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Bundled codes for maternity are deleted January 1, 2027Get ready for the change >>
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Coverage profile

Work WellPoint Medicare Supplement 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 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with WellPoint Medicare Supplement.

Supported

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with WellPoint Medicare Supplement.

Available

Coordination of benefits

Real-time check

The Substrate Eligibility Agent can check coordination of benefits for other active coverage and primary or secondary order with WellPoint Medicare Supplement. Results can be partial. Enrollment is not required for this check. This check does not support traditional Medicare plans. Many Medicare Advantage plans are supported.

Available

Portal claim status

Browser automation

The Substrate Claim Status Agent can check claim status via the payer portal for WellPoint Medicare Supplement.

Supported

Other aliases

Also known as

  • 50
  • AGPMEDICAID
  • Amerigroup
  • WellPoint
  • HEALTHPLUS AMERIGROUP
  • AMERIGROUP (CLAIMS)

Payer policies

WellPoint Medicare Supplement policies

The first 25 of 422 public policies Substrate tracks for WellPoint Medicare Supplement, by title. Links open the payer's own document; check its current version before relying on it.

Search all 422 WellPoint Medicare Supplement policies by CPT code, keyword or policy number →

Routing reference

WellPoint Medicare Supplement 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.

WellPoint Medicare Supplement payer name, operating states, and transaction-specific payer IDs
Payer nameWellPoint Medicare SupplementSource: Substrate payer directory · data last changed
Operating statesCT, MD, NY, TN, TX, VASource: United Clearinghouse payer catalog · matched by payer name
270 eligibility payer IDStediAGPMEDICAIDSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDAvailityAGPMEDICAIDSource: Availity payer catalog · catalog dated · matched by payer ID
276 claim status payer IDStediAGPMEDICAIDSource: Stedi payer catalog · catalog dated · matched by payer ID
276 claim status payer IDAvailityAGPMEDICAIDSource: 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: WellPoint Medicare Supplement. 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 records: AMERIGROUP, WELLPOINT. 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: WellPoint Medicare Supplement. 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 lines1
  • (800) 453-3475WellPoint Medicare Supplement phone line (800) 453-3475Route WellPoint Medicare Supplement callers to member or provider options; the member path asks for a security entry.Answered by: Automated phone menu
Phone numbers51
WellPoint Medicare Supplement phone numbers
Channel and numberPayer NotesDepartmentSpecialties
phone(800) 243-1401Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • SUPERIOR VISION
Vision (Optometry)
phone(800) 454-3730Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment
  • CARELONRX
  • UTILIZATION MANAGEMENT
Chiropractic, Chiropractic, Physician Visit - Office: Well, Hospital, Pharmacy
phone(800) 526-9202Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • EYEQUEST
  • WELLPOINT VISION
Vision (Optometry)
phone(800) 562-3022Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • HEALTH CARE AUTHORITY FFS
Dental Care
phone(800) 782-0095Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • WV FFS MEDICAID
Pharmacy
phone(800) 879-6901Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • SUPERIOR VISION
Vision (Optometry)
phone(800) 888-1965Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • OPTUM
Mental Health
phone(833) 554-1013Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • AVESIS
Dental Care, Vision (Optometry)
phone(855) 208-6334Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DENTAQUEST
Dental Care
phone(855) 230-4656Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • WELLPOINT VISION
Vision (Optometry)
phone(855) 934-9812Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MARYLAND HEALTHY SMILE DENTAL PROGRAM
Dental Care
phone(866) 434-5520Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MAGELLAN HEALTH SERVICES
Pharmacy
phone(866) 797-9884Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CARELONRX
Pharmacy
phone(866) 805-4589Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Insurance; Benefit context: Co-Payment
  • CARELONRX
  • UTILIZATION MANAGEMENT
Chiropractic, Chiropractic, Physician Visit - Office: Well, Pharmacy
phone(866) 819-4298Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • SUPERIOR VISION
Vision (Optometry)
phone(866) 864-2526Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • RENAISSANCE
Dental Care
phone(877) 408-0881Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • SCION
Dental Care
phone(888) 352-7924Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • LIBERTY DENTAL
Dental Care
phone(888) 554-5542Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DENTAQUEST
Dental Care
phone(866) 655-7423Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Professional (Physician) Visit - Office
phone(202) 484-1650Other stated contextBenefit context: Other or Additional Payor
  • CAREFIRST BCBS DC
Health Benefit Plan Coverage
phone(215) 241-2400Other stated contextBenefit context: Other or Additional Payor
  • INDEPENDENCE BLUE CROSS
Health Benefit Plan Coverage
phone(400) 782-1556Other stated contextBenefit context: Other or Additional Payor
  • BLUE CROSS BLUE SHIELD OF ILLINOIS
Health Benefit Plan Coverage
phone(410) 581-3535Other stated contextBenefit context: Other or Additional Payor
  • CAREFIRST BLUE CROSS BLUE SHIELD OF MD
Health Benefit Plan Coverage
phone(800) 228-9100Other stated contextBenefit context: Other or Additional Payor
  • PHYSICIANS MUTUAL LIFE INSURANCE CO
Health Benefit Plan Coverage
phone(800) 244-6224Other stated contextBenefit context: Other or Additional Payor
  • CIGNA HEALTHCARE
Health Benefit Plan Coverage
phone(800) 323-2190Other stated contextBenefit context: Other or Additional Payor
  • CENTRAL STATES BLUE CROSS AND BLUE SHIELD
Health Benefit Plan Coverage
phone(800) 338-6833Other stated contextBenefit context: Other or Additional Payor
  • DEVOTED HEALTH PLANS
Health Benefit Plan Coverage
phone(800) 448-6262Other stated contextBenefit context: Other or Additional Payor
  • HUMANA
  • HUMANA HEALTH PLANS
Health Benefit Plan Coverage
phone(800) 453-3475Other stated contextBenefit context: Other or Additional Payor
  • INDEPENDENCE BLUE CROSS
Health Benefit Plan Coverage
phone(800) 521-2227Other stated contextBenefit context: Other or Additional Payor
  • BLUE CROSS BLUE SHIELD OF TEXAS
Health Benefit Plan Coverage
phone(800) 558-4444Other stated contextBenefit context: Other or Additional Payor
  • HUMANA
  • HUMANA EMPLOYERS HEALTH
Health Benefit Plan Coverage
phone(800) 572-7331Other stated contextBenefit context: Other or Additional Payor
  • BLUE CROSS BLUE SHIELD OF TENNESSEE
Health Benefit Plan Coverage
phone(800) 611-1811Other stated contextBenefit context: Other or Additional Payor
  • KAISER PERMANENTE
Health Benefit Plan Coverage
phone(800) 618-2879Other stated contextBenefit context: Other or Additional Payor
  • HEATING PIPING & REFRIGERATION FUND LOCAL 602
Health Benefit Plan Coverage
phone(800) 627-8797Other stated contextBenefit context: Other or Additional Payor
  • ANTHEM BLUE CROSS OF CA
Health Benefit Plan Coverage
phone(800) 638-6756Other stated contextBenefit context: Other or Additional Payor
  • BCBS FEDERAL EMPLOYEES
Health Benefit Plan Coverage
phone(800) 718-7204Other stated contextBenefit context: Other or Additional Payor
  • ALLEGIANCE BENEFIT PLAN ADMIN
Health Benefit Plan Coverage
phone(800) 827-6422Other stated contextBenefit context: Other or Additional Payor
  • ANTHEM BLUE CROSS BLUE SHIELD OF NEVADA
Health Benefit Plan Coverage
phone(800) 828-7622Other stated contextBenefit context: Other or Additional Payor
  • CIGNA
Health Benefit Plan Coverage
phone(800) 842-5252Other stated contextBenefit context: Other or Additional Payor
  • UNITED HEALTHCARE
Health Benefit Plan Coverage
phone(800) 868-2510Other stated contextBenefit context: Other or Additional Payor
  • BCBS SOUTH CAROLINA
Health Benefit Plan Coverage
phone(833) 531-2238Other stated contextBenefit context: Co-Insurance
  • WELLPOINT
Hospital
phone(866) 251-1689Other stated contextBenefit context: Other or Additional Payor
  • ANTHEM BLUE CROSS BLUE SHIELD
Health Benefit Plan Coverage
phone(866) 756-3313Other stated contextBenefit context: Other or Additional Payor
  • MO-KAN TEAMSTER H & W FUND
Health Benefit Plan Coverage
phone(877) 233-1800Other stated contextBenefit context: Other or Additional Payor
  • UMR
Health Benefit Plan Coverage
phone(877) 392-9865Other stated contextBenefit context: Other or Additional Payor
  • MEDICARE PART A & PART B COVERAGE
Health Benefit Plan Coverage
phone(877) 535-2128Other stated contextBenefit context: Other or Additional Payor
  • AETNA
Health Benefit Plan Coverage
phone(877) 842-3210Other stated contextBenefit context: Other or Additional Payor
  • UHC
  • UNITED HEALTHCARE MEDICARE COMPLETE (HMO)
Health Benefit Plan Coverage
phone(888) 805-7996Other stated contextBenefit context: Other or Additional Payor
  • SHEET METAL WORKERS LOCAL 100
Health Benefit Plan Coverage
phone(888) 963-7508Other stated contextBenefit context: Other or Additional Payor
  • CAREFIRST ADMINISTRATORS
Health Benefit Plan Coverage

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.

Not affiliated with WellPoint Medicare Supplement or BCBSA.

Confirm routing with your clearinghouse. Report an error

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.

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