hipaa-as for providers
Use this section to find information for health care practitioners and facilities:
Format 835: electronic remittance advice
Wellmark uses Availity for electronic data interchanges (EDI) transactions, so simply log in to Availity External Site for electronic remittance advices (ERA) (835). Don't have an account? Register here External Site.
Yes. If you are registered to receive an 835, one will be produced no matter how the claims are received by Wellmark (on paper or electronically).
No, remittances available on wellmark.com (equivalent to paper PCRs) have fewer fields populated than those sent electronically. The 835 format is design to auto-post to your accounts receivable system. Other remittances require manually posting and therefore are in a more ‘reader friendly' format.
The PCRs are available on Wellmark.com for providers to access. However, the 835 will contain more complete information.
No, you must use a separate EFT form Secure Site. The form can also be found on the Provider claims & payment page.
If you need assistance regarding the steps necessary to auto-post to your accounts receivable system, you must contact your software vendor.
If you need assistance on how the 835 process works or the information received in the 835, you may contact Wellmark Technical Support at 800-407-0267.
Format 837: health care claims
Wellmark uses Availity for electronic data interchanges (EDI) transactions including:
- Electronic claim submissions (837)
- Electronic remittance advices (ERA) (835)
- Requests and responses for eligibility and benefits (270/271)
Log in to Availity External Site
Don't have an Availity account? Register here External Site.
Availity frequently asked questions PDF File for more information.
If you are concerned about finding a method for sending your claims electronically, please contact Availity External Site and they can help you with a solution.
Availity will provide an initial receipt of the claims with acceptance or rejection on the 277CA for each claim submitted to Wellmark.
Submitters are required to send claims in a HIPAA-compliant format (ANSI 837x5010 transaction).
