Claim Tools
Billing Related to COVID-19
Administration of Claims and Products
Adjustment and Resubmission Processes
Admissions
Advance Notices for Patient Payment Liability
Claim Forms
Electronic Claims Submission
Electronic Data Interchange (EDI)
No Surprises Act
Here are instructions and forms related to the No Surprises Act for out-of-network providers to dispute the payment rate they received from Medica (open negotiation must be exhausted prior to IDR initiation):
These forms should be returned to Medica at:
Medica
Attn: Dispute Resolution
Mail Route CW299
PO Box 9310
Minneapolis, MN 55440-9310
E-mailbox: SurpBillDisputeRes@medica.com
Questions? Call the Medica Provider Service Center at 1 (800) 458-5512.
Out-of-Network Appeal Forms
Recovery Processes
Referral Processes
Skilled Nursing Facility
Special Transportation
Specialty Guidelines
Timely Filing