|Network Engagement Hot Topics|
Health care is a dynamic industry and Wellmark is an equally dynamic company. To keep you updated on the most important changes that affect you, please check this page regularly.
Hot topics for March include:
Be more efficient online with new accumulations video
Our new instructional video on checking benefit accumulations couldn’t have come at a better time! More providers are using the Check Member Information tool now that some Wellmark plans do not allow a copay to be collected if the out-of-pocket maximum has been met. The video is only a few minutes long. Check it out and share the link with your colleagues to start saving time today!
Coming Soon: Enhanced Ask and Track a Question tool
You spoke and we listened! A new feature is being added to Wellmark’s tool for submitting secure inquiries. Whether you’re working within the Check a Claim tool or simply submitting a secure question, you’ll soon be able to attach supporting documents directly to your inquiries. Forget the fax machine and the postage; simply upload your files and submit your inquiry. Look for more information on the Working with Wellmark.com page and in our March 5 webinar.
System changes could affect you
On Jan. 1, 2014, Wellmark implemented a new system to respond to electronic eligibility or claims status inquiries for some members with individual or small-group ACA compliant plans. For these members, you will experience changes in the electronic responses you may have received for eligibility requests and claims status requests. For more information, please see page 4 of the February 2014 BlueInk magazine.
New contact information for former FAI group members
Do you have questions about claims, eligibility or other information pertaining to group members managed by First Administrators, Inc. (FAI)? If so, please contact our Wellmark office in Sioux Falls, S.D. using the information below:
1601 West Madison Street
PO Box 5023
Sioux Falls, SD 57117-5023
Member out-of-pocket estimator now available
As health care consumers become more cost sensitive, Wellmark has introduced an efficient way for members to estimate and compare the cost share of a medical procedure or service. Available to members enrolled in myWellmark, the new Member Out-of-Pocket Cost Estimate Tool feature incorporates a patient’s benefits, copayments, coinsurance and deductible information to show the approximate costs associated with a particular procedure or service. For more information, view the Q&A document developed just for providers.
Web page puts secure tools at your fingertips
Have you heard about our how-to videos for using our online tools? Are you doing your part to ensure that you and your organization maintain access to these secure tools? Do you know whom to call for help? The Working with Wellmark.com Web page has everything you need to be more efficient online so you can spend time on what really matters – the health of your patients. So put down the phone, forget the fax machine and save time with our secure tools.