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Charlene FairchildOperations Coordinator Network Administration03052 Charlene FairchildOperations Coordinator Network Administration03052

Charlene FairchildOperations Coordinator Network Administration03052 - PDF document

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Charlene FairchildOperations Coordinator Network Administration03052 - PPT Presentation

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1 Charlene FairchildOperations Coordinator
Charlene FairchildOperations Coordinator, Network Administration03/05/2014Enhanced “Ask and Track a Question” Tool��1&#x/Att;¬he; [/; ott;&#xom ];&#x/BBo;&#xx [2;A.0; 11;&#x.950; 66;�.01;h 2;.21;9 ];&#x/Typ; /P; gin; tio;&#xn 00;&#x/Att;¬he; [/; ott;&#xom ];&#x/BBo;&#xx [2;A.0; 11;&#x.950; 66;�.01;h 2;.21;9 ];&#x/Typ; /P; gin; tio;&#xn 00;Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako ��2&#x/BBo;&#xx [3;.2 ;҂.;ރ ;đ.;蘂&#x 513;&#x.395; ]/;&#xSubt;&#xype ;&#x/Foo;&#xter ;&#x/Typ; /P; gin; tio;&#xn 00;&#x/BBo;&#xx [3;.2 ;҂.;ރ ;đ.;蘂&#x 513;&#x.395; ]/;&#xSubt;&#xype ;&#x/Foo;&#xter ;&#x/Typ; /P; gin; tio;&#xn

2 00;Agenda Welcome and IntroductionsCurr
00;Agenda Welcome and IntroductionsCurrent ProcessOverview of EnhancementsAsk a General QuestionAsk a Question about this MemberInquire or Submit Documents on this ClaimTrack Your InquiriesHelpful HintsResourcesQuestions��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako Welcome and Introductions��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako��3&#x/BBo;&#xx [4;.88;&#x 423;&#x.312;&#x 687;&#x.472; 44;.40; ]/;&#xSubt;&#xype ;&#x/Foo;&#xter ;&#x/Typ; /P; gin; tio;&#xn 00;&#x/BBo;&#xx [4;.88;&#x 423;&#x.312;&#x 687;&#x.472; 44;.40; ]/;&#xSubt;&#xype ;&#x/Foo;&#xter ;&#x/Typ; /P; gin; tio

3 ;&#xn 00;Welcome to Wellmark’spr
;&#xn 00;Welcome to Wellmark’sprovider webinar hosted by Network EngagementThe speaker for today’s webinar is: Charlene Fairchild, Network Administration Operations CoordinatorTitle of Presentation: Enhanced ‘Ask and Track a Question’ ToolPhones have been mutedYou may submit questions using the ‘Q/A’ feature at the top of your screen This webinar is being recorded A link to the recording, along with the slides and Q/A document, will be posted on Wellmark.com under the Quick Link labeled “Education” within two weeks. ��4&#x/BBo;&#xx [3;.2 ;҂.;ރ ;đ.;蘂&#x 513;&#x.395; ]/;&#xSubt;&#xype ;&#x/Foo;&#xter ;&#x/Typ; /P; gin; tio;&#xn 00;&#x/BBo;&#xx [3;.2 ;҂.;ރ ;đ.;蘂&#x 513;&#x.395; ]/;&#xSubt;&#xype ;&#x/Foo;&#xter ;&#x/Typ;

4 /P; gin; tio;&#xn 00;Agenda Welcom
/P; gin; tio;&#xn 00;Agenda Welcome and IntroductionsCurrent ProcessOverview of EnhancementsAsk a General QuestionAsk a Question about this MemberInquire or Submit Documents on this ClaimTrack Your InquiriesHelpful HintsResourcesQuestions��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako Current Process��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako��5&#x/BBo;&#xx [1; 40;.35; 20;.43;s 4;R.3;d ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon 0;&#x/BBo;&#xx [1; 40;.35; 20;.43;s 4;R.3;d ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#

