Learn how to get your NPI and when to include it on claims.

Find the latest information about the new HIPAA 5010 requirements for electronic transactions.

Find out how to register to submit electronic claims to Wellmark, and learn what happens after you submit a claim.

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.

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 
• Provider Fee Schedules 
• Payment Update Information

Find out the claims filing guidelines for these ancillary services: independent clinical laboratories, durable medical equipment suppliers, and orthotics and prosthetics.