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Wellmark Inc. All rights reserved. Wellmark Blue Cross and Blue Shield of Iowa, Wellmark Health Plan of Iowa, Inc., Wellmark Blue Cross and Blue Shield of South COVID-19 PROVIDER UPDATES Wellmark’s response to COVID-19. Wellmark’s top priority is to ensure the health and safety of our members. We continue to follow the developing guidance of local, state and federal health officials regarding the impact of the coronavirus (COVID-19). To support the healthcare system and providers to contain and minimize the impact ofCOVID
ONLINE EXPLANATION OF BENEFITS Three easy steps to go digital. Join the thousands of members who already rely on the security and convenience of online EOBs. Log in to myWellmark and sign up in three easy steps. Select Profile from the menu at the top. Click the Notifications tab. Choose Email for Explanation of Benefits (EOB), then Agree and Save. Log In Register. FIND A DOCTOR, PROVIDER, DENTIST, PHARMACY OR FACILITY Find a primary care provider, specialist, hospital, specialty facility, or medical equipment provider for you or your family member. Get customized results, based on your plan’s network, when you log in or register for myWellmark. On the homepage, click Find a Provider or Find a Facility to search. External Link to Find a provider orfacility.
MYWELLMARK
You are now leaving myWellmark.com. By selecting continue you will be leaving Wellmark's website and going to caremark.com, operated by CVS/caremark®. CVS/caremark is an independent company providing pharmacy benefit management services on behalf of Wellmark. CVS/caremark is responsible for the content delivered on this website,including the
THE WELLMARK FOUNDATION SMALL MATCH GRANT APPLICATION The Wellmark Foundation Small MATCH Grant application available. DES MOINES, IA – The Wellmark Foundation is now accepting applications for its Small Matching Assets to Community Health (MATCH) Grant. Applications are due May 26. The Small MATCH Grant is for up to $25,000 and must be matched at 50 percent with cash or in-kindcontributions.
E-CREDENTIALING CENTRAL E-credentialing (E-cred) Central makes it easy. Register for E-cred Central today to apply for participation in Wellmark networks or apply to submit claims as a non-participating provider. Also, easily submit change requests to ensure provider information in the Provider Directory is accurate. GRANTS | THE WELLMARK FOUNDATION Grants. The Wellmark Foundation seeks to help Iowans and South Dakotans create communities that support healthy and active lifestyles. In 2021, we seek to fund projects that provide access to healthy foods and safe environments to be physically active in. Large MATCH Grant Application – requests up to $100,000 – due Feb. 17,2021.
GENETIC TESTING FOR BCR-ABL FUSION GENE BCR-ABL cytogenetic testing detects the presence of the 9;22 translocation and the BCR-ABL fusion gene within somatic cells. This test may also identify an additional copy of Ph in cells or an atypical 9/22 translocation. Cytogenetic testing is indicated as an initial evaluation for patients suspected to have chronic myeloidleukemia (CML) or
WELLMARK BLUE CROSS AND BLUE SHIELDLOG IN / REGISTERINDIVIDUALS & FAMILIES START HEREMEDICARE START HEREFOR EMPLOYERSFOR PRODUCERS Wellmark earns perfect score in 2021 Corporate Equality Index. 2020–2021 Marvin Pomerantz Graduate Student Scholarship winner announced. Wellmark CEO recognized for outstanding health care leadership by the National Institute for Health Care Management. Wellmark debuts e-book to help employers understand millennial healthtrends.
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Wellmark Inc. All rights reserved. Wellmark Blue Cross and Blue Shield of Iowa, Wellmark Health Plan of Iowa, Inc., Wellmark Blue Cross and Blue Shield of South COVID-19 PROVIDER UPDATES Wellmark’s response to COVID-19. Wellmark’s top priority is to ensure the health and safety of our members. We continue to follow the developing guidance of local, state and federal health officials regarding the impact of the coronavirus (COVID-19). To support the healthcare system and providers to contain and minimize the impact ofCOVID
ONLINE EXPLANATION OF BENEFITS Three easy steps to go digital. Join the thousands of members who already rely on the security and convenience of online EOBs. Log in to myWellmark and sign up in three easy steps. Select Profile from the menu at the top. Click the Notifications tab. Choose Email for Explanation of Benefits (EOB), then Agree and Save. Log In Register. FIND A DOCTOR, PROVIDER, DENTIST, PHARMACY OR FACILITY Find a primary care provider, specialist, hospital, specialty facility, or medical equipment provider for you or your family member. Get customized results, based on your plan’s network, when you log in or register for myWellmark. On the homepage, click Find a Provider or Find a Facility to search. External Link to Find a provider orfacility.