5 xon 0;Login to the Secured Provider Home
xon 0;Login to the Secured Provider Home Page at www.wellmark.com ��Enter User ID and Password.Click Log In. Current Process��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako��6&#x/BBo;&#xx [1; 42;.98;I 1;R.4;ɹ ;є.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;&#x/BBo;&#xx [1; 42;.98;I 1;R.4;ɹ ;є.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;Initiate Inquiry:&#x/BBo;&#xx [1; 42;.98;I 1;R.4;ɹ ;є.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;&#x/BBo;&#xx [1; 42;.98;I 1;R.4;ɹ ;є.;鈇&#x ]/S;&#xubty;&#xpe /;oot;&#

6 xer /;&#xType;&#x /Pa;&#xgina;&#xtion;&#
xer /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;Click on the ‘Check a Claim’ link under the claims section.ORClick on the Quick Link ‘Ask a Secure Question’ or ‘Track a Question’. Current Process��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako��7&#x/BBo;&#xx [2; 42;�.98;I 1;€.0;इ ;ш.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;&#x/BBo;&#xx [2; 42;�.98;I 1;€.0;इ ;ш.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;Search for Claim.&#x/BBo;&#xx [2; 42;�.98;I 1;€.0;इ ;ш.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;&#x/BBo;&#x

7 x [2; 42;�.98;I 1;€.0;&#x
x [2; 42;�.98;I 1;€.0;इ ;ш.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;Enter required ‘Plan Member Number’.Add additional criteria to narrow results.Click ‘Claim Search’.Select claim from search results. Current process��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako��8&#x/BBo;&#xx [2; 41; .06;I 1;w.4;ٕ ;Ѧ.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;&#x/BBo;&#xx [2; 41; .06;I 1;w.4;ٕ ;Ѧ.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;Begin the claim inquiry process: &#x/BBo;&#xx [2; 41; .06;I 1;w.4;

8 ٕ ;Ѧ.;鈇&#x ]/S;&#xubty;&#xpe
ٕ ;Ѧ.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;&#x/BBo;&#xx [2; 41; .06;I 1;w.4;ٕ ;Ѧ.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;‘Claim Status View’. OR‘Claim Summary View’.From the drop down menu select an option to initiate the inquiry: ‘Ask a Question’.‘Ask a Question about this Claim’.‘Ask a Question about this Member’. Current Process��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako��9&#x/BBo;&#xx [2; 31;.98; 19;.90;# 4;`.9;ȇ ;&#x]/Su; typ; /F;&#xoote;&#xr /T;&#xype ;&#x/Pag;&#xinat;&#xion ;&#x/BBo

9 ;&#xx [2; 31;.98; 19;.90
;&#xx [2; 31;.98; 19;.90;# 4;`.9;ȇ ;&#x]/Su; typ; /F;&#xoote;&#xr /T;&#xype ;&#x/Pag;&#xinat;&#xion ;The form is populated with the claim/member information as viewed on the previous detail screen. &#x/BBo;&#xx [2; 31;.98; 19;.90;# 4;`.9;ȇ ;&#x]/Su; typ; /F;&#xoote;&#xr /T;&#xype ;&#x/Pag;&#xinat;&#xion ;&#x/BBo;&#xx [2; 31;.98; 19;.90;# 4;`.9;ȇ ;&#x]/Su; typ; /F;&#xoote;&#xr /T;&#xype ;&#x/Pag;&#xinat;&#xion ;Enter question.Indicate if inquiry has supporting documents.Fax documents to appropriate fax number.Submit form. Current process��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako��10&#x/BBo;&#xx [1; 39; .

