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Working with Wellmark.com

Welcome to Working with Wellmark.com, your source for news, information and tips for making the most of the resources available on our secure provider website. This page is designed for all providers with secure access to Wellmark.com. General users will learn about easy-to-use Web tools, while designated security coordinators (DSCs) will learn how to manage security roles within their organization.

InnovationMonthly Quick Tip

Does your policy support the most efficient operations?

Once in a while, we hear from providers that it is their policy to contact our call center to confirm information that is available to them online. Well, you might like to know that in the vast majority of cases, the information you see through Wellmark.com is exactly the same information available to our provider services representatives. True, there are complex cases where it helps to talk to someone. But in most cases our call center staff sees the same information you do. Whether you need to check claim status, confirm benefits, or follow up on a pre-service review request, rest assured that the information on your screen is accurate and up-to-date. So put down the phone, log on to our secure provider page and start increasing your productivity!

 

NewsNews

Eliminate the wait! Get credentialing submission status updates in seconds

Good news! You can now get credentialing submission status updates within seconds! Effective for all submissions received after August 31, 2014, the new Credentialing Submission Tracker tells you exactly where your provider applications, recredentialing submissions or change requests are in our system. Just enter up to 10 national provider identifier (NPI) numbers, click “Next,” and the real-time status of your submissions will appear in less time than it takes to reach for the phone. What’s more, the new tool even provides you with the current average processing time, which gives you a general idea of when to expect a final response from Wellmark. Check it out today!

A video message from Wellmark

Wellmark is celebrating an important anniversary this year. To mark this occasion and express our appreciation to our providers for 75 great years, we’ve produced a special thank you video. Whether you’re a doctor, facility manager, nurse, hospital or system administrator, billing office staff member, lab worker, or any of the hundreds of professionals who serve our members every day, we thank you for all that you do! To learn about all the different ways we’re celebrating 75 years of service, visit Wellmark75.com.

Instructional videos now available within tools

Have a question on how to use our online tools? We’ve made it even easier for you to learn how to save time online. The Check a Claim and Check Member Information tools now have convenient links to our popular how-to video series. Each tool includes links to the short clips that pertain to that tool, as well as a link to our library of other instructional videos.

Secure Web ToolsWeb Tools and How-to Videos

Put down the phone. Chances are the information you’re looking for is online. Listed in order of popularity, the resources featured below show you how to make the best use of our secure Web tools. Many are also included in our Provider Video Gallery.

  • Check claim status video . (2:44 min.)
  • Follow up on a denied claim with attachments video . (3:06 min.) 
  • Check benefit accumulations video . (3:30 min.)
  • Resolve possible workers’ compensation claims video . (3:18 min.)
  • Download provider claims remittances (PCR) presentation .
  • Get pre-service authorization resource page
  • Request pre-service review for out-of-area members video . (4:05 min.)
  • Create and submit a new claim video . (12 min.) 

Resources for DSCsResources for DSCs

Designated security coordinators play a unique role in Wellmark’s Web security protocol. There are two types of DSCs. The “main DSC” has several responsibilities, including signing Wellmark’s usage agreement on behalf of his or her organization. The second type is simply known as “DSCs.” Each organization has one main DSC, but he or she can assign the DSC role to any number of individuals. Both types of DSCs can assign roles to other users to access certain tools and resources on Wellmark.com. To be effective in their role and maintain their organization’s security access, DSCs should be familiar with the following:

Information and Web SecurityInformation and Web Security

We all understand the need to protect our patients’ privacy while serving them efficiently. The following resources help keep providers and our members informed about this important topic:

 

A video message from Wellmark

Wellmark is celebrating an important anniversary this year. To mark this occasion and express our appreciation to our providers for 75 great years, we’ve produced a special thank you video. Whether you’re a doctor, facility manager, nurse, hospital or system administrator, billing office staff member, lab worker, or any of the hundreds of professionals who serve our members every day, we thank you for all that you do! To learn about all the different ways we’re celebrating 75 years of service, visit Wellmark75.com.

Instructional videos now available within tools

Have a question on how to use our online tools? We’ve made it even easier for you to learn how to save time online. The Check a Claim and Check Member Information tools now have convenient links to our popular how-to video series. Each tool includes links to the short clips that pertain to that tool, as well as a link to our library of other instructional videos.


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