Provider Claims and Payment | Wellmark Blue Cross and Blue Shield

Claims and Payment

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Claims and Payment

Discover more about claim filing requirements, reviews, and Wellmark's payment and coding policies.


ICD-10 Diagnosis and Procedure Codes Stay updated as you prepare for the transition to ICD-10.			Submitting Electronic Claims Find out how to register to submit electronic claims to Wellmark, and learn what happens after you submit a claim.

Appeals and Inquiries Learn about Wellmark's preservice inquiry and postservice appeal processes. Electronic Transaction/HIPAA Guides Learn how to submit various types of claims, and how to check eligibility and benefits, and claims status. Enhanced Ambulatory Patient Groupings (EAPGs) Learn about Enhanced Ambulatory Patient Groupings (EAPGs), Wellmark's new outpatient facility payment methodology.			Payment and Coding Policies for Billers View policies for these types of claims: Professional Claims (CMS-1500) Outpatient Facility Claims (UB-04) Inpatient Facility Claims (UB-04) Important Secure Content iCAP Payment Policies Professional Fee Schedules

Ancillary Claims Find out the claims filing guidelines for these ancillary services: independent clinical laboratories, durable medical equipment suppliers, and orthotics and prosthetics.			Treo Website Access Request - Provider Payment Access Request form for providers to gain access to the Treo Sharepoint Site which holds Hospital and Facility payment information.

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