Coverage profile
Work Wellmark across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Wellmark.
Supported
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Wellmark.
Available
Other aliases
Also known as
- 10395
- 10396
- 12B92
- 1404
- 1510
- 2490
- 6672
- 6733
- 88848
- 88851
- CBIA1
- CBIA2
- IABCBS
- IABLM
- IABLS
- SB640
- SB640MA
- SB640MAP
- SDBLS
- ZP239
- BCBS South Dakota
- Wellmark - Medicare Advantage
- 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
- WELLMARK MEDICARE ADVANTAGE
BlueCard home-plan routing
BCBS prefixes for Wellmark
These 694 member ID prefixes resolve to Wellmark as their terminal payer. Open a prefix to review its home plan, state, payer ID, and published routes.
Member ID prefixes
ABSBCBS prefixACVBCBS prefixADRBCBS prefixAFCBCBS prefixALOBCBS prefixAMLBCBS prefixANZBCBS prefixAOFBCBS prefixAPABCBS prefixAPTBCBS prefixASKBCBS prefixATPBCBS prefixAUYBCBS prefixAWKBCBS prefixAYEBCBS prefixBCOBCBS prefixBCRBCBS prefixBDHBCBS prefixBDIBCBS prefixBEZBCBS prefixBFNBCBS prefixBHGBCBS prefixBHOBCBS prefixBJHBCBS prefixBKGBCBS prefixBKRBCBS prefixBMKBCBS prefixBMMBCBS prefixBMSBCBS prefixBNPBCBS prefixBOLBCBS prefixBPBBCBS prefixBPEBCBS prefixBPIBCBS prefixBQCBCBS prefixBRSBCBS prefixBRZBCBS prefixBSDBCBS prefixBSWBCBS prefixBTFBCBS prefixBTMBCBS prefixBTSBCBS prefixBTTBCBS prefixBVBBCBS prefixBVFBCBS prefixBVQBCBS prefixBWHBCBS prefixBWKBCBS prefixBWMBCBS prefixBWUBCBS prefixBZIBCBS prefixBZRBCBS prefixCAOBCBS prefixCCRBCBS prefixCCYBCBS prefixCDOBCBS prefixCDPBCBS prefixCEBBCBS prefixCEQBCBS prefixCEWBCBS prefixCFBBCBS prefixCFJBCBS prefixCFKBCBS prefixCFPBCBS prefixCFVBCBS prefixCGIBCBS prefixCIEBCBS prefixCLIBCBS prefixCLMBCBS prefixCLTBCBS prefixCLYBCBS prefixCMFBCBS prefixCMOBCBS prefixCNEBCBS prefixCNFBCBS prefixCNKBCBS prefixCPPBCBS prefixCPWBCBS prefixCQVBCBS prefixCQYBCBS prefixCSKBCBS prefixCSXBCBS prefixCUGBCBS prefixCUPBCBS prefixCUWBCBS prefixCVZBCBS prefixCWWBCBS prefixCWYBCBS prefixCZRBCBS prefixDAEBCBS prefixDAJBCBS prefixDAPBCBS prefixDASBCBS prefixDBKBCBS prefixDCGBCBS prefixDCQBCBS prefixDCSBCBS prefixDCTBCBS prefixDDHBCBS prefixDFGBCBS prefixDGEBCBS prefixDHVBCBS prefixDIABCBS prefixDIBBCBS prefixDILBCBS prefixDIZBCBS prefixDJHBCBS prefixDKDBCBS prefixDKIBCBS prefixDKTBCBS prefixDKWBCBS prefixDLLBCBS prefixDMWBCBS prefixDMZBCBS prefixDNCBCBS prefixDNFBCBS prefixDOABCBS prefixDOLBCBS prefixDOXBCBS prefixDQBBCBS prefixDQGBCBS prefixDQHBCBS prefixDROBCBS prefixDRWBCBS prefixDSBBCBS prefixDUMBCBS prefixDWSBCBS prefixDXQBCBS prefixDZCBCBS prefixEBKBCBS prefixEBLBCBS prefixEBRBCBS prefixEFCBCBS prefixEFKBCBS prefixEFMBCBS prefixEGIBCBS prefixEKBBCBS prefixEKGBCBS prefixEKXBCBS prefixELKBCBS prefixELXBCBS prefixEMDBCBS prefixEMEBCBS prefixENGBCBS prefixENQBCBS prefixEOKBCBS prefixEOUBCBS prefixERTBCBS prefixERWBCBS prefixESKBCBS prefixEUJBCBS