Policies, guidelines and manuals

Wellpoint Iowa, Inc. is committed to supporting you in providing quality care and services to the members in our network. Find information for assessing coverage options, Utilization Management (UM) Guidelines, clinical practice policies and support for delivering benefits to our members.

Provider manuals

Our provider manuals outline key information about our case management and UM programs, quality standards for provider participation, claims and appeal guidance, prior authorization requirements, and much more.

Related information

Medical Policies and Clinical UM Guidelines

Medical Policies address the medical necessity of new services or procedures and new applications of existing services or procedures. Clinical UM Guidelines focus on detailed selection criteria, goal length of stay, and location for generally accepted technologies or services.

Provider tools & resources

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We look forward to working with you to provide quality service for our members.

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