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.
Monthly Quick Tip
To ensure that all users in your organization maintain access to Wellmark.com, the main DSC must log in to Wellmark.com at least every 60 days to validate his/her email address. Failure to do so after 90 days will initiate a series of reminders that, if ignored, could result in the suspension and eventual termination of all user access within your organization.
Check a Claim Video
How easy is our Check a Claim tool? Give us three minutes and we’ll show you! This short new video covers the basics of looking up a claim, accessing details about the claim and finding out the status.
Front Office Access
Does your front office staff have access to Wellmark.com to verify benefits at every patient visit? Beginning in 2014, copayments will apply to the out-of-pocket maximum (OPM) for many Wellmark members. This means some patients will likely reach their OPM sooner. Once a patient’s OPM is reached, you can no longer collect any deductible, coinsurance or copayment amounts from that patient. If you need to expand your organization’s access to Wellmark.com, please speak to your DSC.
Understanding User Roles
We have posted a new resource that follows up on the User Maintenance Guide posted to the Working with Wellmark.com page last month. Visit the new Provider Security Roles page to learn about the tasks you can accomplish within each of the 14 roles that are available to providers.
Secure Web Tools
Put down the phone. Chances are the information you’re looking for is online. Start saving time with the tools below so you can concentrate on what matters most—the health of your patients.
Resources 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 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: