For Healthcare Providers:

Provider Report Card

After a provider or facility has been participating with Midlands Choice for 12 months, a report card based on the provider's Tax Identification Number (TIN) can be provided on a quarterly basis.  Report cards include helpful information about claim volume and dollar amounts billed, including percentages of your claims that:

  • reprice automatically ("first-pass success")
  • pend, requiring processor review to determine whether they can be processed manually
  • reject and must be returned for additional information

 The reports also show average time elapsed between:

  • service dates and when claims are received by Midlands Choice
  • when we receive claims and when they are repriced or rejected

Sample Provider Report Card

To receive a report card, contact provider relations.