Contact information for Providers

Network contracting and credentialing

Visit the credentialing page for contracting, credentialing and change requests.

Electronic claims registration and support

Visit the Availity website

Call: 1-800-282-4548 (1-800-AVAILITY)

Monday-Friday, 8 a.m. to 8 p.m. Central Time

Eligibility, benefits and claim status information

Log in to the provider portal to:

• Ask and track a question
• Check claim status
• View eligibility and benefits

Register for the provider portal

PPO/HMO plans (Iowa in-state)

• Call: 800-362-2218 Monday-Friday, 7:30 a.m. to 5 p.m. Central Time

Classic Blue and Blue Select (South Dakota in-state)

• Call: 800-774-3892 Monday–Friday, 7:30 a.m. to 5 p.m. Central Time
• Fax: 515-376-9098

BlueCard^® claims (out-of-state)

• Call: 800-701-0997

Eligibility and benefits (out-of-state)

• Call: 800-676-2583

See the Medicare Advantage dropdown for specific information on contacting Wellmark Advantage Health Plan.

Blue Dental^SM

Reimbursement, policies, procedures or guidelines.

• Call: 877-258-3685

Case Management

For a case management situation, call 800-552-3993, select option 1, enter case manager's extension.

Utilization management

For all medical precertification, continued stay and prior authorization requirements, start at the Medical Authorization Table to determine if pre-service review is required. Follow instructions for submission as listed in the Authorization Table.

For non-contracted providers, or providers outside the states of Iowa and South Dakota, call 800-552-3993 and select option 2.

Pharmacy

Pharmacy contracting, reimbursement, policies, procedures or guidelines.

• Call 800-600-8065

Monday–Friday, 7 a.m. to 7 p.m. Central Time

Saturday & Sunday, 8 a.m. to 5 p.m. Central Time

Federal Employee Program (FEP) (in-state)

Contact us securely through Ask & Track a Question

• Postal members: 800-864-3689
• Non-postal members: 800-532-1537
• Fax: 515-376-9066

Monday–Friday, 7:30 a.m. to 5 p.m. Central Time

Medicare Advantage

For benefits, claim inquiries and technical support:

• Call Provider Services: 1-855-716-2556
  Monday-Friday 8 a.m. to 5 p.m. Central Time

TriWest Healthcare Alliance^®

Wellmark works with TriWest Healthcare Alliance (TriWest) to offer a high-performing network of providers to serve military veterans, retirees and active military members and their families through the U.S. Department of Defense’s TRICARE contract. Health care delivery under the new TRICARE contract began Jan. 1, 2025.

For more information, check out these provider webpages from TriWest:

• Learn about TRICARE from TriWest.
• See the TRICARE West Region Provider Handbook.
• Call 866-690-0885 to speak to a TriWest representative.

Technical support

Wellmark help with electronic claim submission, digital tools and provider portal assistance:

• Submit form: Wellmark Technical Support (do not use for Wellmark Advantage Health Plan)
• Call: 800-407-0267
  Monday-Friday 7 a.m. to 5:30 p.m. Central Time

Medicare Advantage help with digital tools and provider portal assistance:

• Call Provider Services: 1-855-716-2556
  Monday-Friday 8 a.m. to 5 p.m. Central Time