Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Wellmark Subrogation Department

Get Wellmark Subrogation Department

Provider Contact Person Contact Telephone Number ( ) Provider Fax Number (optional) ( ) Reply by Fax c Yes c No Member Identification Number Alpha Prefix Member ID# Member Name Patient Name Patient Account Number Date(s) of Service / / , / /.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Wellmark Subrogation Department online

Filling out the Wellmark Subrogation Department form can be a straightforward process when approached methodically. This guide will provide you with clear, step-by-step instructions to ensure that you accurately complete the form online and submit it for review.

Follow the steps to successfully complete your inquiry

  1. Click the ‘Get Form’ button to access the inquiry form and open it in the provided interface.
  2. Begin by filling out the required information at the top of the form, including your name, NPI, address, and contact details. Ensure that all entries are complete and accurate to avoid delays.
  3. Provide the member and patient information. This includes entering the member identification number along with the member's name and the patient's name.
  4. List the date(s) of service in the designated fields. Make sure to enter the dates in the format MM/DD/YY, and include all relevant service dates.
  5. Specify the total charge for the services rendered, ensuring that the amount reflects all involved charges in the billing.
  6. Indicate the claim/ICN number that corresponds to the billing being inquired about. This internal control number is crucial for tracking your claim.
  7. For the reason for inquiry request, check all applicable boxes to clarify your reason for contacting Wellmark. Include relevant comments when necessary.
  8. In the details of the request section, provide any additional information that may support your inquiry. Be thorough to ensure that your request is understood.
  9. If you have supporting documentation, gather it together. This may include office notes, operative reports, and any other relevant documents that strengthen your request.
  10. Once all fields are filled and verified for accuracy, you have the option to save the changes, download, or print the form for your records before submission.

Complete your Wellmark Subrogation Department inquiry form online for a timely response.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

C-2318978 Member Submitted Claim Form - Wellmark...
For specific filing deadlines refer to the Claims section of your Wellmark Coverage...
Learn more
Wellmark BlueHMO Coverage Manual - Iowa State...
Claims Excluded By Applicable Law . ... You may also contact the U.S. Department of Health...
Learn more
Inguinocutaneous Slut
2535520960 Marked this section we will notify the office easy to fall down your ... Even...
Learn more

Related links form

Department Of Health Science Community Health Education ... - Towson Community Health Education Internship Reports - Towson University 2008 Homecoming Committee Application - Towson University - Towson Rules Of The Competition - Cooley

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

The fax number for Wellmark's prior authorization requests is 1-800-220-2700. This allows healthcare providers to submit necessary documentation directly to the Wellmark Subrogation Department. Ensuring your prior authorization is handled promptly can streamline your access to healthcare services. Always double-check this information by visiting their official site for the most accurate details.

The address for the Blue Cross Blue Shield of Iowa, which operates under Wellmark, is 1331 Grand Avenue, Des Moines, IA 50309. This location serves as the headquarters for all Wellmark services, including those provided by the Wellmark Subrogation Department. If you need assistance, visiting this address or contacting them directly can help you with your inquiries. They are designed to support you efficiently.

The mailing address for Blue Cross Blue Shield of Iowa can typically be found on the BCBS of Iowa website or your insurance documentation. Make sure to address your correspondence accurately to ensure it reaches the right department. If you need guidance regarding claims or subrogation, the Wellmark Subrogation Department can assist you.

To submit your Blue Cross complete claims, address them to the claims department as indicated on your claim form. If you are unsure, you can find the correct mailing address on the Blue Cross website. Additionally, if your case involves subrogation matters, consider contacting the Wellmark Subrogation Department for assistance.

Mail your Wellmark BCBS of Iowa claims to the address provided on your claim form or found online on the Wellmark website. It is crucial to ensure that all documentation is complete to avoid delays. If you have questions regarding subrogation, the Wellmark Subrogation Department is available to help.

To create a Wellmark account, visit the Wellmark website and click on the 'Register' option. You will need to provide some personal information, including your insurance details. Once you complete the registration, you can access various services, including functionalities offered by the Wellmark Subrogation Department.

Yes, Wellmark is the Iowa licensee of the Blue Cross Blue Shield Association, meaning they provide BCBS services specifically tailored for Iowa residents. This affiliation ensures you have access to a range of health insurance options. For specific questions about subrogation claims, reach out to the Wellmark Subrogation Department for direct assistance.

Another common designation for Blue Cross Blue Shield is BCBS, which refers to the collective organization that administers health insurance across America. Each member plan operates independently, but they share branding under the BCBS umbrella. For inquiries about claims or subrogation, don't hesitate to contact the Wellmark Subrogation Department.

Finding the cheapest health insurance in Iowa typically depends on your coverage needs and eligibility. Various plans are available, but it's essential to compare options to ensure you get the best value. If you have specific subrogation questions related to your coverage, the Wellmark Subrogation Department can provide helpful insights.

Wellmark of Iowa's provider services can be reached through their customer service telephone number, available on their website. They are knowledgeable and ready to assist you with anything from policy inquiries to subrogation queries. For subrogation assistance, the Wellmark Subrogation Department is your go-to resource.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Wellmark Subrogation Department
Get form
  • Adoption
  • Bankruptcy
  • Contractors
  • Divorce
  • Home Sales
  • Employment
  • Identity Theft
  • Incorporation
  • Landlord Tenant
  • Living Trust
  • Name Change
  • Personal Planning
  • Small Business
  • Wills & Estates
  • Packages A-Z
  • Affidavits
  • Bankruptcy
  • Bill of Sale
  • Corporate - LLC
  • Divorce
  • Employment
  • Identity Theft
  • Internet Technology
  • Landlord Tenant
  • Living Wills
  • Name Change
  • Power of Attorney
  • Real Estate
  • Small Estates
  • Wills
  • All Forms
  • Forms A-Z
  • Form Library
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
  • Real Estate Handbook
  • All Guides
  • Notarize
  • Incorporation services
  • For Consumers
  • For Small Business
  • For Attorneys
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Form Packages
  • Adoption
  • Bankruptcy
  • Contractors
  • Divorce
  • Home Sales
  • Employment
  • Identity Theft
  • Incorporation
  • Landlord Tenant
  • Living Trust
  • Name Change
  • Personal Planning
  • Small Business
  • Wills & Estates
  • Packages A-Z
Form Categories
  • Affidavits
  • Bankruptcy
  • Bill of Sale
  • Corporate - LLC
  • Divorce
  • Employment
  • Identity Theft
  • Internet Technology
  • Landlord Tenant
  • Living Wills
  • Name Change
  • Power of Attorney
  • Real Estate
  • Small Estates
  • Wills
  • All Forms
  • Forms A-Z
  • Form Library
Customer Service
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
Legal Guides
  • Real Estate Handbook
  • All Guides
Prepared for you
  • Notarize
  • Incorporation services
Our Customers
  • For Consumers
  • For Small Business
  • For Attorneys
Our Sites
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
© Copyright 1999-2026 airSlate Legal Forms, Inc. 3720 Flowood Dr, Flowood, Mississippi 39232
  • Your Privacy Choices
  • Terms of Service
  • Privacy Notice
  • Content Takedown Policy
  • Bug Bounty Program