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.
Most Web inquiries now answered in one or two business days
Thanks to feedback from our provider community, Wellmark has begun dedicating more resources to answering your secure Web inquiries. In fact, most questions are now answered in one or two business days. Even if your inquiry requires further research or additional information, we’ll take the guesswork out by sending you an update to let you know we’re working on it. Especially when you have a lot of claims to review, this online option is much more efficient than calling Wellmark. So start taking advantage of the improved turnaround time today! Within the Check a Claim tool, use the drop down menu in the upper right and select "Inquire or Submit Documents on this Claim."
Get connected faster with your NPI
Most providers usually get what they need through our secure Web tools, but sometimes a call to customer service is necessary. How can you ensure your phone inquiries are handled as efficiently as possible? Easy! Just enter your national provider identifier (NPI) when you call. In April, Wellmark will begin asking for your NPI each time you dial in to our customer service center. So make sure you have your NPI handy before you pick up the phone. Incorrect or invalid entries will slow you down or log you out of the system entirely.
Web 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 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: