Thursday, April 2 2020, 14:40 pm
P-4602 Medical/Surgical Prior Approval (Pre-Service Inquiry)

P-4602 Medical/Surgical Prior Approval (Pre-Service Inquiry)

Medical/Surgical Prior Approval (Pre-service Inquiry) Provider: Please complete this form and submit it to Wellmark to the fax numbers given below. Wellmark Blue Cross and Blue Shield of Iowa Wellmark Health Plan of Iowa, Inc. Prior Approval Unit – Mail Station 5W198 Prior Approval Unit – Mail Station 5W198 Fax: 515-376-9104 Fax: 515-376-9104