Coverage profile
How Substrate can help you with Wellpoint
Substrate can help practices and billers with the following claims tasks for Wellpoint.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Wellpoint.
Available
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Wellpoint.
Available
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Wellpoint.
Available
Appeals agent
AI appeals workflowThe Substrate Appeals Agent can submit appeals for RFIs, medical record requests, downcoding reconsiderations, and more via the payer portal for Wellpoint.
Available
Frequently asked questions
Wellpoint payer FAQs
How do I check claim status with Wellpoint?
Providers check Wellpoint via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Wellpoint portal follow-up?
Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.
What is the payer ID for Wellpoint?
The primary payer ID for Wellpoint is WLPNT. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What is the provider portal for Wellpoint?
The provider portal for Wellpoint is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Wellpoint?
The 837P and 837I payer ID for Wellpoint is WLPNT via Stedi.
What is the 835 payer ID for Wellpoint?
The 835 payer ID for Wellpoint is WLPNT via Stedi.
What is the 270 payer ID for Wellpoint?
The 270 payer IDs for Wellpoint are WLPNT via Stedi and AGPMEDICAID via Availity.
What is the 276 payer ID for Wellpoint?
The 276 payer IDs for Wellpoint are WLPNT via Stedi and AGPMEDICAID via Availity.
What states does Wellpoint operate in?
Wellpoint operates in AZ, IA, NJ, TN, TX, and WA.
Routing reference
Wellpoint 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 | Wellpoint |
|---|---|
| Operating states | AZ, IA, NJ, TN, TX, WA |
| 837P professional claims payer IDStedi | WLPNT |
| 837I institutional claims payer IDStedi | WLPNT |
| 835 ERA payer IDStedi | WLPNTEnrollment required |
| 270 eligibility payer IDStedi | WLPNT |
| 270 eligibility payer IDAvaility | AGPMEDICAID |
| 276 claim status payer IDStedi | WLPNT |
| 276 claim status payer IDAvaility | AGPMEDICAID |
Payer contact directory
Wellpoint phone and fax numbers
Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.
- Eligibility / benefits phone
- (800) 526-9202WELLPOINT VISION
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(800) 231-0979 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(800) 243-1401 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(800) 300-7011 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Chiropractic, Hospital, Hospital - Inpatient, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Emergency Services, Professional (Physician) Visit - Office, Professional (Physician) Visit - Office, Physician Visit - Office: Well, Mental Health, Urgent Care |
| phone(800) 341-8478 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 454-3730 | Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment |
| Chiropractic, Chiropractic, Physician Visit - Office: Well, Hospital, Pharmacy, Urgent Care |
| phone(800) 494-6262 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 516-0124 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 521-3605 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(800) 526-9202 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(800) 562-3022 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 723-4337 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 776-6334 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Chiropractic, Dental Care, Hospital, Hospital - Inpatient, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Emergency Services, Pharmacy, Professional (Physician) Visit - Office, Vision (Optometry), Physician Visit - Office: Well, Mental Health, Urgent Care, Mental Health |
| phone(800) 782-0095 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(800) 848-3555 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Chiropractic |
| phone(800) 879-6901 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(800) 888-1965 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Mental Health |
| phone(844) 405-4296 | Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment |
| Hospital, Pharmacy |
| phone(844) 594-5084 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(855) 208-6334 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(855) 230-4656 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(855) 373-7627 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(855) 418-1622 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(855) 934-9812 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(866) 434-5520 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(866) 797-9884 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(866) 805-4589 | Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Insurance; Benefit context: Co-Payment |
| Chiropractic, Chiropractic, Hospital - Inpatient, Hospital - Outpatient, Physician Visit - Office: Well, Chiropractic, Physician Visit - Office: Well, Pharmacy |
| phone(866) 819-4298 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(866) 864-2526 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(877) 408-0881 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(877) 711-3662 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(888) 291-3766 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(888) 350-3447 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(888) 352-7924 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(888) 554-5542 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(888) 581-3648 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(800) 442-9300 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(844) 594-5072 | Utilization managementBenefit context: Co-Payment |
| Chiropractic |
| phone(866) 655-7423 | Utilization managementBenefit context: Co-Insurance |
| Professional (Physician) Visit - Office |
| phone(215) 241-2400 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(410) 581-3535 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(509) 534-0600 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(800) 421-1362 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(800) 446-5674 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(800) 448-6262 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(800) 523-0582 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(800) 572-7331 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(800) 611-1811 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(800) 632-2022 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(800) 638-6756 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(800) 722-1471 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(800) 810-2583 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(800) 826-9781 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(800) 828-7622 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(800) 832-3211 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(800) 842-5252 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(800) 878-4445 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(833) 531-2238 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(833) 531-2239 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(866) 350-7598 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(866) 756-3313 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(877) 233-1800 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(877) 392-9865 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(877) 535-2128 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(877) 687-1180 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(877) 687-1196 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(877) 842-3210 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(888) 898-8145 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
Phone and fax numbers sourced directly from the payer response
Other aliases
Also known as
- 14427
- 1775
- 2448
- 2560
- WLPNT
- WLPNTMA
- Amerigroup
- Amerigroup Iowa
- Commonwealth of Massachusetts - GIC
- UniCare
- Wellpoint Insurance Company
- WELLPOINT WEST VIRGINIA
- WELLPOINT DISTRICT OF COLUMBIA
- WELLPOINT HEALTHPLAN OF WV, INC.
- WELLPOINT MARYLAND, INC
- SIMPLY HEALTHCARE PLANS, INC.
- WELLPOINT FLORIDA, INC.
- UNICARE WEST VIRGINIA
- WELLPOINT SOUTH CAROLINA, INC.