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Page Contents:
See Also:
How to Register/Roles/Access
Q. How do I register my organization?
A. To register, contact your marketing representative
or broker today. Registration
steps include:
- Assign an employee as the designated security coordinator.
- Accept the access agreement for the appropriate state.
- Accept the terms and conditions.
- Complete the online registration link at the bottom
of the screen. Your password will be inactive at this
time.
- An e-mail will be sent to you to ensure we have a valid
e-mail address. You will need to reply to this e-mail
as confirmation that you want access.
- Wellmark will activate your account and send an e-mail
to advise you that you may begin using the web applications.
- Once activated, the designated security coordinator
will add staff and assign access rights to the various
applications. It is important to print the screen with
the user's password to give to the employee. This screen
will not be repeated and cannot be recreated. If the screen
is not printed or the employee loses the page before the
first sign-in, then the designated security coordinator
will need to contact EC Solutions at 800-407-0267.
Q. Is there a cost to use Wellmark's web applications?
A. No, but there are costs related to Internet access
and computers with adequate modems and processing speed. While
it does not require the most current computers and software,
here are the minimum requirements:
Q. How do I know what roles for web applications
should be assigned to the different users?
A. Here is a list of the various web applications.
Please keep in mind the type of work currently done by your
staff.
- Designated security coordinator - to be used for a back
up administrator to change access rights for your employees.
- Eligibility Verification and Benefit Inquiry - offers
information on prefix and type of contract for Wellmark
members and displays accumulated deductibles and benefits.
- Claim Status Inquiry - shares information from our claim
records. This allows research on the status of claims
and additional inquiry on claim activity by member.
- Member Maintenance - allows the ability to update your
employees insurance information. You can change
their name, address and Primary Care Physician.
You can also cancel individual dependents, spouse or the
entire contract. If you currently submit
membership changes electronically, this will be
available for view only.
- Member Maintenance Reporting - will allow you or your
staff to review the changes made to employee eligibility
records via Wellmark.com.
- Cost Plus Billing - is available to staff that would
normally receive the hard copy reports.
- Secure E-Message - allows users to
receive secure e-messages from Wellmark and reply securely
back to Wellmark.
Q. Since e-mail is a required field, what do I
do if all employees do not have an e-mail address?
A. We are encouraging you to use the e-mail address
used for the designated security coordinator. If e-mail is
offered at a later date, the designated security coordinator
can update the user information. We encourage you to keep
e-mail and phone numbers updated. This is how we plan to contact
you with any updates - such as new applications or improvements.
Q. Can the designated security coordinator assign themselves
roles for the applications they choose to have access to?
A. Yes. In fact, this is required. At the
time the DSC is activated, they are only given the security
role. They will need to assign additional roles by clicking
on the maintenance link and selecting to modify user information.
Q. During the designated security coordinator registration,
I received a message that indicated I had an error in the
organization name. Why?
A. Please check for punctuation used in the name and remove.
This will allow you to continue.
Q. Why is an access agreement for registration needed?
A. To share secured Wellmark information about our policyholders
and their dependents, we need your agreement to keep their
information confidential. Your office has the same need to
keep information confined to limited access. Privacy acts
apply to both our organizations and should be viewed by only
individuals that have a need to know. The financial agreements
signed since January 2001 contain language about the protection
of information. This is reinforced with the online access
agreement accepted by each employer group administrator and
the terms and conditions accepted by each user.
Hours of Availability
Q. What times are the applications
available?
A. Eligibility Verification, Benefit Inquiry, Claim
Status Inquiry and Member Maintenance are directly connected
to our main computer files. This improves their accuracy by
offering the latest updates, but also limits the hours.
- Eligibility Verification, Cost Plus Billing and Member
Maintenance Reporting - 24 hours a day, 7 days a week
- Benefit Accumulation and Claim Status Inquiry - 5 a.m.
to midnight, 7 days a week.
- Member Maintenance to update or view membership files
7:00 AM to 7:00 PM,
Monday through Friday and most Saturdays
7:00 AM to 3:00 PM, no Sundays or holidays.
Changing User Information
Q. How can I change my
password if I feel someone else may be using it?
A. Security was set up to allow access by individual
employee. The access agreement as well as the terms and conditions
prohibit the sharing of user identification and passwords.
We encourage you to keep your access information private and
change your password anytime you feel that someone may be
using it inappropriately. After you enter your user identification
and password, you can ask to change your password for your
next sign-on. At this time we are not requiring a new password
at a time interval - this may be added in the future.
Q. If someone leaves employment or changes jobs,
what do I do with their security?
A. It is important to immediately modify their user
status from active to deny. They will continue to have access
to your claim data and our eligibility files until this is
updated.
Passwords
Q. How do I change my password
A. Go to the password
maintenance screen. You can save this as a bookmark
for future use!
Q. I've lost my password, what do I do?
A. This depends on your role.
- If you are the designated security coordinator, please
call EC Solutions at 800-407-0267 after you have attempted
to sign-on 3 times and failed the secret question. We
will reset your access or deactivate your
access, so you can re-enroll
- If you are a user, the security application will give
you three chances. Please remember, the password is case
sensitive, so if you used capital letters when creating
the password, you will need to use the same when trying
to sign-on. After three tries, you will be asked a secret
question and will be allowed three tries. After that,
your access is denied.
- If you are a user that has exhausted your chances with
both the password and secret question, please contact
your designated security coordinator to reactivate your
access.
Q. I receive a message that the password needs
to be 7-24 characters and include at least one number and
one letter. What is wrong?
A. Were you able to key the password twice? If not,
please use the tab key to allow you to confirm the password.
The enter button should be not be used during this process
because it thinks you are done entering data.
Using the Web Applications
Q. How do I access information in the web applications?
A. The only required field is the member identification
number, which is the nine digit number following the prefix.
All other fields are optional. Claim Status allows
for additional search criteria: the Eligibility and Benefit
Verification has
a default to the current date, but it can be changed to a
prior date and the member update has optional group and billing
unit to specify between various group and billing units when
applicable.
Q. Do the web applications show hire dates?
A. No. At this time we do not include the hire dates.
Q. Why can't I see the Blue Dental claims?
A. We are working on access to these claims, they are
not processed in our main files. You will be able to see eligibility
and benefits. We display dental services processed on the
medical contracts. We are looking into how we can offer additional
information.
Q. In viewing claim status, I can find how much one claim
applied toward deductible. Where can I find the accumulations
for the year?
A. Under Eligibility and Benefits Verification, you can
see the amount of the deductible satisfied and the contract
limit for each calendar year.
Q. We would like to see information on our flex spending
accounts and/or life beneficiaries.
A. The current web applications access our mainframe processing
of claims and membership records. The other activities are
handled outside of these systems.
Q. Is the member Explanation of Benefits (EOB) online?
A. Not at this time. You can, however, use the Claim Summary
page in the Claim Status Inquiry tool to be a suitable substitute
for many situations such as other insurance or flex spending
accounts.
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