10 02; 16;.74;ƒ 4;f.9;
02; 16;.74;ƒ 4;f.9;ȇ ;&#x]/Su; typ; /F;&#xoote;&#xr /T;&#xype ;&#x/Pag;&#xinat;&#xion ;&#x/BBo;&#xx [1; 39; .02; 16;.74;ƒ 4;f.9;ȇ ;&#x]/Su; typ; /F;&#xoote;&#xr /T;&#xype ;&#x/Pag;&#xinat;&#xion ;Document the correspondence number.Track the question/inquiry.Users can access the ‘Track a Question’ function to follow the status of a submitted inquiry by using the provided link. OR&#x/BBo;&#xx [2;.2 ;V.1; 21;.59;‘ 1;4.1;H ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon 0;&#x/BBo;&#xx [2;.2 ;V.1; 21;.59;‘ 1;4.1;H ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon 0;Click on the ‘Track a Question’ link located in Wellmark’sQuick Links Current process��03/05/2014�

11 00;�Confidential and Proprietary
00;�Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako��11&#x/BBo;&#xx [2; 43;.98;I 1;&.1;࠳ ;Ѡ.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;&#x/BBo;&#xx [2; 43;.98;I 1;&.1;࠳ ;Ѡ.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;Search by :&#x/BBo;&#xx [2; 43;.98;I 1;&.1;࠳ ;Ѡ.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;&#x/BBo;&#xx [2; 43;.98;I 1;&.1;࠳ ;Ѡ.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;•Plan Member Number &#x/BBo;&#xx [2; 43;.98;I 1;&.1;࠳ ;Ѡ.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&

12 #x /Pa;&#xgina;&#xtion;&#x 000;&#x/BBo;&
#x /Pa;&#xgina;&#xtion;&#x 000;&#x/BBo;&#xx [2; 43;.98;I 1;&.1;࠳ ;Ѡ.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;•Correspondence Number&#x/BBo;&#xx [2; 43;.98;I 1;&.1;࠳ ;Ѡ.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;&#x/BBo;&#xx [2; 43;.98;I 1;&.1;࠳ ;Ѡ.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;•Contact Name&#x/BBo;&#xx [2; 43;.98;I 1;&.1;࠳ ;Ѡ.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;&#x/BBo;&#xx [2; 43;.98;I 1;&.1;࠳ ;Ѡ.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;•Status&#x/BBo;&#xx [2; 43;.98;I 1;&.1;࠳ ;Ѡ.;鈇&#x ]

13 /S;&#xubty;&#xpe /;oot;r /;&#xTy
/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;&#x/BBo;&#xx [2; 43;.98;I 1;&.1;࠳ ;Ѡ.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;•Date Range Submitted&#x/BBo;&#xx [2; 43;.98;I 1;&.1;࠳ ;Ѡ.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;&#x/BBo;&#xx [2; 43;.98;I 1;&.1;࠳ ;Ѡ.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;Inquiry results display in ascending order by date submitted.User can ‘reply’ or ‘close’ the inquiry after viewing. ��12&#x/BBo;&#xx [3;.2 ;҂.;ރ ;đ.;蘂&#x 513;&#x.395; ]/;&#xSubt;&#xype ;&#x/Foo;&#xter ;&#x/Typ; /P; gin; tio;&#xn 00;&#x/BBo;&#xx [3;.2 ;҂.;ރ ;

14 đ.;蘂&#x 513;&#x.395; ]/;&#xSu
đ.;蘂&#x 513;&#x.395; ]/;&#xSubt;&#xype ;&#x/Foo;&#xter ;&#x/Typ; /P; gin; tio;&#xn 00;Agenda Welcome and IntroductionsCurrent ProcessOverview of EnhancementsAsk a General QuestionAsk a Question about this MemberInquire or Submit Documents on this ClaimTrack Your InquiriesHelpful HintsResourcesQuestions��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako Overview of Enhancements��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako��13&#x/BBo;&#xx [2; 36;.27; 6;‘.2;B 3;’.3;d ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon 0;&#x/BBo;&#xx [2; 36;.27; 6;‘.2;

