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

Electronic Claim Transaction Registration/Enrollment Forms

• Complete and submit the Electronic Transaction Registration  packet to obtain a submitter number. You can use this number to file claims electronically with Wellmark.

OR

• Complete the Claims Submitter Number Registration form to use the Create and Submit tool for Wellmark professional claims.

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.

Coming in July 2021

Wellmark will be partnering with Availity for electronic data interchanges (EDI) transactions for electronic claim submissions (837), electronic remittance advices (ERA) (835) and requests and responses for eligibility and benefits (270/271). More information can be found at https://www.availity.com/wellmark .

See the Availity frequently asked questions document for more information.

Set up payment tools

1. Complete and submit the Electronic Funds Transfer (EFT) Enrollment form to receive electronic payments from Wellmark. Wellmark participating providers are contractually required to enroll in Electronic Funds Transfer. Frequently Asked Questions on EFT
2. Complete and submit the Electronic Remittance Advice (ERA) / 835 Enrollment form to receive electronic ERA's from Wellmark.
• With the transition to Availity, the process for electronic data interchanges (EDI) including electronic remittance advices (ETA) (835) will be changing. More information will be available at that time.

Use the resources

1. Get to know your designated Wellmark Business Partner using the maps below:
   • Iowa provider business partners — Iowa Territories Map
   • South Dakota provider business partners — South Dakota Territories Map
2. Bookmark the following webpages that you will frequently use when working with us.

Webpage	Description
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.
Manage Authorizations	Submit medical and drug authorizations and get related resources, such as medical policies and user guides.
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 BlueInk^SM, Wellmark's flagship provider publication. Published bimonthly, the in-depth articles are written to help you work more efficiently with Wellmark. Subscribe to get delivered to your inbox, or read the latest issue now.

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:

• Iowa providers
• South Dakota providers