E-mail Customer Service

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E-mail Customer Service

Required fields are indicated with an asterisk ( * ).

In order to expedite your inquiry, please provide the following information:

*Identification Number

*Provider Number -

*Email Address:
Please enter your Email address (Valid format is "xxx@xxx.xxx")
Important! Please be sure to enter your e-mail address carefully.
If your address is entered incorrectly, we will be unable to reply back to you. Thanks!

Please enter the dates of service for your request

Tell us why you are emailing us:

	I need to check benefit information for
	I need to change my PCP (please note your change below using the 'other' field)
	I need to check the status of a claim
	I need to change my address or telephone number
	I want to ask general questions regarding my health insurance
	I want to order an ID card
	Other: Please specify below

Is your inquiry regarding:

	Wellmark Blue Cross and Blue Shield of Iowa
	Wellmark Blue Cross and Blue Shield of South Dakota
	First Administrators, Inc.
	Wellmark Health Plan of Iowa
	Federal Employee Program
	BlueCard
	Blue Dental

Comments/Question(s):

Copyright© 2008 Wellmark, Inc. All Rights Reserved.
Wellmark Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association doing business in Iowa and South Dakota. Blue Cross®, Blue Shield®, and the Cross® and Shield® symbols are registered marks of the Blue Cross and Blue Shield Association, an Association of Independent Blue Cross and Blue Shield Plans.