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Register to securely submit electronic claims to Wellmark:
- Registration Instructions and Forms
Includes:
- Electronic Transaction Registration Form for the following transactions:
- Signature and Audit Agreement
- Provider Authorization for Electronic Transactions Via Third Party
- Submitter Change of Address Request Form
- Cancellation Request
- Forms for 835 and EFT:
Log in to learn more  , including
- What Happens After You Submit a Claim?
- Testing with Wellmark
- Requirements for Testing Claims Electronically
- Additional Information Regarding Testing
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Register now
I need secure access to:
Tools and resources related to:
- Claims
- Payment
- Benefits
- Utilization Management
Take me there.
E-credentialing Central to access these tools:
- Application Tool (coming soon)
- Change Request Tool
- Recredentialing Tool
- Provider Directory Update Tool (coming soon)
- Submission Status Tracker
- Submission History Tool
- View my Organization
- Manage my Users
Take me there.
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