Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Wellmark Blue Cross and Blue Shield of Iowa (Wellmark). Before sending anything sensitive, confirm the number and receiving department directly with Wellmark Blue Cross and Blue Shield of Iowa (Wellmark), and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.
This appears to be a financial, insurance, or legal destination. Documents sent here may contain account numbers, SSNs, or privileged information. Confirm the current number and department directly with the organization before sending, and keep your transmission confirmation.
Represent Wellmark Blue Cross and Blue Shield of Iowa (Wellmark)? Request a correction or removal. By using this directory you agree to our Fax Directory Terms.
Wellmark Blue Cross and Blue Shield of Iowa (Wellmark) fax number
(515) 376-9032
Wrong or outdated? Report this number
Privacy Office
Used for: PHI release/authORIZATION submissions and related privacy-related forms (e.g., personal representative appointments for PHI access).
Fax destination details
- Department
- Privacy Office
- Purpose
- PHI release/authORIZATION submissions and related privacy-related forms (e.g., personal representative appointments for PHI access).
- Form
- T-2618740 Authorization to Release PHI — Authorization to Disclose Protected Health Information
- Address
- Privacy Office, Mail Station 5W590, PO Box 9232, Des Moines, IA 50306-9232; Wellmark Privacy Office address: 1331 Grand Avenue, Des Moines, IA 50309-2901
- Voice phone
- 515-376-5850
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Fill in the INDIVIDUAL AUTHORIZING DISCLOSURE, specify the Protected Health Information to be Disclosed, list the Persons or Entities Authorized to Receive, set Expiration/Revocation terms, and provide Signature; submit to the Wellmark Privacy Office.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.
No public source link was saved with this record. Confirm the number directly with the organization before using it.