Discover more about claim filing requirements, reviews, and Wellmark’s payment and coding policies.
Learn how to get your NPI and when to include it on claims.
Find the latest information about the new HIPAA 5010 requirements for electronic transactions.
Find out how to register to submit electronic claims to Wellmark, and learn what happens after you submit a claim.
Learn about Wellmark’s preservice inquiry and postservice appeal processes.
Electronic Transaction/HIPAA Guides
Learn how to submit various types of claims, and how to check eligibility and benefits, and claims status.
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
Find out the claims filing guidelines for these ancillary services: independent clinical laboratories, durable medical equipment suppliers, and orthotics and prosthetics.