Submitting Claims Electronically

• Improved operating efficiency
• Improved staff productivity
• Rapid notification of claim acceptance and rejection
• Lower administration cost
• Increased business/financial control

Tools EC Solutions offers include:

Free Electronic Claim Submission
Submit Wellmark claims directly with no per claim charges via claim software or via BlueConnection® tools (most other insurance companies can be handled at little or no cost)

Electronic Reports
Reports that show claim status from several points in the path to payment are available for you to download to your computer. Data is available within 24 hours of submission

BlueConnection® Tools
EC Solutions supports BlueConnection, Wellmark’s package of online tools:

• Eligibility Verification — Verify a patient’s plan eligibility instantly
• Claim Status — On-line status and reports of submitted claims
• Prior Approval — Obtain a medical necessity determination
• Precertification — Precertify admissions, procedures, and services
• Create & Submit Claims — On-line claim entry for CMS-1500

Electronic Remittance Advice
Receive HIPAA compliant electronic remittance advice (ERA) (ANSI 835)

Free Technical Support
EC Solutions Assistance Center provides free technical support and can be reached through a dedicated 800 number 1-800-407-0267 and via e-mail

Free Electronic Claims Training
EC Solutions offers workshops designed for providers who are new to electronic transaction and for those who would like to gain more knowledge related to electronic transactions

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.