Use this section to find information for health care practitioners and facilities:
Format 835: Electronic Remittance Advice
Complete the Electronic Transactions Registration Packet. If you need assistance to complete the forms, contact EC Solutions at 800-407-0267. Note: You must obtain a provider number from Wellmark if you do not already have one.
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.
As of 8/1/2013, paper PCRs will no longer be issued. The PCRs are available on wellmark.com for providers to access. However, the 835 will contain more complete information.
Complete the Electronic Transaction Registration Packet. If you need assistance to complete the forms, contact EC Solutions at 800-407-0267. Note: You must be enrolled with Wellmark to complete the registration process.
If you are concerned about finding a method for sending your claims electronically, please call the EC Solutions Sales team at 800-407-0267 and they can help you with a solution.
The first available report is the TXN which is an accept/reject report based on standard format and patient eligibility. The second report available is the Z16 which is an accept/reject report based on payer specifications.
Submitters are required to send claims in a HIPAA-compliant format (ANSI 837x4010A1 transaction).