Learn about the various types of authorizations, and find out how and when to get the approvals you need.
View medical policies and criteria used by Wellmark, and learn whether pre-service review is required.
Get an overview of Wellmark's tool for submitting pre-service review requests.
Medical Policy OverviewLearn how medical policies are developed and used at Wellmark.
Medical Policies A-ZDetermine which treatment, procedure, service or supply may be eligible for coverage.
Find out how to access the criteria used in pre-service reviews.
Verify benefits, read applicable medical policies and initiate a pre-service review request.
Find out which treatments, procedures, services, or supplies require prior approval for FEP members.