How to File a Claim
The link below contains the information and procedures Health Care Providers need to understand and follow in order to file a claim:
To view the above PDF, you must have Adobe Reader installed on your computer. Click on the “Get Adobe Reader” image below to download a free copy.
Please mail claims to:
LifeWell/CoreSource
P.O. Box 2920
Clinton, IA 52733-2920
Electronic Payer ID:
#35182
If the ID Card indicates the 4Most Health Network,
please mail claims to:
4Most Health Network
P.O. Box 13519
Charleston, WV 25360
Lifewell Member Claim Forms
If you are a LifeWell Member, wishing to submit a medical/dental claim for payment or reimbursement, please go to our online Medical/Dental Claim Form page for assistance.
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