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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

Retirements and promotions are pretty important events, especially in the dynamic industry of health care. Milestones like these also have implications for Web security. If you or someone you work with is going to be making a transition that affects their access to Wellmark.com, make sure your DSC or main DSC knows to make the necessary changes to that employee’s security settings.

NewsNews

Off to the movies!
Want to be more efficient at work? Start by catching a movie! Our new video series shows you how to make the most of the online tools you need for fast and reliable information about claims, benefit accumulations, pre-service review and more. You may have seen one or two of these videos already. Now, we’ve compiled them all in one place. Check out our new Provider Video Gallery! You’ll always be able to access the gallery right from the Working with Wellmark.com page.
 
Learn how to stay informed with real-time alerts.
Join us on May 14 for a webinar introducing an exciting new tool. The forthcoming Wellmark Information Notification System (WINS) will provide you with up-to-date information about changes that impact your business, making it easier for you to work with Wellmark. Providers will be able to subscribe to one or more of 11 different message categories, ranging from changes in medical policy to payment updates to education and training. Register for the webinar today!

 

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.)
  • Indicate work-related claims presentation .
  • 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:

 


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Follow Up on a Denied Claim Video
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