> ## Documentation Index
> Fetch the complete documentation index at: https://docs.thrizer.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Register with Wellmark out of network

> Start Wellmark's nonparticipating application in E-cred Central and confirm the timing for claims after registration.

## Before you start

Use this guide when Wellmark — Iowa and South Dakota is a required Local / Host Plan for your practice or claim-service location. Your practice coordinates registration and any required clinician records so the payer can process affected claims. Registration is separate from joining a network and does not guarantee reimbursement.

Not sure which plan applies? First [identify your required Local / Host Plan](/help/claims/bcbs-reimbursement-and-registration#find-and-register-with-your-local-/-host-plan).

Use this route for a practice or service location in Wellmark's **Iowa/South Dakota geographical plan area**. Holding a license in either state alone does not establish the location requirement. If your location is unclear, confirm it with Wellmark first.

## Registration steps

<Steps>
  <Step title="Open the practitioner application entry">
    Open [Wellmark's credentialing page](https://www.wellmark.com/provider/join-our-network/credentialing), expand **Practitioner**, and select **E-cred Central**. Practitioner groups use this entry too. Although the surrounding site discusses joining the network, the tool also handles nonparticipating applications.
  </Step>

  <Step title="Arrange access for your practice">
    Open [E-cred Central](https://www.wellmark.com/E-cred/index.aspx). Check with your practice's existing administrator before creating another account.

    For a first-time organization registration, **Register** opens **Step 1: Register Yourself as Primary OSC**. The person registering becomes the primary Organization Security Coordinator. Supply the requested contact information and practice TIN only if you are the appropriate person to manage that access.
  </Step>

  <Step title="Complete the nonparticipating application">
    In E-cred Central, use the **Application Tool** for a nonparticipating application, not a network contract. Enter the requested practice and clinician information. Wellmark requires licensure in the state of the practice address and an NPI.

    Follow the current application prompts. If you cannot find the nonparticipating route or associate the clinicians with your practice, ask Wellmark before selecting a network-participation option.
  </Step>

  <Step title="Check the determination and claim timing">
    Use Wellmark's **Submission Status Tracker** and retain the determination email. Its [provider guide, page 44](https://digital-assets.wellmark.com/adobe/assets/urn:aaid:aem:4674c75f-d2f8-4745-8179-026424a7582f/original/as/S5780_ContractsandCredentialing.pdf) instructs nonparticipating providers to wait **two business days after receiving the notification letter** before submitting claims.

    Tell Thrizer support the notification date when requesting review of affected claims. This is Wellmark's timing instruction, not confirmation that Thrizer has held your claims.
  </Step>
</Steps>

Wellmark's nonparticipating instructions specify payment to the member. For BCBS claims through Thrizer, your client pays the full session fee and receives any insurance reimbursement.

## What happens next

Once each required plan confirms registration and the required clinician associations are active, [notify Thrizer support and review what happens next](/help/claims/bcbs-reimbursement-and-registration#registration-confirmed-next-steps).

For associate, pre-licensed, or supervised clinicians, confirm payer recognition separately and review [Thrizer's supported claim structure](/help/claims/bcbs-reimbursement-and-registration#associate-pre-licensed-or-supervised-clinicians).