MYWELLMARK
You are now leaving myWellmark.com. By selecting continue you will be leaving Wellmark's website and going to caremark.com, operated by CVS/caremark®. CVS/caremark is an independent company providing pharmacy benefit management services on behalf of Wellmark. CVS/caremark is responsible for the content delivered on this website,including the
THE WELLMARK FOUNDATION SMALL MATCH GRANT APPLICATION The Wellmark Foundation Small MATCH Grant application available. DES MOINES, IA – The Wellmark Foundation is now accepting applications for its Small Matching Assets to Community Health (MATCH) Grant. Applications are due May 26. The Small MATCH Grant is for up to $25,000 and must be matched at 50 percent with cash or in-kindcontributions.
E-CREDENTIALING CENTRAL E-credentialing (E-cred) Central makes it easy. Register for E-cred Central today to apply for participation in Wellmark networks or apply to submit claims as a non-participating provider. Also, easily submit change requests to ensure provider information in the Provider Directory is accurate. GRANTS | THE WELLMARK FOUNDATION Grants. The Wellmark Foundation seeks to help Iowans and South Dakotans create communities that support healthy and active lifestyles. In 2021, we seek to fund projects that provide access to healthy foods and safe environments to be physically active in. Large MATCH Grant Application – requests up to $100,000 – due Feb. 17,2021.
GENETIC TESTING FOR BCR-ABL FUSION GENE BCR-ABL cytogenetic testing detects the presence of the 9;22 translocation and the BCR-ABL fusion gene within somatic cells. This test may also identify an additional copy of Ph in cells or an atypical 9/22 translocation. Cytogenetic testing is indicated as an initial evaluation for patients suspected to have chronic myeloidleukemia (CML) or
MYWELLMARK
From picking a plan to knowing where to go in an emergency, myWellmark has you covered. With tools and resources available at your fingertips, you’ll have the information you need 24/7. COVID-19 PROVIDER UPDATES Questions. Visit our COVID-19 health system and provider FAQ (updated 1/21/21) for answers to commonly asked questions. For further questions, please contact your Network Engagement Business Partner. Register for the Wellmark Information Notification System (WINS) to receive real-time updates. FIND A DOCTOR, PROVIDER, DENTIST, PHARMACY OR FACILITY Find a primary care provider, specialist, hospital, specialty facility, or medical equipment provider for you or your family member. Get customized results, based on your plan’s network, when you log in or register for myWellmark. On the homepage, click Find a Provider or Find a Facility to search. External Link to Find a provider orfacility.
PROVIDER INFORMATION Get set up with all the right tools for working with Wellmark. Stay up to date with the BlueInk publication. Help patients with a different Blue Cross and Blue Shield Plan. Health care and pharmacy programs. Start the authorization process and get related resources. Programs to APPROVALS AND AUTHORIZATIONS Just know that we are working to not only approve your doctor’s recommendation, but approve it quickly. Once approved, your approval or authorization is valid for a certain length of time, usually 90 days. After that, a new approval is required. If your procedure is not approved, however, it doesn’t mean you can’t have the procedure,it
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What are the first three characters of your ID number? Not sure? Check your ID card. * Indicates required field E-CREDENTIALING CENTRAL E-credentialing (E-cred) Central makes it easy. Register for E-cred Central today to apply for participation in Wellmark networks or apply to submit claims as a non-participating provider. Also, easily submit change requests to ensure provider information in the Provider Directory is accurate. WELLMARK WILL OFFER NEW MEDICARE ADVANTAGE OPTIONS THIS DES MOINES, IA – Wellmark Blue Cross and Blue Shield will offer new Medicare Advantage plans to Iowans and South Dakotans this fall, pending approval from the Centers for Medicare & Medicaid Services' (CMS). Our new affiliate, Wellmark Advantage Health Plan, will offer the new Medicare Advantage options during this year's annual election period October 15 through December 7, for DRUG LIST | WELLMARK The Wellmark Drug List helps guide physicians and pharmacists in choosing medications for you that provide the right treatment for the best price. A committee of statewide pharmacists and physicians meet several times a year to update the list by analyzing new drugs and re-evaluating existing ones based on safety, cost and effectiveness. HOW TO BOOST YOUR EMPLOYEES' BRAIN POWER Meetings, meetings after the meetings, note-taking, follow ups, coffee breaks — the list goes on. Your employees may start to feel as if there isn’t enough time for WELLMARK BLUE CROSS AND BLUE SHIELDLOG IN / REGISTERINDIVIDUALS & FAMILIES START HEREMEDICARE START HEREFOR EMPLOYERSFOR PRODUCERS Wellmark earns perfect score in 2021 Corporate Equality Index. 2020–2021 Marvin Pomerantz Graduate Student Scholarship winner announced. Wellmark CEO recognized for outstanding health care leadership by the National Institute for Health Care Management. Wellmark debuts e-book to help employers understand millennial healthtrends.
