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Contacts for Iowa Providers

Choose a topic below for contact information:

Benefit or Claim Status Information

To Contact Us About Electronic Resources Phone or Fax
Blue AccessSM, Blue Choice®, or Blue Advantage® 800-355-2031
515-246-6297
Fax: 515-323-6747
Classic Blue®, Senior Blue® and Alliance SelectSM

800-362-2218
515-245-4688
Fax: 515-248-6161

Federal Employee Program (FEP) E-mail:   Federal Employee Program Providers 800-532-1537
515-245-4784
Fax: 515-323-6877
Out-of-State Claims and Benefit Inquiries BlueCard

BlueCard®—Coast to Coast Coverage

To Contact Us About Phone

Claims

800-846-9181
515-323-6800

Eligibility

800-676-2583

Blue DentalSM

To Contact Us About Phone

Reimbursement, Policies, Procedures, or Guidelines

877-258-3685
515-558-7744

Capitation

To Contact Us About Electronic Resource Phone or Fax
Payment E-mail:   Capitation Hotline 515-235-4333

Case Management

To Contact Us About Electronic Resources Phone or Fax

A case management situation

800-552-3993, option 1, enter case manager’s extension

Submitting Precertification/Admission Notification or Continued Stay Review

BlueConnection® self-service tools:

800-552-3993, option 2

Submitting or tracking a Prior Approval request

BlueConnection® self-service tools:

800-552-3993, option 2
Fax: 515-248-5271

Claims

To Contact Us About Electronic Resources Phone or Fax

Challenging Coding Questions NOT Related to a Claim (For claims related questions, see Benefit and Claim Status Information.)

E-mail:      Coding Questions

Electronic claims submission

E-mail:      EDS EC (Electronic Commerce) Solutions

800-407-0267
Fax: 800-691-1038

Status

Information on:

Contracting and Credentialing

To Contact Us About Electronic Resource Phone or Fax
Contracting materials or billing numbers E-mail:   Provider Application and Credentialing 800-708-1342
515-245-5100
Fax: 515-235-4471
Changes in provider address or tax identification number (TIN) E-mail:   Provider Application and Credentialing 800-708-1342
515-245-5100
Fax: 515-235-4471

Disease Management

To Contact Us About Electronic Resource Phone or Fax
Asthma, diabetes, or cardiovascular disease management programs E-mail:     Disease Management 800-222-9862, option 1

Fraud

To Contact Us About Electronic Resource Phone or Fax
A case of suspected fraud E-mail:     Special Investigations 515-245-4908
Fax: 515-245-4711

Network Relations

To Contact Us About Network Relations Territory Map Phone or Fax

Policies, procedures or guidelines; requesting Network Relations Manager visit

View territory map 800-362-1697 (ask for Network Relations)
515-245-5167
Fax: 515-245-4620

Newsletter or Provider Guide

To Contact Us About Electronic Resource
Topic Suggestions / Feedback / Questions E-mail:   Provider Communications

Patient Referrals

To Contact Us About Electronic Resource Phone or Fax
Blue Choice® or Blue Advantage® E-mail:   Wellmark Health Plan of Iowa Provider/Customer Service Emergency Referrals: 877-353-7390
Faxed Referrals: 515-248-5554

Pharmacy

To Contact Us About Phone

Contracting, Reimbursement, Policies, Procedures, or Guidelines

800-600-8065

This Site

To Contact Us About Electronic Resource
Questions / Feedback E-mail:   Internet Team

Web Self-Service Tools

To Contact Us About Electronic Resource Phone or Fax
Support E-mail:   EDS EC (Electronic Commerce) Solutions 800-407-0267
Fax: 800-691-1038
BlueConnection® Self-serviceTools Self-service tools / Registration

Workshops

To Contact Us About Electronic Resource
Suggestions / Feedback E-mail:   Provider Education

 


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.


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