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Medical Policies - Alphabetical Listing

View the Medical or Drug Authorization Tables to determine when to request an authorization.

 

InterQual® criteria is used to evaluate whether a medical procedure or equipment is medically necessary. Contracting practitioners can view InterQual criteria via SmartSheetsTM . DME providers and out-of-state providers can receive the SmartSheets via fax by calling 800-552-3993.

 

Wellmark’s medical policies are displayed as PDFs. All policies include bookmarks to help you navigate to specific sections. You can view bookmarks by clicking the second icon in the left navigation menu.

 

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