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Wellmark Inc. All rights reserved. Wellmark Blue Cross and Blue Shield of Iowa, Wellmark Health Plan of Iowa, Inc., Wellmark Blue Cross and Blue Shield of South FIND A DOCTOR, PROVIDER, DENTIST, PHARMACY OR FACILITY Find a primary care provider, specialist, hospital, specialty facility, or medical equipment provider for you or your family member. Get customized results, based on your plan’s network, when you log in or register for myWellmark. On the homepage, click Find a Provider or Find a Facility to search. External Link to Find a provider orfacility.
MYWELLMARK
You are now leaving myWellmark.com. By selecting continue you will be leaving Wellmark's website and going to caremark.com, operated by CVS/caremark®. CVS/caremark is an independent company providing pharmacy benefit management services on behalf of Wellmark. CVS/caremark is responsible for the content delivered on this website,including the
ONLINE EXPLANATION OF BENEFITS Three easy steps to go digital. Join the thousands of members who already rely on the security and convenience of online EOBs. Log in to myWellmark and sign up in three easy steps. Select Profile from the menu at the top. Click the Notifications tab. Choose Email for Explanation of Benefits (EOB), then Agree and Save. Log In Register. GRANTS | THE WELLMARK FOUNDATION Grants. The Wellmark Foundation seeks to help Iowans and South Dakotans create communities that support healthy and active lifestyles. In 2021, we seek to fund projects that provide access to healthy foods and safe environments to be physically active in. Large MATCH Grant Application – requests up to $100,000 – due Feb. 17,2021.
APPROVALS AND AUTHORIZATIONS THE WELLMARK FOUNDATION SMALL MATCH GRANT APPLICATION The Wellmark Foundation Small MATCH Grant application available. DES MOINES, IA – The Wellmark Foundation is now accepting applications for its Small Matching Assets to Community Health (MATCH) Grant. Applications are due May 26. The Small MATCH Grant is for up to $25,000 and must be matched at 50 percent with cash or in-kindcontributions.
E-CREDENTIALING CENTRAL E-credentialing (E-cred) Central makes it easy. Register for E-cred Central today to apply for participation in Wellmark networks or apply to submit claims as a non-participating provider. Also, easily submit change requests to ensure provider information in the Provider Directory is accurate. JIVA GUIDANCE AND TROUBLESHOOTING o Users must mark “complete” after the InterQual review is finished and close the browser tab to pull the clinical review back into Jiva. o To confirm the InterQual review is completed in the Jiva episode in outpatient service requests, look in the “ReviewStatus” column
WELLMARK BLUE CROSS AND BLUE SHIELDLOG IN / REGISTERINDIVIDUALS & FAMILIES START HEREMEDICARE START HEREFOR EMPLOYERSFOR PRODUCERS Wellmark earns perfect score in 2021 Corporate Equality Index. 2020–2021 Marvin Pomerantz Graduate Student Scholarship winner announced. Wellmark CEO recognized for outstanding health care leadership by the National Institute for Health Care Management. Wellmark debuts e-book to help employers understand millennial healthtrends.
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Wellmark Inc. All rights reserved. Wellmark Blue Cross and Blue Shield of Iowa, Wellmark Health Plan of Iowa, Inc., Wellmark Blue Cross and Blue Shield of South FIND A DOCTOR, PROVIDER, DENTIST, PHARMACY OR FACILITY Find a primary care provider, specialist, hospital, specialty facility, or medical equipment provider for you or your family member. Get customized results, based on your plan’s network, when you log in or register for myWellmark. On the homepage, click Find a Provider or Find a Facility to search. External Link to Find a provider orfacility.
MYWELLMARK
You are now leaving myWellmark.com. By selecting continue you will be leaving Wellmark's website and going to caremark.com, operated by CVS/caremark®. CVS/caremark is an independent company providing pharmacy benefit management services on behalf of Wellmark. CVS/caremark is responsible for the content delivered on this website,including the
ONLINE EXPLANATION OF BENEFITS Three easy steps to go digital. Join the thousands of members who already rely on the security and convenience of online EOBs. Log in to myWellmark and sign up in three easy steps. Select Profile from the menu at the top. Click the Notifications tab. Choose Email for Explanation of Benefits (EOB), then Agree and Save. Log In Register. GRANTS | THE WELLMARK FOUNDATION Grants. The Wellmark Foundation seeks to help Iowans and South Dakotans create communities that support healthy and active lifestyles. In 2021, we seek to fund projects that provide access to healthy foods and safe environments to be physically active in. Large MATCH Grant Application – requests up to $100,000 – due Feb. 17,2021.
APPROVALS AND AUTHORIZATIONS THE WELLMARK FOUNDATION SMALL MATCH GRANT APPLICATION The Wellmark Foundation Small MATCH Grant application available. DES MOINES, IA – The Wellmark Foundation is now accepting applications for its Small Matching Assets to Community Health (MATCH) Grant. Applications are due May 26. The Small MATCH Grant is for up to $25,000 and must be matched at 50 percent with cash or in-kindcontributions.
