BOM

BCBS Prefix BOM

Wellmark Blue Cross and Blue Shield

South Dakota/Iowa • EPO, POS, Medicare Advantage

Billing essentials

Provider phone
(800) 552-3993
Electronic payer ID
88848
Claims mailing address
P.O. Box 14509, Des Moines, IA 50306-3509
Timely filing limit
180 daysCompare all plans
Prior authorization phone
(800) 552-3993
Provider website
https://www.wellmark.com

Coverage under prefix BOM

EPO

EPO (Exclusive Provider Organization) plans require members to use in-network providers, similar to an HMO. The key difference is that referrals are usually not required to see a specialist. Out-of-network care is not covered except in emergency situations. Submit claims to the payer listed above.

POS

Under this POS prefix, the member can access care both in-network and out-of-network, with cost-sharing that varies based on how the care is accessed. In-network care coordinated through the member's PCP has the lowest out-of-pocket cost. Include referral documentation when billing at the in-network benefit level.

Medicare Advantage

This prefix is associated with Medicare Advantage. MA plans combine hospital (Part A) and medical (Part B) coverage, and many include prescription drug coverage (Part D). When billing, confirm whether the plan uses the same payer ID for MA claims as for commercial claims, as many BCBS companies use separate IDs.

About Wellmark Blue Cross and Blue Shield

Health insurance company serving Iowa and South Dakota with commercial and other plans.