15 B 3;’.3;d ];&#x/Sub;&#xtype;
B 3;’.3;d ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon 0;Comply with Wellmark’snew ACA products and internal processing system.Allow documents to be uploaded online instead of faxing. Eliminate the human error of matching up faxes and mail to web inquires.Have the same look and feel of similar applications.Allows for less scrolling, fewer clicks, fewer popup windows.Assist providers tracking their inquiries by developing a more user friendly interface.Creates efficiencies both internal and external from start to finish of the inquiry. The enhancements made to the ‘Ask a Question’ and ‘Track a Question’ tool: ��14&#x/BBo;&#xx [3;.2 ;҂.;ރ ;đ.;蘂&#x 513;&#x.395; ]/;&#xSubt;&#xype ;&#x/Foo;&#xter ;&#x/Typ; /P; gin;&#

16 xatio;&#xn 00;&#x/BBo;&#xx [3;.2 ;&#
xatio;&#xn 00;&#x/BBo;&#xx [3;.2 ;҂.;ރ ;đ.;蘂&#x 513;&#x.395; ]/;&#xSubt;&#xype ;&#x/Foo;&#xter ;&#x/Typ; /P; gin; tio;&#xn 00;Agenda Welcome and IntroductionsCurrent ProcessOverview of EnhancementsAsk a General QuestionAsk a Question about this MemberInquire or Submit Documents on this ClaimTrack Your InquiriesHelpful HintsResourcesQuestions��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako Ask a General Question��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako��15&#x/BBo;&#xx [2; 38;.02; 18;.82;Q 4;H.9;ȇ ;&#x]/Su; typ; /F;&#xoote;&#xr /T;&#xype ;&#x/Pag;&#xinat;&#xi

17 on ;&#x/BBo;&#xx [2; 38;.02;
on ;&#x/BBo;&#xx [2; 38;.02; 18;.82;Q 4;H.9;ȇ ;&#x]/Su; typ; /F;&#xoote;&#xr /T;&#xype ;&#x/Pag;&#xinat;&#xion ;Access the Ask & Track a Question tool:&#x/BBo;&#xx [2; 38;.02; 18;.82;Q 4;H.9;ȇ ;&#x]/Su; typ; /F;&#xoote;&#xr /T;&#xype ;&#x/Pag;&#xinat;&#xion ;&#x/BBo;&#xx [2; 38;.02; 18;.82;Q 4;H.9;ȇ ;&#x]/Su; typ; /F;&#xoote;&#xr /T;&#xype ;&#x/Pag;&#xinat;&#xion ;Click on ‘Check a Claim’.ORClick on ‘Ask & Track a Question’.Note: ‘Ask a Secure Question’ and ‘Track a Question’ are now in one combined link. Ask a General Question��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako��16&#x/

18 BBo;&#xx [1; 35;.27; 19;
BBo;&#xx [1; 35;.27; 19;.40;f 4; .4;D ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon 0;&#x/BBo;&#xx [1; 35;.27; 19;.40;f 4; .4;D ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon 0;Each inquiry type will display on separate tabsSupporting documentation can now be attached!Contact information set up by Designated Security Coordinator (DSC) ��17&#x/BBo;&#xx [3;.2 ;҂.;ރ ;đ.;蘂&#x 513;&#x.395; ]/;&#xSubt;&#xype ;&#x/Foo;&#xter ;&#x/Typ; /P; gin; tio;&#xn 00;&#x/BBo;&#xx [3;.2 ;҂.;ރ ;đ.;蘂&#x 513;&#x.395; ]/;&#xSubt;&#xype ;&#x/Foo;&#xter ;&#x/Typ; /P; gin; tio;&#xn 00;Agenda Welcome and IntroductionsCurrent ProcessOverview of EnhancementsAsk a General QuestionAsk a Question about thi

19 s MemberInquire or Submit Documents on t
s MemberInquire or Submit Documents on this ClaimTrack Your InquiriesHelpful HintsResourcesQuestions��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako Ask a Question about this Member��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako��18&#x/BBo;&#xx [2; 40;.35; 19;.32;v 4;F.3;d ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon 0;&#x/BBo;&#xx [2; 40;.35; 19;.32;v 4;F.3;d ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon 0;Search by Wellmark ID.ORLast Name, First Name, and Birth Date of PatientUsers have the abilit