E-CREDENTIALING CENTRAL E-credentialing (E-cred) Central makes it easy. Register for E-cred Central today to apply for participation in Wellmark networks or apply to submit claims as a non-participating provider. Also, easily submit change requests to ensure provider information in the Provider Directory is accurate. JIVA GUIDANCE AND TROUBLESHOOTING o Users must mark “complete” after the InterQual review is finished and close the browser tab to pull the clinical review back into Jiva. o To confirm the InterQual review is completed in the Jiva episode in outpatient service requests, look in the “ReviewStatus” column
MYWELLMARK
From picking a plan to knowing where to go in an emergency, myWellmark has you covered. With tools and resources available at your fingertips, you’ll have the information you need 24/7. APPROVALS AND AUTHORIZATIONS Just know that we are working to not only approve your doctor’s recommendation, but approve it quickly. Once approved, your approval or authorization is valid for a certain length of time, usually 90 days. After that, a new approval is required. If your procedure is not approved, however, it doesn’t mean you can’t have the procedure,it
ONLINE EXPLANATION OF BENEFITS Three easy steps to go digital. Join the thousands of members who already rely on the security and convenience of online EOBs. Log in to myWellmark and sign up in three easy steps. Select Profile from the menu at the top. Click the Notifications tab. Choose Email for Explanation of Benefits (EOB), then Agree and Save. Log In Register. CONTACT US | WELLMARK Wellmark health insurance plan: 800-524-9242 (TTY: 888-781-4262), Monday through Friday from 7:30 a.m. to 5:00 p.m. (Central Time). For more efficient service, please have your member ID number handy - it can be found on the front of your card. Avēsis is an independentcompany.
REQUIRED AUTHORIZATIONS FOR COVID-19 To serve our members and support the health care system during the rapidly evolving COVID-19 pandemic, Wellmark Blue Cross and Blue Shield has made additional changes related to authorizations for required prior approvals for specified surgeries and procedures. Any new prior approval request received on or after November 17, 2020 forthe below
WELLMARK WILL OFFER NEW MEDICARE ADVANTAGE OPTIONS THIS DES MOINES, IA – Wellmark Blue Cross and Blue Shield will offer new Medicare Advantage plans to Iowans and South Dakotans this fall, pending approval from the Centers for Medicare & Medicaid Services' (CMS). Our new affiliate, Wellmark Advantage Health Plan, will offer the new Medicare Advantage options during this year's annual election period October 15 through December 7, forDOCTOR FINDER
What are the first three characters of your ID number? Not sure? Check your ID card. * Indicates required field E-CREDENTIALING CENTRAL E-credentialing (E-cred) Central makes it easy. Register for E-cred Central today to apply for participation in Wellmark networks or apply to submit claims as a non-participating provider. Also, easily submit change requests to ensure provider information in the Provider Directory is accurate. DRUG LIST | WELLMARK The Wellmark Drug List helps guide physicians and pharmacists in choosing medications for you that provide the right treatment for the best price. A committee of statewide pharmacists and physicians meet several times a year to update the list by analyzing new drugs and re-evaluating existing ones based on safety, cost and effectiveness. HOW TO BOOST YOUR EMPLOYEES' BRAIN POWER Meetings, meetings after the meetings, note-taking, follow ups, coffee breaks — the list goes on. Your employees may start to feel as if there isn’t enough time for WELLMARK BLUE CROSS AND BLUE SHIELDLOG IN / REGISTERINDIVIDUALS & FAMILIES START HEREMEDICARE START HEREFOR EMPLOYERSFOR PRODUCERS Wellmark earns perfect score in 2021 Corporate Equality Index. 2020–2021 Marvin Pomerantz Graduate Student Scholarship winner announced. Wellmark CEO recognized for outstanding health care leadership by the National Institute for Health Care Management. Wellmark debuts e-book to help employers understand millennial healthtrends.
