Contact Us
Plans and Services Health and Wellness About Wellmark Member Employer Broker Provider
Home Provider
» Working with Wellmark.com 
» News
» BlueCard®
» Claims and Payment
» Medical Policies and Authorizations
» Health Management
» Credentialing and Contracting
» Medical, Dental, and Pharmacy
» Communications and Resources
» Quality and Transparency
» Health Care Reform for Providers
printer friendly Printer-Friendly Page
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.

InnovationNews

Thousands have already registered for WINS. Are you missing out?
Are you getting messages from the Wellmark Information Notification System (WINS)? Well, your colleagues probably are! Since the provider notification service began last year, thousands have registered to receive real-time updates from Wellmark delivered directly into their mailbox. With 11 different categories of information available, staying current on policies, processes and provider news has never been easier. To learn more, join our webinar on March 11. Ready to start now? Register for WINS through our secure provider page. To begin receiving messages, please provide us with a few details, including your preferred email address, and then subscribe to the message categories you’re most interested in. Registration takes only a few minutes!

 


Possible delay in March for some ID cards

On behalf of our newest members, Wellmark would like to thank providers for their patience as we continue to work hard sending out member ID cards. Due to recent marketplace activities, Wellmark has made accommodations to the timeline required for individuals and small groups to submit applications for coverage with February 1 and March 1 effective dates. This has resulted in a delay in the delivery of some ID cards that will continue into the first half of March. Fortunately, many providers have made use of our online tools in cases where a new Wellmark member is in need of services prior to receiving his or her ID card. If you haven’t done so already, please check out the “Member Number Lookup” feature within the Check Member Information tool. This feature is also available within our secure Check a Claim tool.


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:

 

 

 


Technical Assistance


Call us:

800-407-0267

Monday through Friday
7:00 a.m. – 5:30 p.m. CST


Don't have access?

Register today!


Visit Provider Videos
FacebookTwitterInstagrampinterestLinked InYou Tube