20 y to indicate a specific policy status.A
y to indicate a specific policy status.ActiveCancelledAll Ask a Question about this Member��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako��19&#x/BBo;&#xx [2; 38;.31; 19;.49;v 4;F.3;d ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon 0;&#x/BBo;&#xx [2; 38;.31; 19;.49;v 4;F.3;d ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon 0;Member information populates within the form.&#x/BBo;&#xx [2; 38;.31; 19;.49;v 4;F.3;d ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon 0;&#x/BBo;&#xx [2; 38;.31; 19;.49;v 4;F.3;d ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon

21 0;Select the patient.Enter q
0;Select the patient.Enter question.Upload documents.Review or change contact information.Submit inquiry. ��20&#x/BBo;&#xx [3;.2 ;҂.;ރ ;đ.;蘂&#x 513;&#x.395; ]/;&#xSubt;&#xype ;&#x/Foo;&#xter ;&#x/Typ; /P; gin; tio;&#xn 00;&#x/BBo;&#xx [3;.2 ;҂.;ރ ;đ.;蘂&#x 513;&#x.395; ]/;&#xSubt;&#xype ;&#x/Foo;&#xter ;&#x/Typ; /P; gin; tio;&#xn 00;Agenda Welcome and IntroductionsCurrent ProcessOverview of EnhancementsAsk a General QuestionAsk a Question about this MemberInquire or Submit Documents on this ClaimTrack Your Inquiries Helpful HintsResourcesQuestions��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako Inquire or Submit Documents on this Claim�&#

22 x0000;03/05/2014��Confiden
x0000;03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako��21&#x/BBo;&#xx [2; 42;�.98;I 1;.1;ध ;ш.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;&#x/BBo;&#xx [2; 42;�.98;I 1;.1;ध ;ш.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;Search for Claim:&#x/BBo;&#xx [2; 42;�.98;I 1;.1;ध ;ш.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;&#x/BBo;&#xx [2; 42;�.98;I 1;.1;ध ;ш.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;Click on the ‘Check a Claim’ link under the claims section. Enter the ‘Plan Member Numb

23 er’ using the Member Claim Search.ï
er’ using the Member Claim Search.Enter additional claim criteria as needed.Click ‘Claim Search’. Inquire or Submit Documents on this Claim��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako��22&#x/BBo;&#xx [2; 40;.06;I 1;u.9;٨ ;ш.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;&#x/BBo;&#xx [2; 40;.06;I 1;u.9;٨ ;ш.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;Search Results appear belowSelect Claim to Review Inquire or Submit Documents on this Claim��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross a

24 nd Blue Shield of South Dako��
nd Blue Shield of South Dako��23&#x/BBo;&#xx [2; 43;.06;I 2;.5;ą ;љ.;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;&#x/BBo;&#xx [2; 43;.06;I 2;.5;ą ;љ.;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;Initiate Claim Inquiry&#x/BBo;&#xx [2; 43;.06;I 2;.5;ą ;љ.;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;&#x/BBo;&#xx [2; 43;.06;I 2;.5;ą ;љ.;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;Use the drop down menu from ‘Claim Status’ or ‘Claim Summary’ View .Click on ‘Inquire or Submit Documents on this Claim’ from the drop down menu Inquire or Submit Documents on this Claim

25 ��03/05/2014��
��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako��24&#x/BBo;&#xx [4;.8 ;ф.;顉&#x 184;&#x.119; 47;.92; ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon 0;&#x/BBo;&#xx [4;.8 ;ф.;顉&#x 184;&#x.119; 47;.92; ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon 0;Complete Form&#x/BBo;&#xx [4;.8 ;ф.;顉&#x 184;&#x.119; 47;.92; ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon 0;&#x/BBo;&#xx [4;.8 ;ф.;顉&#x 184;&#x.119; 47;.92; ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon 0;Enter specific claim question. Upload supporting documents.Attach up to three documents with acc

