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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 November include:


Streamlined addendum form saves you time

Wellmark recently updated the addendum form for the Iowa Statewide Universal Practitioner Credentialing Application. We removed fields that were duplicative or no longer required, making the form shorter and easier to fill out. To help you transition to the new form, there is a short grace period in which Wellmark will accept both form the old and the new form. However, beginning Jan. 2, 2015, Wellmark will return any submissions that are not received on the updated form. Be sure to access the most current versions on the Credentialing and Contracting page on Wellmark.com.

 

Enhancement eliminates need to request Web inquiry status

Providers now have an easier way to get the status of their inquiries submitted through the Ask and Track a Question tool. When the inquiry relates to a simple topic, such as locating a duplicate claim, a response is usually ready relatively quickly. For more complex inquiries, such as those pertaining to claims adjustments, you will now receive an email informing you that the status has been updated and indicating that more time is needed. These “interim” email responses include a link to more details about the steps Wellmark has taken to research or elevate the inquiry. The enhancement is expected to improve efficiencies for both providers and Wellmark. Now that providers no longer have to send additional inquiries or call provider services for an update on the status of their inquiry, Wellmark will have more time to devote to working on escalated cases.

 

Get faster service with the right ID number

While the vast majority of claims and benefit information can be found through our online tools, we understand that some claims and benefit details can be confusing. Before you call Wellmark, make sure you have the member ID number handy. A recent survey found that more than half of transferred calls was due to providers not entering in the correct ID number into our automated system. The member ID is key to routing you to the appropriate resource within Wellmark to answer your questions.

 

Need help understanding Wellmark payments?

Join us November 12, 2014 for an informational webinar to help you better understand Wellmark payments. The webinar will provide you with an overview of Wellmark’s payment strategies and methodologies, as well as how to locate fee schedules, payment documents, and more, using our online tools on Wellmark.com. Register today to learn more!

 

Which projects received awards to improve community health?

Earlier this summer, we asked you to help us identify 10 local initiatives that would benefit from $7,500 as part of our 75th anniversary celebration. Due to an overwhelming response, Wellmark decided to expand its efforts to award 16 projects in Iowa and South Dakota. The final 16 were chosen from more than 100 entries and over 84,000 votes were made during the 19-day voting period. The 16 projects selected demonstrated a long-lasting impact on improving the health and well-being of Iowans and South Dakotans. To learn more about the 16 winning projects, please read our news release and watch a short video. Thank you for helping us celebrate 75 years by recommending projects in your area!

 



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