XQV

BCBS Prefix XQV

Wellmark Blue Cross and Blue Shield

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

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 XQV

Medicare Advantage

This prefix includes Medicare Advantage coverage. MA plans follow CMS guidelines for timely filing (365 days from date of service), which may differ from the commercial plan's deadline. The payer ID for Medicare Advantage claims may differ from the standard commercial payer ID. Verify before submitting.

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.

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.

About Wellmark Blue Cross and Blue Shield

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