BCBS Prefix Lookup
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NGZ

BCBS Prefix NGZ

Wellmark Blue Cross and Blue Shield

South Dakota/Iowa • Medicare Advantage, Traditional Indemnity, EPO

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 NGZ

Medicare Advantage

Medicare Advantage coverage under this prefix means the plan administers Medicare Part A and Part B benefits on behalf of CMS. These claims may have different processing rules than commercial claims, including different prior authorization requirements and appeal timelines. CMS timely filing rules (365 days) typically apply.

Traditional Indemnity

This prefix includes traditional indemnity coverage. Indemnity plans are the oldest form of health insurance and offer maximum provider choice with no network restrictions. Members pay a percentage of charges after meeting their deductible. Reimbursement is based on reasonable and customary rates for the service area.

EPO

Under this EPO prefix, the member has no out-of-network coverage for routine care. However, unlike HMO plans, no referral is needed to see a specialist within the network. When billing, confirm the provider's network participation status with the plan before submitting the claim.

About Wellmark Blue Cross and Blue Shield

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

Other prefixes for Wellmark Blue Cross and Blue Shield

AAL
PPO, HMO, Medicare Advantage
ACH
PPO, HMO, Medicare
ACK
PPO, HMO, Medicare
ACV
PPO, HMO, Medicare
ADR
PPO, HMO, Medicare
AEP
PPO, HMO, Medicare, Medicaid
AEY
PPO, HMO, Medicare, Medicaid
AFC
PPO, HMO, Medicare, Medicaid
ALA
PPO, HMO, EPO, Medicare Advantage
ALF
PPO, HMO, EPO, Medicare Advantage
ALO
PPO, HMO, EPO, Medicare Advantage
AML
PPO, HMO, EPO, Medicare Advantage
ANZ
PPO, HMO, EPO, Medicare Advantage
AOF
PPO, HMO, EPO, Medicare Advantage
APA
PPO, HMO, EPO, Medicare Advantage
APP
PPO, HMO, EPO, Medicare Advantage
APT
PPO, HMO, EPO, Medicare Advantage
AQF
PPO, HMO, EPO, Medicare Advantage
ASK
ATB
HMO, PPO, EPO, Medicare Advantage
ATP
HMO, PPO, EPO, Medicare Advantage
AUY
HMO, PPO, EPO, Medicare Advantage
AWK
HMO, PPO, EPO, Medicare Advantage
AWS
HMO, PPO, EPO, Medicare Advantage
AXH
HMO, PPO, EPO, Medicare Advantage
AYE
HMO, PPO, EPO, Medicare Advantage
AYV
HMO, PPO, EPO, Medicare Advantage
BAJ
PPO, HMO, Medicare Advantage
BAO
HDHP, POS, Medicaid Managed Care
BCF
HMO, EPO, Medicare Advantage

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