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

Possible delay in February and March for some ID cards  

In light of recent marketplace activities, Wellmark is making an accommodation to the timeline required for individuals and small groups to submit applications for coverage with a February 1, 2015 effective date. We will also extend the deadline for applications for small group coverage beginning March 1, 2015. In both cases, this may cause a delay in sending ID cards to some of our members. If a Wellmark member visits your office in February or March prior to receiving his or her ID card, please use the “Member Number Lookup” feature within the Check Member Information tool. Thank you for your patience and cooperation as we try to meet the needs of our members.

 

Avoid returned applications by using current forms 

Here’s some important information for the contracting and credentialing specialists in your organization. Only current applications and forms to participate in Wellmark’s networks will be accepted. Older versions of these documents will not be processed. To avoid having these documents sent back to you, always use the current forms on the Credentialing and Contracting page. In November, Wellmark streamlined the addendum to the Iowa Statewide Universal Practitioner Credentialing Application, and introduced a new practitioner application for South Dakota. Many of Wellmark’s own applications also got a facelift. So get rid of those old forms, and bookmark the Credentialing and Contracting page 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.)
  • 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