INSURER FILING GUIDE

Whole Foods Market plan: Whole Health Plan (WebTPA)

Use this public information to prepare your packet, then confirm the route on the insurer's own page.

AT A GLANCE

Claim facts

Member form	GROUP HEALTH CLAIM FORM Number: Not published by the insurer Revision: Not published by the insurer Open the insurer form
Portal upload	Not published by the insurer
Portal path	Not published by the insurer: the public portal feature list supports claim status and history but does not identify member claim upload; Whole Health Plan says to use instructions on the back of the digital ID card
Mail address	PLAN-DEPENDENT: All claims should be submitted to the address on the ID card.
Fax	Not published by the insurer
Attachments	Not published by the insurer: the generic WebTPA form says attach all bills and correspondence but does not list required itemized-bill fields
Deadline	Not published by the insurer
Outcome and status	WebTPA Member Portal or app > claim status and history
Processing time	Not published by the insurer
Caveats	Whole Foods identifies WebTPA as administrator and Aetna Signature Administrators as a network. The exact plan claim form and route are Not published by the insurer. The generic WebTPA form is mapped but its applicability to Whole Foods is not established

STEP BY STEP

Read date: 10-09-2026

Confirm that Whole Health Plan is your plan. Whole Foods identifies Aetna Signature Administrators as the Expanded Network and WebTPA as administrator; Aetna is not the claims administrator. https://www.mywfmbenefits.com/benefits/whole-health-plan and https://www.wholehealthmedicalplan.com/
Follow the claim instructions on the back of the digital member ID card. The public Whole Health Plan page says all claims are administered by WebTPA but does not publish the instructions themselves. https://www.wholehealthmedicalplan.com/how-to-use-my-benefits
NOT PUBLISHED: whether the plan requires WebTPA's generic GROUP HEALTH CLAIM FORM. The generic form is public, editable, one page, and says a completed form is required for each claim with all bills and correspondence attached when the provider is not filing. Its Whole Foods applicability is not established. https://www.webtpa.com/membership and https://www.webtpa.com/hubfs/Generic%20Claim%20Form%20%283%29.doc?hsLang=en
NOT PUBLISHED: a member portal or app claim-upload path, file constraints, confirmation, itemized-bill field list, CMS-1500 treatment, superbill-alone permission, signatures, payment recipient, filing deadline, or processing time. https://www.webtpa.com/membership
Check claim status and history in the WebTPA Member Portal or app. https://www.webtpa.com/membership and https://www.webtpa.com/download-the-app

Portal upload: NOT PUBLISHED
Portal: WebTPA Member Portal or WebTPA app
Portal path: NOT PUBLISHED: the public portal feature list supports claim status and history but does not identify member claim upload; Whole Health Plan says to use instructions on the back of the digital ID card
Mail address: PLAN-DEPENDENT: All claims should be submitted to the address on the ID card.
Fax: NOT PUBLISHED
Attach: NOT PUBLISHED: the generic WebTPA form says attach all bills and correspondence but does not list required itemized-bill fields
File types: NOT PUBLISHED
File size limit: NOT PUBLISHED
Maximum files: NOT PUBLISHED
One file or separate files: NOT PUBLISHED
Confirmation: NOT PUBLISHED
Status check: WebTPA Member Portal or app > claim status and history
Processing time: NOT PUBLISHED
Member deadline: NOT PUBLISHED
Deadline basis: YES: the Whole Foods self-funded plan document and digital ID card control
Mental health route: NOT PUBLISHED: Whole Health Plan publishes behavioral-health resources but no separate out-of-network psychotherapy claim route

Confirm the address, fax number or portal path on the insurer's own claims page before you send; read on 10-09-2026.

Read on 10-09-2026 from https://www.webtpa.com/hubfs/Generic%20Claim%20Form%20%283%29.doc?hsLang=en. Confirm the address, fax number or portal path on the insurer's own claims page before you send.