Contact Wellpoint

Phone:    888-850-1108

TTY:    800-368-4424

When members need information and education about medical conditions, healthcare, and prevention, our 24-hour Nurse HelpLine provides them with triage services and helps direct them to appropriate levels of care. We have listed the 24-hour Nurse HelpLine telephone number on our members’ ID cards to ensure they can access health care information whenever they need it.

Our Nurse HelpLine offers:

• Availability 24/7

• Information based on nationally recognized and accepted guidelines

• Translation services in 150 different languages and for members with difficulty hearing

• Education for members about appropriate alternatives for handling non-emergent medical conditions

• Member's assessment reports faxed to provider's office within 24 hours of receipt of the call

• Monthly postcards mailed to members who have accessed the emergency room in the past month to reinforce the importance of notifying the primary care provider of health concerns

Our case managers are registered nurses and are available from 8:00 a.m. to 5:00 p.m. Monday through Friday. Confidential voice mail is available 24 hours a day.

Phone:    304-347-2475

Pharmacy Help Desk

Phone:    888-483-0801
 

Fax:    800-531-7787

Prior authorization for physician-administered drugs

Phone:     877-375-6185
 

Fax:    844-487-9290

For help with prior authorization requests, inpatient coordination, and hospital/facility admission notification, please contact Wellpoint’s Utilization Management (UM) department Monday to Friday from 8:00 a.m. to 5:00 p.m.

Phone:    866-655-7423

Behavioral Health inpatient fax:     855-325-5556
 

Behavioral Health outpatient fax:    855-325-5557
 

Current inpatient review fax:    855-402-6985
 

Preservice review fax:    855-402-6983