L5G

BCBS Prefix L5G

Wellmark Blue Cross and Blue Shield

South Dakota/Iowa • EPO, Medicaid, High-Deductible Health Plan (HDHP)

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 L5G

EPO

This is an Exclusive Provider Organization (EPO) prefix. EPO plans do not cover out-of-network care except in genuine emergencies. Members can see any in-network specialist without a referral from their primary care physician. Claims for out-of-network non-emergency services will be denied.

Medicaid

Under this prefix, the member may have Medicaid coverage managed by this BCBS plan. Medicaid claims have specific rules around cost-sharing, balance billing, and timely filing that override the plan's standard commercial policies. Contact the plan's Medicaid provider services line for submission details.

HDHP

This prefix is associated with a High-Deductible Health Plan. HDHP members pay more out-of-pocket before insurance coverage begins. These plans are commonly paired with HSA or HRA accounts. When billing, be aware that the member may have significant cost-sharing responsibility until their annual deductible is satisfied.

About Wellmark Blue Cross and Blue Shield

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