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South Dakota Provider Contact Information

To Contact Us AboutElectronic ResourcesPhone or Fax

In-State Health Benefit or Claim Status Information

Classic Blue® & Blue Select®

Contact us Securely: 

Ask & Track a Question  

Secure Web Tools: Secure Page

800-774-3892
605-373-7292
Fax: 515-376-9098

 

Monday-Friday, 9 a.m.–5 p.m. CT

Federal Employee Program (FEP)

Contact us Securely: 

Ask & Track a Question  

888-800-1359
Fax: 515-376-9066

 

Monday-Friday, 9 a.m. to 5 p.m. CT

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

Claims

 

800-774-3892

 

Monday-Friday, 9 a.m.–5 p.m. CT

Eligibility

 

800-676-2583

Case Management

A case management situation

 

800-642-9273, option 1, enter case manager’s extension

Submitting Precertification/Admission Notification or Continued Stay Review

Secure Web Tools: Secure

 

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. 

800-642-9273, 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.

800-642-9273, option 2
Fax: 515-248-5271

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. CT

Contracting & Credentialing

Contracting materials or billing numbers

Email: Provider Application and Credentialing Email

800-708-1342
515-376-5100
Fax: 515-376-9035

Address, Phone, Fax, Name, Tax ID, Organizational NPI, Specialty, Provider/Group Cancellation, Backup Physician Information, Practitioner Payment Authorization

Submit: Provider Change Form Email

800-708-1342
515-376-5100
Fax: 515-376-9035

Disease Management

Asthma, diabetes, or cardiovascular disease management programs

Email: Disease Management Email

866-816-5264

Network Engagement

Questions about Wellmark policies, procedures, guidelines, or initiatives

See South Dakota Territories Map  for your business partner’s contact information

See map or call 800-700-9137
Fax: 888-517-9419

BlueInk Magazine

Topic Suggestions / Feedback / Questions

Email: McCormickD@Wellmark.com Email

 

Outpatient Diagnostic Imaging

 

 

888-800-4497

 

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

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

Email: EC (Electronic Commerce) Solutions 

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

Registering

Register Online

 

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