To avoid delays in claim repricing:
- Use our online form for CMS-1500 claims. Submit CMS-1500 Claims Online
- For paper claims, use current, standard claim forms (CMS-1500 and UB-04). Claims on out-of-date or nonstandard forms will be returned for resubmission. We do not accept handwritten claims.
- Follow CPT-4, ICD-10 and HCPCS coding standards.
- Refer to sample claim forms and recommendations at First Pass Success.
- Obtain the correct claim mailing address from the patient's medical identification card, from Employer/Group lookup (secure login required) or by contacting our customer service department.
When mailing claims to Midlands Choice, the address is:
P.O. Box 5809
Troy, MI 48007-5809