Providers

Claim Adjustment or Appeal Guidelines

Claim adjustment or appeal requirements differ by state and product type. The product type will be identified by the group/policy number on the member ID card.

Not sure how to find the group/policy number? View sample Medica ID card

Select the scenario below that best meets your needs:

I am a provider from Minnesota and the group/policy is IFB or letters and numbers. +

I want to file an adjustment.	I want to file an appeal.
Use the electronic tool Submit a paper form (DOC)	Use the electronic tool Submit a paper form (DOC)

I want to file an adjustment.

I want to file an appeal.

Use the electronic tool

Submit a paper form (DOC)

Use the electronic tool

Submit a paper form (DOC)

I am a provider from Minnesota and the group/policy is numbers only. +

I want to file an adjustment.	I want to file an appeal.
Refer to MN Uniform Companion Guides (AUC Guides) Submit a paper form (DOC)	Refer to MN Uniform Companion Guides (AUC Guides) Submit a paper form (DOC)

I want to file an adjustment.

I want to file an appeal.

Refer to MN Uniform Companion Guides (AUC Guides)

Submit a paper form (DOC)

Refer to MN Uniform Companion Guides (AUC Guides)

Submit a paper form (DOC)

I am a provider NOT from Minnesota and the group/policy is IFB or letters and numbers. +