Address for Claims and Claim Appeals
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Medica Government Programs
PO Box 21342
Eagan, MN 55121-0342
Note: When submitting claims under this payer ID, use only the 10-digit member ID. If you include the 2-digit suffix for the member, the claim will reject as “member not on file”
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Attachment/Appeal Fax#
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952-992-3899
Claim Adjustment or Appeal Request Form (DOC)
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Electronic Appeal Submission |
Log in to Medica Provider Portal. |
Claim Numbers
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13 digits
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Electronic Data Interchange (EDI)
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Availity Client Services: 1-800-282-4548
Note: When submitting claims under this payer ID, use only the 10-digit member ID. If you include the 2-digit suffix for the member, the claim will reject as “invalid eligibility for member”
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Electronic Funds Transfer (EFT) Payments
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InstaMed: 1-866-945-7990
Email: [email protected]
Website:
Register
Login
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Prior Authorization Submission
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Prior Authorization submitted via email and/or fax number provided on the corresponding form
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Inpatient Notification Submission |
Fill out the Inpatient Notification Form on Medica.com
Inpatient Admission – Notification Guidelines |
Clinical Guidelines
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Policies and Guidelines on Medica.com
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Provider Service Center
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1-800-458-5512
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Pharmacy
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Medicare Advantage Solution:
Rx Bin: 003858
Rx PCN: MD
Rx Group: 2Medica
Medicaid Families and Children:
Rx Bin: 003858
Rx PCN: MA
Rx Group: 3Medica
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Chiropractic Care
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Benefits/Claims – Medica: 1-800-458-5512
Authorizations – Optum: 1-800-873-4575
Optum Chiropractic
PO Box 212
Minneapolis, MN 55440-0212
Payer ID: 41161
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Behavioral Health
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Medica Behavioral Health (MBH): 1-800-848-8327
Medica Behavioral Health
PO Box 30757
Salt Lake City, UT 84130
Payer ID: 87726
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Dental (Medicaid Families and Children only) |
Delta Dental
PO Box 9120
Farmington Hills, MI48333-9120
Payer ID: 07000
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Secure Provider Portal |
Medica.com – Electronic Transactions
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