prefixEVHBCBS prefixEVKBCBS prefixEWHBCBS prefixEXPBCBS prefixEYEBCBS prefixEYFBCBS prefixEYPBCBS prefixEZZBCBS prefixFAMBCBS prefixFCMBCBS prefixFDQBCBS prefixFFGBCBS prefixFFJBCBS prefixFFLBCBS prefixFGYBCBS prefixFIKBCBS prefixFIMBCBS prefixFJIBCBS prefixFKDBCBS prefixFKVBCBS prefixFLXBCBS prefixFMFBCBS prefixFOFBCBS prefixFPOBCBS prefixFRCBCBS prefixFTHBCBS prefixFTMBCBS prefixFUMBCBS prefixFVFBCBS prefixFVWBCBS prefixFWDBCBS prefixFWSBCBS prefixFWXBCBS prefixFXQBCBS prefixFYSBCBS prefixFZZBCBS prefixGAJBCBS prefixGBVBCBS prefixGCWBCBS prefixGDTBCBS prefixGDWBCBS prefixGFGBCBS prefixGFTBCBS prefixGGXBCBS prefixGKLBCBS prefixGKWBCBS prefixGNABCBS prefixGNUBCBS prefixGOIBCBS prefixGOSBCBS prefixGOXBCBS prefixGPHBCBS prefixGPPBCBS prefixGREBCBS prefixGRMBCBS prefixGRZBCBS prefixGTRBCBS prefixGVMBCBS prefixGWLBCBS prefixGWZBCBS prefixHCMBCBS prefixHCVBCBS prefixHEPBCBS prefixHEVBCBS prefixHGFBCBS prefixHGPBCBS prefixHHDBCBS prefixHHOBCBS prefixHHQBCBS prefixHIHBCBS prefixHJUBCBS prefixHKCBCBS prefixHKFBCBS prefixHKTBCBS prefixHLPBCBS prefixHMCBCBS prefixHMXBCBS prefixHONBCBS prefixHQDBCBS prefixHQNBCBS prefixHRGBCBS prefixHUVBCBS prefixHVEBCBS prefixHWGBCBS prefixHXKBCBS prefixHYIBCBS prefixHYMBCBS prefixHYVBCBS prefixHYXBCBS prefixHYYBCBS prefixHZHBCBS prefixIAHBCBS prefixIALBCBS prefixIAPBCBS prefixIAVBCBS prefixIAWBCBS prefixIBFBCBS prefixIBIBCBS prefixIBPBCBS prefixIFBBCBS prefixIFFBCBS prefixIGDBCBS prefixIGPBCBS prefixIHBBCBS prefixIKHBCBS prefixIKQBCBS prefixILCBCBS prefixIMIBCBS prefixIMTBCBS prefixIMZBCBS prefixIPXBCBS prefixIRTBCBS prefixISLBCBS prefixISXBCBS prefixITBBCBS prefixITQBCBS prefixIUABCBS prefixIVTBCBS prefixIWEBCBS prefixIWSBCBS prefixIZUBCBS prefixJALBCBS prefixJHFBCBS prefixJMCBCBS prefixKABBCBS prefixKAMBCBS prefixKBTBCBS prefixKCABCBS prefixKCBBCBS prefixKCSBCBS prefixKCVBCBS prefixKCZBCBS prefixKGYBCBS prefixKHDBCBS prefixKHZBCBS prefixKMEBCBS prefixKMRBCBS prefixKOFBCBS prefixKQABCBS prefixKQHBCBS prefixKRCBCBS prefixKRDBCBS prefixKRHBCBS prefixKTBBCBS prefixKTLBCBS prefixKUFBCBS prefixKVCBCBS prefixKVFBCBS prefixKVQBCBS prefixKWGBCBS prefixKWKBCBS prefixKXSBCBS prefixKXXBCBS prefixKYEBCBS prefixKZEBCBS prefixL5BBCBS prefixL5EBCBS prefixL5FBCBS prefixL5GBCBS prefixL5IBCBS prefixL5JBCBS prefixLBQBCBS prefixLCABCBS prefixLCWBCBS prefixLDHBCBS prefixLDSBCBS prefixLEFBCBS prefixLEHBCBS prefixLEKBCBS prefixLENBCBS prefixLFFBCBS prefixLFWBCBS prefixLHDBCBS prefixLIFBCBS prefixLILBCBS prefixLJHBCBS prefixLKUBCBS prefixLLEBCBS prefixLLFBCBS prefixLLKBCBS prefixLNABCBS prefixLNEBCBS prefixLNYBCBS prefixLQHBCBS prefixLQKBCBS prefixLRHBCBS prefixLRZBCBS prefixLWFBCBS prefixLXTBCBS prefixLYNBCBS prefixLYZBCBS prefixLZHBCBS prefixLZSBCBS prefixMAIBCBS prefixMAUBCBS prefixMAZBCBS prefixMCKBCBS prefixMCLBCBS prefixMCVBCBS prefixMCWBCBS prefixMDIBCBS prefixMDUBCBS prefixMDWBCBS prefixMELBCBS