Westmark Benefits specializes in employer health benefits — from fully insured group plans to complex self-funded arrangements — with a focus on cost control, broad network access, and exceptional member support.
No two employers are alike. Westmark designs benefit programs around your workforce demographics, risk tolerance, and budget — not the other way around.
Westmark Benefits maintains a provider network focused on quality, access, and administrative simplicity. We believe that reducing friction for providers ultimately improves care for our members.
EDI 837 claim submission. 835 ERA files available within 2 business days. Real-time eligibility and claim status via provider portal.
Competitive fee schedules with clear modifier payment policies. Contract negotiations handled by dedicated provider contracting team.
Online PA portal with standard 72-hour turnaround. Urgent requests within 24 hours. Clinical criteria available on request.
Regional provider relations reps available M–F 8am–6pm CT. Dispute resolution within 30 business days. Call 1-800-WESTMARK option 2.
CAQH-based credentialing. Initial applications processed within 45 days. Re-credentialing every 3 years.
Detailed 835 remittance with full CARC/RARC codes. Paper EOBs available on request. ERA enrollment via clearinghouse or direct.
Founded in 1999, Westmark Benefits has spent 25 years focused exclusively on employer health benefits — building the expertise, network relationships, and administrative infrastructure to serve mid-size and large employers better than generalist carriers can.
We work exclusively through brokers and consultants, which means every Westmark client has a trusted advisor in their corner. Our role is to make our broker partners look great and their employer clients' benefits programs perform.
Work with your broker or contact Westmark directly to explore solutions for your organization.