8/15/2025
Midlands Choice has taken steps to implement a mostly paperless environment and asks providers to submit claims electronically. Claims received in paper form are subject to be returned to the provider. Midlands Choice is not an insurance company and does not require primary EOBs, medical records, chart notes, or prescription orders in order to reprice a claim. Those documents should be sent directly to the patient’s insurance company when requested.
Because Midlands Choice works with over 40 payers, it is imperative that the claim data submitted contains the group or policy number printed on the patient’s ID card. The group number identifies which carrier the claim will be forwarded to for adjudication and payment consideration. Claims submitted without the group information are returned to the provider.
Be sure to view the patient’s ID card for the correct routing number to use when submitting claims electronically. Not all claims for patients that use the Midlands Choice network are submitted directly to Midlands Choice.