prefixMEMBCBS prefixMFBBCBS prefixMFIBCBS prefixMFUBCBS prefixMGKBCBS prefixMGPBCBS prefixMHKBCBS prefixMHZBCBS prefixMITBCBS prefixMJPBCBS prefixMKABCBS prefixMKTBCBS prefixMKWBCBS prefixMLABCBS prefixMMZBCBS prefixMNZBCBS prefixMOYBCBS prefixMPNBCBS prefixMQIBCBS prefixMRLBCBS prefixMRSBCBS prefixMSBBCBS prefixMTBBCBS prefixMTHBCBS prefixMTSBCBS prefixMUCBCBS prefixMUDBCBS prefixMUEBCBS prefixMUXBCBS prefixMVHBCBS prefixMVVBCBS prefixMXLBCBS prefixMXMBCBS prefixMXOBCBS prefixMYGBCBS prefixMZABCBS prefixNAEBCBS prefixNARBCBS prefixNBABCBS prefixNBDBCBS prefixNBNBCBS prefixNCGBCBS prefixNDYBCBS prefixNFOBCBS prefixNGPBCBS prefixNGZBCBS prefixNIOBCBS prefixNMCBCBS prefixNSMBCBS prefixNSQBCBS prefixNSVBCBS prefixNTGBCBS prefixNTIBCBS prefixNTOBCBS prefixNVEBCBS prefixNVMBCBS prefixNVNBCBS prefixNWEBCBS prefixNWWBCBS prefixNZVBCBS prefixOBRBCBS prefixOCGBCBS prefixOCMBCBS prefixOGLBCBS prefixOHKBCBS prefixOHNBCBS prefixOHUBCBS prefixOLBBCBS prefixOLTBCBS prefixOPPBCBS prefixOPRBCBS prefixORBBCBS prefixOTKBCBS prefixOTUBCBS prefixOUPBCBS prefixOWABCBS prefixOWZBCBS prefixPATBCBS prefixPBPBCBS prefixPCSBCBS prefixPDIBCBS prefixPDJBCBS prefixPDVBCBS prefixPERBCBS prefixPIFBCBS prefixPIIBCBS prefixPJFBCBS prefixPKRBCBS prefixPLSBCBS prefixPMNBCBS prefixPMPBCBS prefixPMQBCBS prefixPNNBCBS prefixPNSBCBS prefixPNWBCBS prefixPNZBCBS prefixPOBBCBS prefixPRQBCBS prefixPSSBCBS prefixPUCBCBS prefixPURBCBS prefixPUYBCBS prefixPVBBCBS prefixPWMBCBS prefixPYMBCBS prefixPYYBCBS prefixPZSBCBS prefixPZTBCBS prefixPZWBCBS prefixQCPBCBS prefixQFDBCBS prefixQGLBCBS prefixQIKBCBS prefixQPRBCBS prefixQUEBCBS prefixRAIBCBS prefixRANBCBS prefixRAPBCBS prefixRAQBCBS prefixRBEBCBS prefixRCKBCBS prefixRCNBCBS prefixRDPBCBS prefixRECBCBS prefixREKBCBS prefixRGEBCBS prefixRIKBCBS prefixRJHBCBS prefixRKJBCBS prefixRMABCBS prefixRNCBCBS prefixRNQBCBS prefixRQABCBS prefixRQRBCBS prefixRQUBCBS prefixRSWBCBS prefixRTSBCBS prefixRUABCBS prefixRUDBCBS prefixRUFBCBS prefixRUPBCBS prefixRVIBCBS prefixRVJBCBS prefixRVUBCBS prefixSAABCBS prefixSATBCBS prefixSCKBCBS prefixSCQBCBS prefixSDFBCBS prefixSDHBCBS prefixSELBCBS prefixSEUBCBS prefixSFCBCBS prefixSFJBCBS prefixSFNBCBS prefixSHEBCBS prefixSHIBCBS prefixSIABCBS prefixSIZBCBS prefixSMGBCBS prefixSSGBCBS prefixSTUBCBS prefixSWLBCBS prefixSWWBCBS prefixSXBBCBS prefixSYJBCBS prefixTAKBCBS prefixTGJBCBS prefixTKNBCBS prefixTNWBCBS prefixTOMBCBS prefixTPCBCBS prefixTPHBCBS prefixTQIBCBS prefixTRRBCBS prefixTSDBCBS prefixTSPBCBS prefixTTEBCBS prefixTTVBCBS prefixTVEBCBS prefixTVYBCBS prefixUBPBCBS prefixUBVBCBS prefixUCPBCBS prefixUDBBCBS prefixUEDBCBS prefixUEKBCBS prefixUFYBCBS prefixUHHBCBS prefixUKOBCBS prefixULWBCBS prefixUONBCBS prefixUPFBCBS prefixUPSBCBS prefixUPUBCBS prefixUPZBCBS prefixUQBBCBS prefixUQDBCBS prefixURWBCBS prefixUVGBCBS prefixUXHBCBS prefixUXRBCBS prefixUYVBCBS