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Wellmark Inc. All rights reserved. Wellmark Blue Cross and Blue Shield of Iowa, Wellmark Health Plan of Iowa, Inc., Wellmark Blue Cross and Blue Shield of South COVID-19 PROVIDER UPDATES Wellmark’s response to COVID-19. Wellmark’s top priority is to ensure the health and safety of our members. We continue to follow the developing guidance of local, state and federal health officials regarding the impact of the coronavirus (COVID-19). To support the healthcare system and providers to contain and minimize the impact ofCOVID
REQUIRED AUTHORIZATIONS FOR COVID-19 THE WELLMARK FOUNDATION The Wellmark Foundation 1331 Grand Avenue, Station 5W447 Des Moines, IA 50309 WellmarkFoundation@Wellmark.com APPROVALS AND AUTHORIZATIONS E-CREDENTIALING CENTRAL E-credentialing (E-cred) Central makes it easy. Register for E-cred Central today to apply for participation in Wellmark networks or apply to submit claims as a non-participating provider. Also, easily submit change requests to ensure provider information in the Provider Directory is accurate.MYWELLMARK
You are now leaving myWellmark.com. By selecting continue you will be leaving Wellmark's website and going to caremark.com, operated by CVS/caremark®. CVS/caremark is an independent company providing pharmacy benefit management services on behalf of Wellmark. CVS/caremark is responsible for the content delivered on this website,including the
DRUG LIST | WELLMARK The Wellmark Drug List helps guide physicians and pharmacists in choosing medications for you that provide the right treatment for the best price. A committee of statewide pharmacists and physicians meet several times a year to update the list by analyzing new drugs and re-evaluating existing ones based on safety, cost and effectiveness.AUTHORIZATION TABLE
The Wellmark Authorization table is a resource to help you determine when to request a pre-service review. It includes a complete list of services, procedures, and equipment that require pre-service review or have a Wellmark medical policy. Reviewed on a monthly basis to determine if updates are necessary based on services and proceduresthat
WELLMARK BLUE CROSS AND BLUE SHIELDLOG IN / REGISTERINDIVIDUALS & FAMILIES START HEREMEDICARE START HEREFOR EMPLOYERSFOR PRODUCERS Wellmark earns perfect score in 2021 Corporate Equality Index. 2020–2021 Marvin Pomerantz Graduate Student Scholarship winner announced. Wellmark CEO recognized for outstanding health care leadership by the National Institute for Health Care Management. Wellmark debuts e-book to help employers understand millennial healthtrends.
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Wellmark Inc. All rights reserved. Wellmark Blue Cross and Blue Shield of Iowa, Wellmark Health Plan of Iowa, Inc., Wellmark Blue Cross and Blue Shield of South COVID-19 PROVIDER UPDATES Wellmark’s response to COVID-19. Wellmark’s top priority is to ensure the health and safety of our members. We continue to follow the developing guidance of local, state and federal health officials regarding the impact of the coronavirus (COVID-19). To support the healthcare system and providers to contain and minimize the impact ofCOVID
REQUIRED AUTHORIZATIONS FOR COVID-19 THE WELLMARK FOUNDATION The Wellmark Foundation 1331 Grand Avenue, Station 5W447 Des Moines, IA 50309 WellmarkFoundation@Wellmark.com APPROVALS AND AUTHORIZATIONS E-CREDENTIALING CENTRAL E-credentialing (E-cred) Central makes it easy. Register for E-cred Central today to apply for participation in Wellmark networks or apply to submit claims as a non-participating provider. Also, easily submit change requests to ensure provider information in the Provider Directory is accurate.MYWELLMARK
You are now leaving myWellmark.com. By selecting continue you will be leaving Wellmark's website and going to caremark.com, operated by CVS/caremark®. CVS/caremark is an independent company providing pharmacy benefit management services on behalf of Wellmark. CVS/caremark is responsible for the content delivered on this website,including the
DRUG LIST | WELLMARK The Wellmark Drug List helps guide physicians and pharmacists in choosing medications for you that provide the right treatment for the best price. A committee of statewide pharmacists and physicians meet several times a year to update the list by analyzing new drugs and re-evaluating existing ones based on safety, cost and effectiveness.AUTHORIZATION TABLE
The Wellmark Authorization table is a resource to help you determine when to request a pre-service review. It includes a complete list of services, procedures, and equipment that require pre-service review or have a Wellmark medical policy. Reviewed on a monthly basis to determine if updates are necessary based on services and proceduresthat
MYWELLMARK
From picking a plan to knowing where to go in an emergency, myWellmark has you covered. With tools and resources available at your fingertips, you’ll have the information you need 24/7. COVID-19 PROVIDER UPDATES Questions. Visit our COVID-19 health system and provider FAQ (updated 1/21/21) for answers to commonly asked questions. For further questions, please contact your Network Engagement Business Partner. Register for the Wellmark Information Notification System (WINS) to receive real-time updates. APPROVALS AND AUTHORIZATIONS Just know that we are working to not only approve your doctor’s recommendation, but approve it quickly. Once approved, your approval or authorization is valid for a certain length of time, usually 90 days. After that, a new approval is required. If your procedure is not approved, however, it doesn’t mean you can’t have the procedure,it
