For Payers, Brokers & Employers:

ID Card and EOB Requirements

ID Cards

Accurate and complete information on medical identification cards is the key to successful claims submission and repricing. Before producing or issuing new cards, please send a proof to Payer Relations for approval.

Midlands Choice requires:
  • Front:
    • Payer/administrator name
    • Employer or group name and number
    • Midlands Choice logo

  • Front or Back:
    • Claims mailing address
    • Claim administrator's phone number, mailing address and Midlands Choice EDI Payer ID 47080
    • For national networks such as MultiPlan, include the network's logo with appropriate wording, such as Out of Area, Wrap Network, Secondary Network or National Network

EOBs

Midlands Choice must be identified on EOBs.

Logos

To request a Midlands Choice logo, please contact Payer Relations.