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Wellmark Blue Cross Blue Shield of Iowa and South Dakota

Wellmark Blue Cross Blue Shield of Iowa and South Dakota

This page contains information you can use to exchange healthcare transactions with Wellmark Blue Cross Blue Shield of Iowa and South Dakota using Stedi.
Use any of the following payer IDs to send transactions to Wellmark Blue Cross Blue Shield of Iowa and South Dakota using Stedi APIs or SFTP. Read the docs
Primary Payer ID
88848
Stedi Payer ID
PYJGI
Payer ID aliases
10395, 10396, 1404, 1510, 2490, 6672, 6733, 88848, 88851, CBIA1, CBIA2, IABCBS, IABLM, IABLS, SB640, SB640MA, SDBLS
Parent group
Wellmark
Coverage types
Dental, Medical, Vision

Supported transactions

Use Stedi to exchange the following transactions with Wellmark Blue Cross Blue Shield of Iowa and South Dakota using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Wellmark Blue Cross Blue Shield of Iowa and South Dakota.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Wellmark Blue Cross Blue Shield of Iowa and South Dakota to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to Wellmark Blue Cross Blue Shield of Iowa and South Dakota in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Wellmark Blue Cross Blue Shield of Iowa and South Dakota and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Wellmark Blue Cross Blue Shield of Iowa and South Dakota and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Wellmark Blue Cross Blue Shield of Iowa and South Dakota to review full payment details.
Enrollment process type
One-click
Activation timeframe
-
Supported

Dental claims

(837D)
Submit dental claims to Wellmark Blue Cross Blue Shield of Iowa and South Dakota and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Wellmark Blue Cross Blue Shield of Iowa and South Dakota.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Wellmark Blue Cross Blue Shield of Iowa and South Dakota and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Wellmark Blue Cross Blue Shield of Iowa and South Dakota today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • BCBS South Dakota
  • Wellmark Blue Cross Blue Shield (Iowa, South Dakota)
  • Wellmark Blue Cross Blue Shield Dental (Iowa, South Dakota)
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