REQUIRED AUTHORIZATIONS FOR COVID-19 To serve our members and support the health care system during the rapidly evolving COVID-19 pandemic, Wellmark Blue Cross and Blue Shield has made additional changes related to authorizations for required prior approvals for specified surgeries and procedures. Any new prior approval request received on or after November 17, 2020 forthe below
ONLINE EXPLANATION OF BENEFITS Three easy steps to go digital. Join the thousands of members who already rely on the security and convenience of online EOBs. Log in to myWellmark and sign up in three easy steps. Select Profile from the menu at the top. Click the Notifications tab. Choose Email for Explanation of Benefits (EOB), then Agree and Save. Log In Register. DRUG LIST | WELLMARK The Wellmark Drug List helps guide physicians and pharmacists in choosing medications for you that provide the right treatment for the best price. A committee of statewide pharmacists and physicians meet several times a year to update the list by analyzing new drugs and re-evaluating existing ones based on safety, cost and effectiveness. WELLMARK WILL OFFER NEW MEDICARE ADVANTAGE OPTIONS THIS DES MOINES, IA – Wellmark Blue Cross and Blue Shield will offer new Medicare Advantage plans to Iowans and South Dakotans this fall, pending approval from the Centers for Medicare & Medicaid Services' (CMS). Our new affiliate, Wellmark Advantage Health Plan, will offer the new Medicare Advantage options during this year's annual election period October 15 through December 7, forDOCTOR FINDER
What are the first three characters of your ID number? Not sure? Check your ID card. * Indicates required fieldFORMS FOR PROVIDERS
Network Participation Forms . All forms regarding network participation are available at our Credentialing and Contracting page. On our page, you will also find the Credentialing Submission Tracker where you are able to track the status of your applications, recredentialing submissions, and change requests. HOW TO BOOST YOUR EMPLOYEES' BRAIN POWER Meetings, meetings after the meetings, note-taking, follow ups, coffee breaks — the list goes on. Your employees may start to feel as if there isn’t enough time for WELLMARK BLUE CROSS AND BLUE SHIELDLOG IN / REGISTERINDIVIDUALS & FAMILIES START HEREMEDICARE START HEREFOR EMPLOYERSFOR PRODUCERS Wellmark earns perfect score in 2021 Corporate Equality Index. 2020–2021 Marvin Pomerantz Graduate Student Scholarship winner announced. Wellmark CEO recognized for outstanding health care leadership by the National Institute for Health Care Management. Wellmark debuts e-book to help employers understand millennial healthtrends.
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Wellmark Inc. All rights reserved. Wellmark Blue Cross and Blue Shield of Iowa, Wellmark Health Plan of Iowa, Inc., Wellmark Blue Cross and Blue Shield of South COVID-19 PROVIDER UPDATES Wellmark’s response to COVID-19. Wellmark’s top priority is to ensure the health and safety of our members. We continue to follow the developing guidance of local, state and federal health officials regarding the impact of the coronavirus (COVID-19). To support the healthcare system and providers to contain and minimize the impact ofCOVID
REQUIRED AUTHORIZATIONS FOR COVID-19 THE WELLMARK FOUNDATION The Wellmark Foundation 1331 Grand Avenue, Station 5W447 Des Moines, IA 50309 WellmarkFoundation@Wellmark.com APPROVALS AND AUTHORIZATIONS E-CREDENTIALING CENTRAL E-credentialing (E-cred) Central makes it easy. Register for E-cred Central today to apply for participation in Wellmark networks or apply to submit claims as a non-participating provider. Also, easily submit change requests to ensure provider information in the Provider Directory is accurate.MYWELLMARK
You are now leaving myWellmark.com. By selecting continue you will be leaving Wellmark's website and going to caremark.com, operated by CVS/caremark®. CVS/caremark is an independent company providing pharmacy benefit management services on behalf of Wellmark. CVS/caremark is responsible for the content delivered on this website,including the
DRUG LIST | WELLMARK The Wellmark Drug List helps guide physicians and pharmacists in choosing medications for you that provide the right treatment for the best price. A committee of statewide pharmacists and physicians meet several times a year to update the list by analyzing new drugs and re-evaluating existing ones based on safety, cost and effectiveness.AUTHORIZATION TABLE
The Wellmark Authorization table is a resource to help you determine when to request a pre-service review. It includes a complete list of services, procedures, and equipment that require pre-service review or have a Wellmark medical policy. Reviewed on a monthly basis to determine if updates are necessary based on services and proceduresthat
WELLMARK BLUE CROSS AND BLUE SHIELDLOG IN / REGISTERINDIVIDUALS & FAMILIES START HEREMEDICARE START HEREFOR EMPLOYERSFOR PRODUCERS Wellmark earns perfect score in 2021 Corporate Equality Index. 2020–2021 Marvin Pomerantz Graduate Student Scholarship winner announced. Wellmark CEO recognized for outstanding health care leadership by the National Institute for Health Care Management. Wellmark debuts e-book to help employers understand millennial healthtrends.
