Medica June 2023 Provider Newsletter

The June 2023 edition of the Medica provider newsletter, Medica Connections, has been published and is available for viewing.

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Submitting Complaints and Appeals

Complaints or appeals related to non-covered charges, denied charges, eligibility and benefits, medical necessity, and bundling of procedure codes, as well as appeals related to utilization management should be submitted directly to the payer, not Midlands Choice.

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Guidelines for Submitting Claims Successfully

Claims that are submitted with incomplete or inaccurate group information can adversely influence turn-a-round time, may result in a delay of payment, and could even cause the claim to be misdirected to a wrong payer. In an effort to assist providers in submitting claims successfully the first time, Midlands Choice has compiled a list of guidelines.

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Outstanding Bright Health Claims

Midlands Choice can no longer send claim issues to Bright Health on behalf of the provider. Providers must contact Bright Health directly with questions or for help resolving issues. 

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HealthPartners May 2023 Provider Newsletter

The May 2023 edition of the HealthPartners provider newsletter, Fast Facts, has been published and is available for viewing.

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Cigna Second Quarter 2023 Provider Newsletter

The Second Quarter 2023 issue of Cigna's provider newsletter, Network News, has been published and is available for viewing.

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Medica May 2023 Provider Newsletter

The May 2023 edition of the Medica provider newsletter, Medica Connections, has been published and is available for viewing.

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LandMark Snacks LLC

Effective April 1, 2023, LandMark Snacks, LLC, began coverage through Benefit Management LLC.

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Medica April 2023 Provider Newsletter

The April 2023 edition of the Medica provider newsletter, Medica Connections, has been published and is available for viewing.

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C2C Express, Inc

Effective March 1, 2023, C2C Express, Inc. began coverage through Assured Benefits Administrators.

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