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Medical Policies and Authorizations
    
Pre-service Review for Out-of-Area Members

Includes notification, pre-certification, pre-authorization and prior approval.

  

Get the forms you need to obtain a review for medical necessity, and learn about Wellmark member requirements and Federal Employee Program (FEP) member requirements.

    
Authorizations

Find out the difference between the various types of authorizations, and learn how and when to get the approvals you need.

  

Medical Policies
Determine what treatment, procedure, service or supply may be eligible for coverage.

    
Pre-Service Review Changes

Learn about the changes occurring in Wellmark’s pre-service review program.

  
    

Wellmark.com Quick Links

» Authorization Table
» Billing Guides
» Drug Information
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» Find a Doctor or Hospital
» Forms
» Health Care Reform
» ICD-10
» Medical Policies

Related Information

» Prior Authorization and Treatment Request Forms
» Radiology Pre-Service Appeal/Post-Service Inquiry Process
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