Tasler Inc

Effective July 1, 2023, Tasler, Inc. will begin coverage through The Benefit Group.

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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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Roster Report by Tax ID

A new tool on the MidlandsChoice.com website, Roster Report by Tax ID, gives providers the ability to generate and download a listing of the demographic information that Midlands Choice has on file for all providers listed under a tax identification number.

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