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Provider Training

The Medica Provider College offers online training monthly for our providers on various administrative topics. Our classes are delivered via webinar and include time for you to ask questions. We invite all business office personnel throughout the Medica service area to participate. Class topics and dates are listed below.

View and Register for upcoming live trainings


This course will focus on process, policy and payment changes that are being implemented at Medica due to the COVID-19 pandemic including:

  • Telehealth/virtual care policies
  • Reimbursement
  • Prior authorizations

There will also be time at the end of the training for a question and answer session.

Resources for Providers Training (PDF)

Claim appeals and adjustments are an important tool to ensure proper claims payment! This webinar will review the process for submitting appeals, adjustments and supporting documentation to Medica.

We'll focus on:

  • The different avenues for submission, and when each is appropriate
  • When appeals and adjustment requests are appropriate
  • Where to find the necessary forms on
  • Tips for making sure that your appeal or adjustment request contains the information that supports the desired outcome in an accessible format
  • The options available if you disagree with a decision on an appeal or adjustment request

Appeal Adjustment and Record Submission Training (PDF)

This class will give an overview of Medica's 2020 migration to InstaMed and Availity for electronic claim submission and claim-payment services. Providers can learn about registration with these vendors for transactions such as eligibility and claim-status verification, payments, and Provider Remittance Advice (PRA) statements. 

Migration to InstaMed and Availity Training (PDF)

Understanding all three components of a clean claim — submission, process and output — is important to ensure proper payment! This webinar will review all three in order to help you understand how they work together to facilitate the proper processing of claims.

We'll focus on:

  • Submission policies and requirements
  • 837P and 837I electronic transactions
  • Provider remittance advices (PRAs)
  • Common denial reasons
  • How to request claim adjustments and appeals

Life of a Claim Training (PDF)

Medica offers different Medicare and Medicaid plans (in the state of Minnesota) to fit member needs. This course will review information to assist providers in better understanding the Medicare and Minnesota Health Care Programs (MHCP) plans Medica has available, such as:

  • The differences between Medicare Advantage and Cost plans
  • Features of Medica’s MHCP plans for Special Needs, MSHO and Senior Care Plus
  • Changes for 2020
  • When Medica follows Centers for Medicare and Medicaid Services (CMS) guidelines
  • When to bill Medica vs. Medicare as primary payer
  • Upgraded services offered by plans
  • Billing requirements and reimbursement

Medica Medicare Products Training (PDF)

Having resources at your fingertips is a great way to save you time! We routinely update our provider resources. This webinar will walk you through our self-service options, including resources on

We'll focus on:

  • Determining member eligibility
  • Verifying if utilization management and reimbursement policies apply to services being billed
  • Verifying how a claim processed
  • Next steps for claims (e.g. appeals or adjustments)

Navigating Provider Resources (PDF)

This training will walk providers through requirements as well as tools and services available to assist with billing along with an overview of housing stabilization benefits; getting set up as a EW or housing stabilization provider; role of the care coordinator and role of Medica's Provider Service Center; how to obtain an authorization; the claims submission process and what to do if a claim is not processed as expected.

Set-up and Billing for EW and HSS Providers (PDF)

Additional E-Learnings

Send Us Your Feedback

Is there something you would like to learn more about? We're always working to expand our educational offerings. Send an email to let us know what you'd like to learn more about.

Email Provider College


Cultural Competency

Culture influences an individual’s health and mental health beliefs, practices, behaviors, and even the outcomes of interventions.

Learn more about how Medica supports cultural competency

Cultural Competency Training 2020 (works best using Google Chrome browser)

Housing Stabilization Services

Housing Stabilization Services Provider FAQ (PDF)

Prime Solution Cost Plan Overview

Prime Solution Cost Plan Overview from Medica on Vimeo.

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