement, Policies, Procedures, or Guidelines
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877-258-3685
515-558-7744
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Capitation
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Payment
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E-mail: Capitation Hotline
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515-376-4333
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Case Management Situation
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A case management situation
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800-552-3993, option 1, enter case manager’s extension
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Submitting Precertification/Admission Notification or Continued Stay Review
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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.
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800-552-3993, option 2
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Submitting or tracking a Prior Approval request
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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 .
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800-552-3993, option 2
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Claims
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Electronic claims submission
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E-mail: EC (Electronic Commerce) Solutions
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800-407-0267
Fax: 800-691-1038
Monday-Friday, 7 a.m. to 5:30 p.m.
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Contracting & Credentialing
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Contracting materials or billing numbers
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E-mail: Provider Application and Credentialing
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800-708-1342, option 1
515-376-5100, option 1
Fax: 515-376-9035
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Changes in provider address or taxpayer identification number (TIN). Note: A completed W-9 Form must accompany any Taxpayer ID change
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Submit: Provider Change Form
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800-708-1342, option 1
515-376-5100, option 1
Fax: 515-376-9035
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Disease Management
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Asthma, diabetes, or cardiovascular disease management programs
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E-mail: Disease Management
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800-222-9862, option 1
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Network Engagement
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Questions about Wellmark policies, procedures, guidelines, or initiatives
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See Iowa Territories Map for your business partner’s contact information |
See map or call 800-700-9137
Fax: 515-376-9039
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Newsletter or Provider Guide
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Topic Suggestions / Feedback / Questions
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E-mail: Provider Communications
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Outpatient Diagnostic Imaging
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888-800-4497
Monday-Friday, 7:30 a.m.-6 p.m.
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Patient Referrals
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Blue Choice® or Blue Advantage®
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E-mail: Provider Service
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Emergency Referrals: 877-353-7390
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Pharmacy
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| Contracting, Reimbursement, Policies, Procedures, or Guidelines |
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800-600-8065
Monday-Friday, 7 a.m.–7 p.m., CT
Saturday & Sunday, 8 a.m.-5 p.m., CT
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| Web Self-Service Tools |
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Support
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E-mail: EC (Electronic Commerce) Solutions
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800-407-0267
Fax: 800-691-1038
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Registering
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Register Online
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