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Medica Administrative Manual  >  Network Operation and Support Services > Network Management Overview

Network Management Overview

Network Management ensures the needs of Medica's market business segments and the clinical initiatives developed by Health Services are met through mutually beneficial contractual arrangements with our network providers. Specific activities include:

  • Network development (new providers)
  • Coordination of provider contracting to product development
  • Competitive (discount) financial arrangements with providers

Provider Contracting

For contract issues and questions, providers may contact their contract manager directly (see below for responsibilities). For all other issues, including questions regarding claims, providers should contact the Provider Service Center at 1 (800) 458-5512.

The contract manager is the primary contact regarding contract issues and has responsibility for our contractual relationships with participating providers. Contact your contract manager for:

  • Contractual questions
  • Contract implementation issues
  • Contract terms and interpretations
  • Medica organizational questions and issues
  • General Medica policy and procedure questions
  • New contracting options

If you are interested in becoming a Medica provider and have not yet been assigned a contract manager, please complete and submit the Provider Intake Form and required documentation.

REV 3/2024

Date: 4/15/2024 11:07:05 AM Version: 4.0.30319.42000 Machine Name: PWIM4-CDWEB01