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Wellmark

Wellmark

This page contains information you can use to exchange healthcare transactions with Wellmark using Stedi.
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Use any of the following payer IDs to send transactions to Wellmark using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
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Parent group
Wellmark
Coverage types
Dental, Medical, Vision
Operating states
AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
Covered
Not covered

Supported transactions

Use Stedi to exchange the following transactions with Wellmark 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.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Wellmark 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 in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Wellmark and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Wellmark and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Wellmark to review full payment details.
Enrollment process type
One-click
Activation timeframe
Days
Supported

Dental claims

(837D)
Submit dental claims to Wellmark and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Wellmark.
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Use Stedi's APIs to get fast and reliable connectivity to Wellmark and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Wellmark 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 Advantage Health Plan
  • Wellmark Blue Cross Blue Shield (Iowa, South Dakota)
  • Wellmark Blue Cross Blue Shield Dental (Iowa, South Dakota)
  • Wellmark Blue Cross and Blue Shield
  • Wellmark Blue Cross and Blue Shield of Iowa
  • Wellmark Blue Cross and Blue Shield of South Dakota
  • Wellmark Health Plan of Iowa
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