prefixUZBBCBS prefixUZHBCBS prefixUZKBCBS prefixVANBCBS prefixVARBCBS prefixVCJBCBS prefixVCLBCBS prefixVEQBCBS prefixVKCBCBS prefixVLMBCBS prefixVLRBCBS prefixVMFBCBS prefixVMRBCBS prefixVMWBCBS prefixVNIBCBS prefixVPRBCBS prefixVPVBCBS prefixVSZBCBS prefixVXQBCBS prefixWAKBCBS prefixWAUBCBS prefixWBMBCBS prefixWCQBCBS prefixWCTBCBS prefixWCXBCBS prefixWDHBCBS prefixWEEBCBS prefixWEHBCBS prefixWEIBCBS prefixWEKBCBS prefixWGHBCBS prefixWGRBCBS prefixWHHBCBS prefixWINBCBS prefixWJMBCBS prefixWJUBCBS prefixWLPBCBS prefixWLQBCBS prefixWLTBCBS prefixWLXBCBS prefixWMABCBS prefixWMFBCBS prefixWPTBCBS prefixWPZBCBS prefixWQWBCBS prefixWQZBCBS prefixWSLBCBS prefixWSUBCBS prefixWSVBCBS prefixWTNBCBS prefixWUFBCBS prefixWUQBCBS prefixWVMBCBS prefixWVZBCBS prefixWWEBCBS prefixWXBBCBS prefixWXKBCBS prefixWXQBCBS prefixWXTBCBS prefixWXVBCBS prefixWXWBCBS prefixWZCBCBS prefixWZNBCBS prefixX2HBCBS prefixX2QBCBS prefixX3HBCBS prefixXLVBCBS prefixXQABCBS prefixXQBBCBS prefixXQCBCBS prefixXQDBCBS prefixXQEBCBS prefixXQFBCBS prefixXQGBCBS prefixXQHBCBS prefixXQIBCBS prefixXQJBCBS prefixXQKBCBS prefixXQLBCBS prefixXQMBCBS prefixXQNBCBS prefixXQOBCBS prefixXQPBCBS prefixXQQBCBS prefixXQRBCBS prefixXQSBCBS prefixXQTBCBS prefixXQUBCBS prefixXQVBCBS prefixXQWBCBS prefixXQXBCBS prefixXQYBCBS prefixXQZBCBS prefixXTXBCBS prefixXWIBCBS prefixXWSBCBS prefixYAYBCBS prefixYHMBCBS prefixYKNBCBS prefixYKPBCBS prefixZ2HBCBS prefixZ2SBCBS prefixZ3HBCBS prefixZBWBCBS prefixZDTBCBS prefixZDUBCBS prefixZEFBCBS prefixZEPBCBS prefixZEYBCBS prefixZHFBCBS prefixZHNBCBS prefixZINBCBS prefixZISBCBS prefixZLKBCBS prefixZMUBCBS prefixZMYBCBS prefixZNDBCBS prefixZNGBCBS prefixZPLBCBS prefixZPRBCBS prefixZQBBCBS prefixZRMBCBS prefixZSVBCBS prefixZSXBCBS prefixZVMBCBS prefixZYABCBS prefixZYGBCBS prefixZYHBCBS prefixZYMBCBS prefixZYNBCBS prefixZYRBCBS prefixZYSBCBS prefixZYVBCBS prefixZYXBCBS prefixZYZBCBS prefixZZBBCBS prefix
Routing reference
Wellmark payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | WellmarkSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | IA, SDSource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | 88848Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 88848Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 88848Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 88848Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 88848Source: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 88848Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | 88848Source: Availity payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Wellmark. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched record: WELLMARK BCBS (IOWA, SOUTH DAKOTA). Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Wellmark. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
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