26 epted formats.Ensure attachments pertain
epted formats.Ensure attachments pertain only to the inquiry being submitted.Click ‘Upload’ for each document being attached.Remove attachments by clicking the Red “Verify contact Information.Submit. Inquire or Submit Documents on this Claim��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako��25&#x/BBo;&#xx [1; 43;.98;I 1;d.8;ı ;Ѡ.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;&#x/BBo;&#xx [1; 43;.98;I 1;d.8;ı ;Ѡ.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;Action Needed:&#x/BBo;&#xx [1; 43;.98;I 1;d.8;ı ;Ѡ.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xg

27 ina;&#xtion;&#x 000;&#x/BBo;&#xx [1;
ina;&#xtion;&#x 000;&#x/BBo;&#xx [1; 43;.98;I 1;d.8;ı ;Ѡ.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;Document correspondence number.Click on the provided link to ‘Track your inquiry’ OR choose another action from the drop menu. ��26&#x/BBo;&#xx [3;.2 ;҂.;ރ ;đ.;蘂&#x 513;&#x.395; ]/;&#xSubt;&#xype ;&#x/Foo;&#xter ;&#x/Typ; /P; gin; tio;&#xn 00;&#x/BBo;&#xx [3;.2 ;҂.;ރ ;đ.;蘂&#x 513;&#x.395; ]/;&#xSubt;&#xype ;&#x/Foo;&#xter ;&#x/Typ; /P; gin; tio;&#xn 00;Agenda Welcome and IntroductionsCurrent ProcessOverview of EnhancementsAsk a General QuestionAsk a Question about this MemberInquire or Submit Documents on this ClaimTrack Your InquiriesHelpful HintsResourcesQuestions��03/05/2014��Confiden

28 tial and Proprietary Wellmark Blue Cross
tial and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako Track your Inquiries��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako��27&#x/BBo;&#xx [2; 43;.98;I 3;•.1;В ;Ѡ.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;&#x/BBo;&#xx [2; 43;.98;I 3;•.1;В ;Ѡ.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;From the secured provider home page:&#x/BBo;&#xx [2; 43;.98;I 3;•.1;В ;Ѡ.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;&#x/BBo;&#xx [2; 43;.98;I 3;•.1;В ;Ѡ.;鈇&#x ]/S;&#xubty;&#xpe /;&#

29 xFoot;r /;&#xType;&#x /Pa;&#xgina;&#
xFoot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;Click on ‘Ask & Track a Question’.Select ‘New Replies’, ‘Questions Awaiting Replies’ or ‘Closed’ Inquiries. Track your Inquiries��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako��28&#x/BBo;&#xx [2; 42;�.98;I 5;˜.6;ं ;ш.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;&#x/BBo;&#xx [2; 42;�.98;I 5;˜.6;ं ;ш.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;To view an inquiry, click on the ‘Correspondence Number’. Track your Inquiries��03/05/2014��Confidential and Proprietary Wellmark Blue Cross

30 and Blue Shield of Iowa and Wellmark Bl
and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako��29&#x/BBo;&#xx [1; 40;.06;I 2;.0;ࡣ ;ш.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;&#x/BBo;&#xx [1; 40;.06;I 2;.0;ࡣ ;ш.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;Review replies from Wellmark&#x/BBo;&#xx [1; 40;.06;I 2;.0;ࡣ ;ш.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;&#x/BBo;&#xx [1; 40;.06;I 2;.0;ࡣ ;ш.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;Click on ‘Correspondence Number’.Review response.Does this answer your question?lick ‘Reply to this message’.OR•If yes, simpl

31 y click Yes, thank you’. �&#
y click Yes, thank you’. ��30&#x/BBo;&#xx [3;.2 ;҂.;ރ ;đ.;蘂&#x 513;&#x.395; ]/;&#xSubt;&#xype ;&#x/Foo;&#xter ;&#x/Typ; /P; gin; tio;&#xn 00;&#x/BBo;&#xx [3;.2 ;҂.;ރ ;đ.;蘂&#x 513;&#x.395; ]/;&#xSubt;&#xype ;&#x/Foo;&#xter ;&#x/Typ; /P; gin; tio;&#xn 00;Agenda Welcome and IntroductionsCurrent ProcessOverview of EnhancementsAsk a General QuestionAsk a Question about this MemberInquire or Submit Documents on this ClaimTrack Your InquiriesHelpful HintsResourcesQuestions��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako Helpful Hints��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield

