Step 1: Determine Provider Types and Practice Location
To apply for participation in Wellmark’s Network(s), you need to have a Practice Location in Wellmark’s plan area (Iowa/South Dakota) and you must be one of the approved Provider types listed in the tables in Chapter 2 - Requirements to Participate in Wellmark Network(s) of the Credentialing and Network Participation section of the Wellmark Provider Guide .
If you do not meet the above requirement or you do not want to participate in any Wellmark networks but are interested in submitting claims for health care services provided to Wellmark members, you may be able to submit an application to be a non-participating provider. Go to: Apply to submit claims as a non-participating provider.
Step 2: Complete Correct Application Forms
If you are interested in contracting with Wellmark, Inc.1 for participation in any Wellmark Network, please complete and submit the appropriate application and supporting documents as indicated below.
Note: Applications are subject to change and only applications that are accessed from the above table will be accepted by Wellmark.
Step 3: Submit Forms
Once steps 1-2 are complete, both Iowa and South Dakota Providers can send the application and accompanying documents by mail:
PO Box 14509
Des Moines, IA 50306-3509
Parcel Deliver Address:
1331 Grand Avenue
Des Moines, IA 50309-2901
Step 4: Complete Participation Agreements
After submitting your application, Wellmark will send the provider Agreement(s) to you by email through DocuSign® to review, complete, and sign. To learn more about this process refer to Chapter 12 - Provider Applications of the Credentialing and Network Participation section of the Wellmark Provider Guide.
1 Wellmark, Inc. doing business as Wellmark Blue Cross and Blue Shield of Iowa or any of its affiliates, Wellmark of South Dakota, Inc. doing business as Wellmark Blue Cross and Blue Shield of South Dakota, or Wellmark Health Plan of Iowa, Inc., (collectively, “Wellmark”).
I need secure access to:
Tools and resources related to:
- Utilization Management
Take me there.
E-credentialing Central to access these tools:
- Application Tool (coming soon)
- Change Request Tool
- Recredentialing Tool
- Provider Directory Update Tool (coming soon)
- Submission Status Tracker
- Submission History Tool
- View my Organization
- Manage my Users
Take me there.