Wellmark

Summary

Wellmark is a regional health plan, part of Wellmark, Inc., offering dental, medical, and vision coverage operating in Iowa and South Dakota. Claims route under payer ID 88848, with 18 alternate IDs in use across clearinghouses. Provider enrollment typically takes 45-90 days, with applications through Wellmark Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

88848Also seen as 10395, 10396, 12B92, 1404, 1510, 2490 and 12 more

Also known as

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)

Uses CAQH

YesApplication route: CAQH application only

Service area

IA, SD

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for Wellmark?

The payer ID for Wellmark is 88848. Alternate IDs seen across clearinghouses include 10395, 10396, 12B92, 1404.

How long does Wellmark provider enrollment take?

Wellmark provider enrollment typically takes 45-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Wellmark require CAQH?

Yes. Wellmark uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does Wellmark require ERA enrollment?

Yes. Wellmark requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Wellmark cover?

Wellmark operates in IA, SD. Coverage can differ by plan and product line, so confirm the specific plan before you file.