32 of South Dako��31&#x/BBo;
of South Dako��31&#x/BBo;&#xx [2; 38; .06;I 6;‚.9;і ;ж.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;&#x/BBo;&#xx [2; 38; .06;I 6;‚.9;і ;ж.;鈇&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x 000;Prevent delaysby ensuring the correct documents are attached for the correct patient in which the inquiry is being submitted for. Ensure the supportingdocumentation is submitted in one of the acceptable formats.Jpg., Jpeg., Gif., Png., Bmp., Tiff., Tif., Pdf., Doc., Docx., or XpsBe sure to click the ‘upload’ button within the tool to attach the appropriate documents.Allow up to 30 days for your inquiry to complete; do not submit duplicate inquiries. Remember, you can check the status of your inquiry at anytime thro

33 ugh the ‘Track a Question’ fun
ugh the ‘Track a Question’ function. ��32&#x/BBo;&#xx [3;.2 ;҂.;ރ ;đ.;蘂&#x 513;&#x.395; ]/;&#xSubt;&#xype ;&#x/Foo;&#xter ;&#x/Typ; /P; gin; tio;&#xn 00;&#x/BBo;&#xx [3;.2 ;҂.;ރ ;đ.;蘂&#x 513;&#x.395; ]/;&#xSubt;&#xype ;&#x/Foo;&#xter ;&#x/Typ; /P; gin; tio;&#xn 00;Agenda Welcome and IntroductionsCurrent ProcessOverview of EnhancementsAsk a General QuestionAsk a Question about this MemberInquire or Submit Documents on this ClaimTrack Your InquiriesHelpful HintsResourcesQuestions��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako Resources��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross a

34 nd Blue Shield of South Dako��
nd Blue Shield of South Dako��33&#x/BBo;&#xx [2; 42;.27; 25;.93;„ 4;F.3;d ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon 0;&#x/BBo;&#xx [2; 42;.27; 25;.93;„ 4;F.3;d ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon 0;Provider Education PageBlue Ink February 2014 http://www.wellmark.com/Provider/CommunicationAndResources/PDFs/BlueInk0214.pdf Working with Wellmark.com: Web Enhancements WebinarJanuary 2014 http://www.wellmark.com/Provider/CommunicationAndResources/Webinars.aspx ��Billing GuideClaims filing guide • http://www.wellmark.com/Provider/CommunicationAndResources/PDFs/S5780_ClaimsFilingProviderGuide.pdf ��Hot topicsDSC connectionEC Solutions for technical assistance http://www.wellmark.com/AboutWellmark

35 /ContactUs/Contact_ProviderECSolutions.a
/ContactUs/Contact_ProviderECSolutions.aspx ��34&#x/BBo;&#xx [3;.2 ;҂.;ރ ;đ.;蘂&#x 513;&#x.395; ]/;&#xSubt;&#xype ;&#x/Foo;&#xter ;&#x/Typ; /P; gin; tio;&#xn 00;&#x/BBo;&#xx [3;.2 ;҂.;ރ ;đ.;蘂&#x 513;&#x.395; ]/;&#xSubt;&#xype ;&#x/Foo;&#xter ;&#x/Typ; /P; gin; tio;&#xn 00;Agenda Welcome and IntroductionsCurrent ProcessOverview of EnhancementsAsk a General QuestionAsk a Question about this MemberInquire or Submit Documents on this ClaimTrack Your InquiriesHelpful HintsResourcesQuestions��03/05/2014��Confidential and Proprietary Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dako Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dakota are Independent Licenseesthe Blue Cross and Blue Shie