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Wellmark Inc. All rights reserved. Wellmark Blue Cross and Blue Shield of Iowa, Wellmark Health Plan of Iowa, Inc., Wellmark Blue Cross and Blue Shield of South COVID-19 PROVIDER UPDATES Wellmark’s response to COVID-19. Wellmark’s top priority is to ensure the health and safety of our members. We continue to follow the developing guidance of local, state and federal health officials regarding the impact of the coronavirus (COVID-19). To support the healthcare system and providers to contain and minimize the impact ofCOVID
REQUIRED AUTHORIZATIONS FOR COVID-19 THE WELLMARK FOUNDATION The Wellmark Foundation 1331 Grand Avenue, Station 5W447 Des Moines, IA 50309 WellmarkFoundation@Wellmark.com APPROVALS AND AUTHORIZATIONS E-CREDENTIALING CENTRAL E-credentialing (E-cred) Central makes it easy. Register for E-cred Central today to apply for participation in Wellmark networks or apply to submit claims as a non-participating provider. Also, easily submit change requests to ensure provider information in the Provider Directory is accurate.MYWELLMARK
You are now leaving myWellmark.com. By selecting continue you will be leaving Wellmark's website and going to caremark.com, operated by CVS/caremark®. CVS/caremark is an independent company providing pharmacy benefit management services on behalf of Wellmark. CVS/caremark is responsible for the content delivered on this website,including the
DRUG LIST | WELLMARK The Wellmark Drug List helps guide physicians and pharmacists in choosing medications for you that provide the right treatment for the best price. A committee of statewide pharmacists and physicians meet several times a year to update the list by analyzing new drugs and re-evaluating existing ones based on safety, cost and effectiveness.AUTHORIZATION TABLE
The Wellmark Authorization table is a resource to help you determine when to request a pre-service review. It includes a complete list of services, procedures, and equipment that require pre-service review or have a Wellmark medical policy. Reviewed on a monthly basis to determine if updates are necessary based on services and proceduresthat
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From picking a plan to knowing where to go in an emergency, myWellmark has you covered. With tools and resources available at your fingertips, you’ll have the information you need 24/7. COVID-19 PROVIDER UPDATES Questions. Visit our COVID-19 health system and provider FAQ (updated 1/21/21) for answers to commonly asked questions. For further questions, please contact your Network Engagement Business Partner. Register for the Wellmark Information Notification System (WINS) to receive real-time updates. APPROVALS AND AUTHORIZATIONS Just know that we are working to not only approve your doctor’s recommendation, but approve it quickly. Once approved, your approval or authorization is valid for a certain length of time, usually 90 days. After that, a new approval is required. If your procedure is not approved, however, it doesn’t mean you can’t have the procedure,it
REQUIRED AUTHORIZATIONS FOR COVID-19 To serve our members and support the health care system during the rapidly evolving COVID-19 pandemic, Wellmark Blue Cross and Blue Shield has made additional changes related to authorizations for required prior approvals for specified surgeries and procedures. Any new prior approval request received on or after November 17, 2020 forthe below
ONLINE EXPLANATION OF BENEFITS Three easy steps to go digital. Join the thousands of members who already rely on the security and convenience of online EOBs. Log in to myWellmark and sign up in three easy steps. Select Profile from the menu at the top. Click the Notifications tab. Choose Email for Explanation of Benefits (EOB), then Agree and Save. Log In Register. DRUG LIST | WELLMARK The Wellmark Drug List helps guide physicians and pharmacists in choosing medications for you that provide the right treatment for the best price. A committee of statewide pharmacists and physicians meet several times a year to update the list by analyzing new drugs and re-evaluating existing ones based on safety, cost and effectiveness. WELLMARK WILL OFFER NEW MEDICARE ADVANTAGE OPTIONS THIS DES MOINES, IA – Wellmark Blue Cross and Blue Shield will offer new Medicare Advantage plans to Iowans and South Dakotans this fall, pending approval from the Centers for Medicare & Medicaid Services' (CMS). Our new affiliate, Wellmark Advantage Health Plan, will offer the new Medicare Advantage options during this year's annual election period October 15 through December 7, forDOCTOR FINDER
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Network Participation Forms . All forms regarding network participation are available at our Credentialing and Contracting page. On our page, you will also find the Credentialing Submission Tracker where you are able to track the status of your applications, recredentialing submissions, and change requests. HOW TO BOOST YOUR EMPLOYEES' BRAIN POWER Meetings, meetings after the meetings, note-taking, follow ups, coffee breaks — the list goes on. Your employees may start to feel as if there isn’t enough time for WELLMARK BLUE CROSS AND BLUE SHIELDLOG IN / REGISTERINDIVIDUALS & FAMILIES START HEREMEDICARE START HEREFOR EMPLOYERSFOR PRODUCERS Wellmark earns perfect score in 2021 Corporate Equality Index. 2020–2021 Marvin Pomerantz Graduate Student Scholarship winner announced. Wellmark CEO recognized for outstanding health care leadership by the National Institute for Health Care Management. Wellmark debuts e-book to help employers understand millennial healthtrends.
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From picking a plan to knowing where to go in an emergency, myWellmark has you covered. With tools and resources available at your fingertips, you’ll have the information you need 24/7. THE WELLMARK FOUNDATION The Wellmark Foundation 1331 Grand Avenue, Station 5W447 Des Moines, IA 50309 WellmarkFoundation@Wellmark.com GRANTS | THE WELLMARK FOUNDATION Grants. The Wellmark Foundation seeks to help Iowans and South Dakotans create communities that support healthy and active lifestyles. In 2021, we seek to fund projects that provide access to healthy foods and safe environments to be physically active in. Large MATCH Grant Application – requests up to $100,000 – due Feb. 17,2021.
