For Payers, Brokers and Employers

Midlands Choice online provider search and custom directory tools now require selection of the member's insurance company and network before entering search criteria.

To remain compliant with regulations protecting patient privacy, we encrypt any e-mail that contains Patient Health Information (PHI) before sending it to payers.

Effective October 1, 2009, Midlands Choice will implement National Correct Coding Initiative (NCCI) edits when repricing physician claims.

During repricing, Midlands choice applies reductions for multiple and bilateral procedures, whether or not modifiers 50 and 51 are present on the claim.

The Claims Tracking System (CTS) allows registered users to monitor and track claims submitted during the past 24 months that have been repriced or rejected as "non-par", and when repriced claims were forwarded to payers. You can also view and print the original claim and its face sheet.

Results of the Midlands Choice biannual survey of network physicians and hospitals are being tallied.

Two Midlands Choice providers in Iowa are listed among the nation's top 100 best places to work in healthcare.

Information about access fees, provider directories and assistance with sales and renewal for 2009.