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Provider Operating Manual

7/20/2023
An updated version of the Midlands Choice Provider Operating Manual has been published.

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HealthPartners July 2023 Provider Newsletter

6/30/2023
The July 2023 edition of the HealthPartners provider newsletter, Fast Facts, has been published and is available for viewing.

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Medica July 2023 Provider Newsletter

6/28/2023
The July 2023 edition of the Medica provider newsletter, Medica Connections, has been published and is available for viewing.

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Butler County Health Care Center

6/27/2023
Effective July 1, 2023, the group Butler County Health Care Center will begin coverage through Auxiant. The previous carrier was Regional Care, Inc.

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Winneshiek Medical Center

6/27/2023
Effective July 1, 2023, the group Winneshiek Medical Center will begin coverage through Auxiant. The previous carrier was Self Insured Services Company.

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Tasler Inc

6/23/2023
Effective July 1, 2023, Tasler, Inc. will begin coverage through The Benefit Group.

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Medica June 2023 Provider Newsletter

5/24/2023
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

5/10/2023
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

5/10/2023
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

5/10/2023
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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