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Enrollment of Facilities/Entities in South Dakota

How the Process Works: Obtain a Provider Number

In order to submit claims to Wellmark, eligible providers must obtain a Wellmark-assigned provider number. Refer to the following table to begin the process:

If ... Then ...
You are an eligible provider seeking Wellmark network participation Complete the following application:
  • South Dakota Facility Application
You are an eligible provider who does not wish to participate with Wellmark Complete the following application:
  • South Dakota Facility Application

General Rules

General rules regarding provider number assignment:

  • Wellmark will use the number assigned by Centers for Medicare and Medicaid Services (CMS)
  • If CMS doesn't assign a number, Wellmark will assign a unique provider number

Continue to Screening.



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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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