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Enrollment of Providers

Apply for Participation: Participation Agreements

(continued from Enrollment Forms)

Providers can participate with Wellmark by one of two contracting mechanisms. Contract and agreement may be used interchangeably.

1.Contract under a group arrangement, through a Provider Organization (PO) or a Provider Hospital Organization (PHO). Typically if a provider contracts through a group, PO or PHO, this organization “owns” the contract with Wellmark. The organization is accountable to facilitate the contracting portion of the enrollment process with Wellmark for their members.

2. Providers may contract directly with Wellmark as individuals and, as such, the individual provider “owns” the contract with Wellmark.

In order to participate in Wellmark's networks, the physician must sign the appropriate agreement(s). If you are a hospital based provider, review this information to determine if signing agreements is necessary.

To obtain your agreements, select your provider type from the box below and select Go.


If you are interested in obtaining a billing number and do not wish to participate, continue to Submitting Forms.

 


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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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