Welcome to Wellmark

Thank you for becoming a participating provider in Wellmark's networks. Next, we recommend completing the following steps, in order, so you can easily and efficiently work with Wellmark.

 

Important: Please do not complete these steps until you have received the welcome letter confirming your participation in Wellmark's networks.

Get secure provider portal access

This must be completed before you can move to the next sections on this page.

 

Register for Wellmark.com to access secure resources that allow providers to:

  • Make claims status inquiries
  • Check member information
  • Access the provider guide
  • View educational webinars
  • Reference provider fee schedules (participating providers only)

Submit claims

OR

Note: To be considered for reimbursement, all claims submitted to Wellmark must be received within 180 days from the date of service or the inpatient facility discharge date.

Set up payment tools

  1. Complete and submit the Electronic Funds Transfer (EFT) Enrollment form to receive electronic payments from Wellmark.
  2. Complete and submit the Electronic Remittance Advice (ERA) / 835 Enrollment form to receive electronic ERA's from Wellmark.

Use the resources

  1. Get to know your designated Wellmark Business Partner using the maps below:
  2. Bookmark the following webpages that you will frequently use when working with us.
WebpageDescription
Check member information tool Verify member benefits using this tool.
Provider guide Use the provider guide to get a detailed look at Wellmark's policies and guidelines.
Utilization Management Refer to this landing page for Utilization Management tools related to the authorization table, pre-service review and medical policies for Wellmark members.
Check a claim tool Use this tool to check claim receipt and status or to submit an inquiry on a finalized claim through the Ask and Track a question function.

 

Stay updated

  1. Register for the Wellmark Information Notification System (WINS) to receive real-time communications on topics that may impact the way you do business with Wellmark.
  2. Participate in monthly webinars designed to help you serve your patients more easily and efficiently.
  3. Subscribe to BlueInkSM, Wellmark's flagship provider publication. Published bimonthly, the in-depth articles are written to help you work more efficiently with Wellmark.

Credentialing

E-credentialing (E-cred) Central can be used to submit applications for credentialing, re-credentialing and non-participating providers. It is also used to submit change requests and complete directory validation requests that keep your organization's provider data current.

Questions?

Please refer to our Contact Us pages:


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Wellmark Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association doing business in Iowa and South Dakota.
 
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