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Claims and Payment

Discover how health care claims are paid and processed.

    
National Provider Identifier (NPI)

Learn how to get your NPI and when to include it on claims.

  Submitting Electronic Claims

Find out how to register to submit electronic claims to Wellmark, and learn what happens after you submit a claim.

    
Electronic Transaction/HIPAA Guides

Learn how to submit various types of claims, and how to check eligibility and benefits, and claims status.

  Appeals & Inquiries

Learn about Wellmark’s preservice inquiry and postservice appeal processes.

    
Enhanced Ambulatory Patient Groupings (EAPGs)

Learn about Enhanced Ambulatory Patient Groupings (EAPGs), Wellmark’s new outpatient facility payment methodology.

  

View policies for these types of claims:

Important Secure Content

    
 

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