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Contacts for South Dakota Providers

Choose a topic below for contact information:

Address or tax identification number (TIN) changes
Benefit or Claim Status Information
BlueCard®—Coast to Coast Coverage
Case Management
Claims

Contracting and Credentialing
Disease Management
Fraud
Newsletter or Provider Guides
Network Relations

Pharmacy
This Site
Web Self-Service Tools
Workshops

Benefit or Claim Status Information

To Contact Us About	Electronic Resources	Phone or Fax
Classic Blue® and Blue Select®	E-mail: Wellmark Blue Cross and Blue Shield of South Dakota Provider Service BlueConnection® self-service tools: Check Claim Status View Eligibility and Benefits First time users	800-774-3892 605-373-7292 Fax: 605-373-7231
Federal Employee Program (FEP)	E-mail: Federal Employee Program Providers	888-800-1359 605-373-7475 Fax: 605-373-7497
Out-of-State Claims and Benefit Inquiries		BlueCard

BlueCard®—Coast to Coast Coverage

To Contact Us About	Phone
Claims	800-722-1631 605-373-7474
Eligibility	800-676-2583

Case Management

To Contact Us About

Electronic Resources

Phone or Fax

A case management situation

800-642-9273, option 1, enter case manager’s extension

Submitting Precertification/Admission Notification or Continued Stay Review

BlueConnection® self-service tools:

800-642-9273, option 2

Submitting or tracking a Prior Approval request

Access BlueConnection® self-service tools:

800-642-9273, 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: Classic Blue® and Blue Select® BlueCard® Federal Employee Program (FEP)

Contracting and Credentialing

To Contact Us About	Electronic Resource	Phone or Fax
Contracting materials or billing numbers	E-mail: Provider Application and Credentialing	800-700-9137 options 1 or 2 605-373-7460 Fax: 515-235-4471
Changes in provider address or tax identification number (TIN)	E-mail: Provider Application and Credentialing	800-700-9137 options 1 or 2 605-373-7460 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	515-245-4779 Fax: 515-245-4711

Newsletter or Provider Guide

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

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	800-700-9137 choose from options 3-6 605-373-7460 Fax: 605-373-7498

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-service Tools	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.