APPROVALS AND AUTHORIZATIONS E-CREDENTIALING CENTRAL E-credentialing (E-cred) Central makes it easy. Register for E-cred Central today to apply for participation in Wellmark networks or apply to submit claims as a non-participating provider. Also, easily submit change requests to ensure provider information in the Provider Directory is accurate.MYWELLMARK
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DRUG LIST | WELLMARK The Wellmark Drug List helps guide physicians and pharmacists in choosing medications for you that provide the right treatment for the best price. A committee of statewide pharmacists and physicians meet several times a year to update the list by analyzing new drugs and re-evaluating existing ones based on safety, cost and effectiveness.DOCTOR FINDER
What are the first three characters of your ID number? Not sure? Check your ID card. * Indicates required field WELLMARK BLUE CROSS AND BLUE SHIELDLOG IN / REGISTERINDIVIDUALS & FAMILIES START HEREMEDICARE START HEREFOR EMPLOYERSFOR PRODUCERS Wellmark earns perfect score in 2021 Corporate Equality Index. 2020–2021 Marvin Pomerantz Graduate Student Scholarship winner announced. Wellmark CEO recognized for outstanding health care leadership by the National Institute for Health Care Management. Wellmark debuts e-book to help employers understand millennial healthtrends.
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Wellmark Inc. All rights reserved. Wellmark Blue Cross and Blue Shield of Iowa, Wellmark Health Plan of Iowa, Inc., Wellmark Blue Cross and Blue Shield of SouthMYWELLMARK
From picking a plan to knowing where to go in an emergency, myWellmark has you covered. With tools and resources available at your fingertips, you’ll have the information you need 24/7. THE WELLMARK FOUNDATION The Wellmark Foundation 1331 Grand Avenue, Station 5W447 Des Moines, IA 50309 WellmarkFoundation@Wellmark.com GRANTS | THE WELLMARK FOUNDATION Grants. The Wellmark Foundation seeks to help Iowans and South Dakotans create communities that support healthy and active lifestyles. In 2021, we seek to fund projects that provide access to healthy foods and safe environments to be physically active in. Large MATCH Grant Application – requests up to $100,000 – due Feb. 17,2021.
APPROVALS AND AUTHORIZATIONS E-CREDENTIALING CENTRAL E-credentialing (E-cred) Central makes it easy. Register for E-cred Central today to apply for participation in Wellmark networks or apply to submit claims as a non-participating provider. Also, easily submit change requests to ensure provider information in the Provider Directory is accurate.MYWELLMARK
You are now leaving myWellmark.com. By selecting continue you will be leaving Wellmark's website and going to caremark.com, operated by CVS/caremark®. CVS/caremark is an independent company providing pharmacy benefit management services on behalf of Wellmark. CVS/caremark is responsible for the content delivered on this website,including the
DRUG LIST | WELLMARK The Wellmark Drug List helps guide physicians and pharmacists in choosing medications for you that provide the right treatment for the best price. A committee of statewide pharmacists and physicians meet several times a year to update the list by analyzing new drugs and re-evaluating existing ones based on safety, cost and effectiveness.DOCTOR FINDER
What are the first three characters of your ID number? Not sure? Check your ID card. * Indicates required field PROVIDER INFORMATION Get set up with all the right tools for working with Wellmark. Stay up to date with the BlueInk publication. Help patients with a different Blue Cross and Blue Shield Plan. Health care and pharmacy programs. Start the authorization process and get related resources. Programs to ONLINE EXPLANATION OF BENEFITS Three easy steps to go digital. Join the thousands of members who already rely on the security and convenience of online EOBs. Log in to myWellmark and sign up in three easy steps. Select Profile from the menu at the top. Click the Notifications tab. Choose Email for Explanation of Benefits (EOB), then Agree and Save. Log In Register.MEDIA RESOURCES
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MANAGE AUTHORIZATIONS The majority of Jiva TM log-in and authorization request submission issues have now been resolved. Utilizing Jiva is the most effective means of submitting and having authorization requests processed and approved. If you are having issues submitting authorization requests in Jiva, contact Wellmark Technical Support at 800-407-0267. GROWTH AND DEVELOPMENT IN THE WORKPLACE The importance of personal growth and development in the workplace. 94 percent of employees would stay at a company if it invested in their career. 56 percent of employees would take a suggested course by their manager. 1 reason employees feel held back from learning is because they don't have enough time. 70 percent of employees indicated that PHYSICAL MEDICINE TREATMENT PLAN Physical Medicine Treatment Plan. Please use this form when anticipated services are expected to exceed 20 visits. Please do not print this form; it is for electronic submission only. For other inquiries, please use the secure Ask & Track a Question tool.. NOTE: All fields are required.If a field is not applicable, mark it withN/A.
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