Routing destination
Wellmark Blue Cross and Blue Shield South Dakota
The first three characters on the member’s current ID card identify this BlueCard home plan. Use the terminal trading partner below for the published electronic routes.
Phone and fax contacts
Numbers vary by plan, service, and department. Check the member’s ID card before calling or sending a fax.
Phone lines4
- (800) 362-2218Wellmark Blue Cross and Blue Shield phone lineWellmark Blue Cross and Blue Shield line. Members are asked for a Wellmark ID; other callers choose a role from a menu.Answered by: Automated phone menu
- (800) 532-1537Wellmark Blue Cross and Blue Shield Federal Employee ProgramFederal Employee Program line for Wellmark Blue Cross and Blue Shield for members and providers.Answered by: Automated phone menu
- (800) 622-0043(800) 622-0043 Phone TreeWellmark line that asks for language, then member or provider type; members are asked for their Wellmark ID.Answered by: Automated phone menu
- (855) 716-2556Wellmark Advantage Health PlanWellmark Advantage Health Plan line for medical and pharmacy services, including utilization management, Part B drug authorization, benefits, eligibility and claims.Answered by: Automated phone menu → Hold queue
Phone numbers17
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(800) 414-5206 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 467-1199 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(800) 972-8088 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(800) 987-8369 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(844) 910-3903 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(855) 811-2218 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(866) 776-4793 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(866) 797-9884 | Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Insurance |
| Chiropractic, Hospital - Inpatient, Pharmacy |
| phone(888) 700-0992 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(866) 470-6244 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(800) 275-2583 | Other stated contextBenefit context: Limitations |
| Hospital - Inpatient, Hospital |
| phone(800) 452-8507 | Other stated contextBenefit context: Active Coverage |
| Hospital |
| phone(844) 241-7087 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(800) 214-4844 |
| ||
| phone(800) 392-2512 |
| ||
| phone(800) 676-2583 |
| ||
| phone(800) 727-2227 |
|
Numbers stated in payer eligibility responses; scope may depend on benefits, products, or departments.
Retired numbers2
These numbers played a not-in-service recording when called. Do not use them; call the replacement or the number on the member’s ID card.
- (800) 397-7337Not in service when called; re-check pending
- (855) 243-3326Not in service when called; re-check pending
Member ID guidance
Read the prefix from the current card.
Do not infer a prefix from another member or an older card. Federal Employee Program IDs beginning with a single “R” follow a separate route.
LLLLNNNNNNNNMasked formats use L for a letter, N for a number, and ? for an unknown character. No member IDs are published.
Evidence
Source and verification
- Prefix, home plan, and state
- Substrate BlueCard mapping snapshot. Data last changed ; checked . Check the current prefix with BCBS ↗
- Terminal payer and payer ID
- Linked to the directory’s terminal payer record, checked . Open the payer routing sources →
- Availability signals
- Substrate’s reviewed route configuration and claim-status network, checked .
Use the member’s current ID card and confirm the current payer or clearinghouse route before submission. Prefix associations and transaction support can change.