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.
Look for new Medicare supplement plan ID cards
Wellmark recently issued new ID cards to approximately 177,000 Medicare supplement members with an Oct. 1, 2015 effective date. The new ID cards contain a different member ID number that is preceded by a three-letter prefix. The new member number begins with the letter "W" and is followed by eight digits. The new member ID numbers are a result of an internal change that will help streamline claims and payment processes. Nothing has changed with the member's current Medicare supplement plan. Please note that the Check Member Information tool currently shows two ID numbers for these members.
Now through September 30, 2015
Current ID numbers will be used for any services up to and including September 30, 2015.
October 1, 2015 and after
Beginning October 1, 2015, please utilize the member’s new ID card and number (which begins with "W" and is followed by eight digits) to verify eligibility, process claims, etc.
Get faster response to your claims inquiries
Recent feedback from providers has revealed that Wellmark needs to provide more clarity around the provider inquiry process. Some providers, we discovered, do not know that the Ask and Track a Question tool can be used to modify claims, request claim reviews and submit supporting documentation. Instead, these providers continue to submit their inquiries on paper or by fax. The truth is, online inquiries are processed in the same way as those submitted on paper; neither is “more formal” than the other. But there is one difference. Online inquiries are usually less time intensive for the provider, and always result in a faster reply from Wellmark. To ensure providers know about the option to submit inquires online, Wellmark has updated the Provider Inquiry Form to include guidance and hyperlinks to the tool itself. But you don’t need the form to access Ask and Track a Question. We’ve made that easy too. Just log in to the secure Check a Claim tool , find your claim, and select “Inquire or Submit Documents on this Claim” from the drop-down menu. (See screenshot.)
Manage your messages more easily
If you use the Ask and Track a Question tool , you know how easy it is to submit and monitor your provider inquiries. Thanks to feedback from providers like you, this tool has been upgraded with some enhancements to help you manage the responses you get from Wellmark more easily. You now have the ability to filter messages according to whether they have been read or unread. As shown in the screenshot below, a drop-down menu and a “Read/Unread” column have been added. Unread messages appear in bold type. After opening a message or using the check box to mark it as read, the message appears in regular type. You can also filter by message type. A second drop-down menu lets you select whether the response from Wellmark is a “status” update to let you know that we are working on your inquiry, versus a “final” update that provides you with an answer or resolution to your original inquiry.
Additional enhancements help you manage large volumes of replies. By using the drop-down menu at the bottom of the tool, you can choose to display up to 100 filtered or unfiltered search results at a time. Additional options help you move more easily from page to page within your search results.
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.)
- 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: