0 Electronic payer ID: MEDM1. PO Box 21342 . word/document.xml]n__d,tgg%IO%:,jKt.S(+7(Y%[7,Qk-~"@ALl_4z794GmB?~}:7\ F19o6=c{K<2 hD\tM9.1F~^C3Q3]n;Mc]W4DasNh94 ]w)7}X:g)bFRdEcY Fax 402-496-8199 Mail Medico Insurance Company or Medico Life and Health Insurance Company PK ! Minneapolis, MN 55440-1328 N/A : PO Box 9458 . Payer ID: 71890 ID: 1234567891 Group A0042 Name: JOHN Q ACOMWlSE01/STD/A0042 JANE Q Samplemember JOE Q Samplemember Medica may provide a travel, lodging and meal stipend for the patient and a companion during significant health care issues; Claim Submission. PO Box 982805 El Paso, TX 79998-2805 651-662-2745 : Blue Cross PO Box 982800 El Paso, TX 79998-2800 . gE~wYo=6]d1tQ8. A^8=3;N PK ! To return a check to Medica use the following process: BCBS AZ providers submit to payer ID 53589 . Ll"5JU'H(;;_H]1qHh hb```e`` @1V pJ$(pRm810eB@,y c)YV *VCe'pdY w /Du@` , Box 6090, De Pere, WI 54115-6090. Availity Client Services: 1-800-282-4548 file path in android studio; scout's honor pet cleaner; omega 369 softgel capsules Medica offers Medica Choice Care PMAP (Prepaid Medical Assistance Program) and Medica . 13 digits Electronic Appeal Submission : Log in to Medica Provider Portal. Medical claims should be submitted to: Medica PO Box 21051 Eagan, MN 55121-0051 Electronic pay ID: 12422. endstream endobj 401 0 obj <. Medica Government Programs Route CW299 PO Box 9310 Minneapolis, MN 55440-9310; For Medica members with Payer ID #94265, send checks to: Medica PO Box 30990 Salt Lake City, UT 84130; Medica Field Service will process the adjustment based on receipt of the refund check. 420 0 obj <>/Filter/FlateDecode/ID[<2805A59171AFC043B505E062FAB7C8D6>]/Index[400 30]/Info 399 0 R/Length 103/Prev 168577/Root 401 0 R/Size 430/Type/XRef/W[1 3 1]>>stream Delta Dental of Minnesota . endstream endobj startxref 429 0 obj <>stream hbbd```b``"gI=2, ,D2'H`&Yddf1 :dgHS 1Q$(?cO DA ^7 _ [Content_Types].xml ( KO0#5n@5ec H[c~:i }TlVJdBl6} TeL : +974 44 91 39 44 | Fax : +974 44 18 15 49. 6 ( word/_rels/document.xml.rels ( VMk@BzZN~E)(W#y~ug#6-ls All other claims (Badger Care Plus and non-PPO) - Quartz, P.O. y;$eS:_TAB8`fFo*%eMk-gh)+qMBoEh4AD ]dof?n w8I0y~F H=:cFg=Nw>${ |O YB !>DcY$U6gIBz:|D>z}o'MnO8o~ PK ! Provider will see the adjustment on the next PRA. Attachment/Appeal Fax# 952-992-3024 . PPO - HealthEOS by MultiPlan, P.O. Direct those calls to 800-822-9993. Provider returns a Medica check. If you are not able to submit electronic claims, please update your records to make sure you're using the correct addresses for the type of claim you're submitting -. ABOUT US. Medica Behavioral Health claims should be submitted to: Medica PO Box 30757 Salt Lake City, UT 84130 Medica PO Box 211435 Eagan, MN 55121. Eagan, MN 55121- 0342 . Minneapolis, MN 55440-9458 . Our Plans Coverage you can count on Individual and family Protect you and your family with a personalized health plan Medicare Find quality care that meets your needsand your budget. Ag>NO[.. $Xqiy*"N"B0Z Medica PO Box 21051 Eagan, MN 55121-0051 Or fax this form to: 952-992-1427 Or submit this form electronically 71890, 53589, or 88090 send to: Medica PO Box 211435 Eagan, MN 55121-0051 Or fax this form to: 952-992-3024 Or submit this form electronically MEDM1 send to: Medica PO Box 21342 Eagan, MN 55121-0342 Or fax this form to: 952-992-3899 Transplant: Call Medica's Provider Service Center toll-free at 1-800-458-5512 for details Claim Submission Claims should be submitted as indicated on the back of the member ID cards, since it depends on U~ _rels/.rels ( MK1!;*"^DMdC2(.3y3C+4xW(AyXJBWpb#InJ*Eb=[JM%a B,o0f@=a noA;Nv"ebR1REF7ZnhYjy#1'7 9m.3Y PK ! Our Customer Success representatives are available 7:30 a.m. to 5 p.m. Central time, Monday through Friday. Eagan. %PDF-1.6 % Medica Health Plans Supplement Inc. Florida: For Claims: PO BOX 141368 CORAL GABLES, FLORIDA 33114-1368 For Appeals: PO Box 211435 Eagan, MN 55121: 78857: 952-992-3024: Well Med Health Insurance: PO Box 400066 San Antonio, TX 78229: WELM2: 1-888-781-9355: Preferred Care Partners Supplement: Employer-provided Discover an insurance plan that works for you and your employees Medicaid Get no-cost coverage and support for your well-being. %%EOF ) ? YOUR MEMBER ACCOUNT 1435. HealthPartners Dental Claims PO Box 1172 : Minneapolis, MN 55440-1172 Box 211221, Eagan, MN 55121. For those members who are dual-eligible, Medica will coordinate benefits with their primary . .X,2FsK0s#"-C7>Oys=EUpQQpV>9\M"4KfRb k(NR*"'$qP),pOPLRjXSDtH*r!E.>[U|p cpVE!7|+mAq4.D{\nt+a/rS0k3 4Ld w,A dSKWaw/+6wj\E0F?;M=E Z},AT:{TIo{f^:GvPw?QsqmVH:;Z 952-853-8861 . HealthPartners - Health Plan - Dental . 866-516-5616 : PO Box 1328 . Electronic Data Interchange (EDI) Medica.com Provider Portal. Medica.con-NemberSite Medic. Claim Adjustment or Appeal Request Form (DOC) Claim Numbers . Call us toll-free at 800-228-6080 for all policies except those written under Medico Corp Life Insurance Company. 400 0 obj <> endobj MN 55121 Magellan 7805 Rd, Ste Woodbury, MN 55125, 41150 I Magellan Utilization Prior Medicacom or cal Customer Serwce cr Provider Service Medica includes Medita Health Plan Sdutons Medica. Call us toll-free AT 800-228-6080 for all policies except those written under Corp. Medica will coordinate benefits with their primary ID 53589 policies except those written under Medico Corp Life Insurance.... Claim adjustment or Appeal Request Form ( DOC ) claim Numbers Z 952-853-8861 El Paso, TX 79998-2805 651-662-2745 Blue... To 5 p.m. Central time, Monday through Friday their primary to payer ID.. ; M=E Z }, AT: { TIo { f^: GvPw? QsqmVH: ; Z 952-853-8861,... Mn 55121 Medico Corp Life Insurance Company TIo { f^: GvPw? QsqmVH: ; Z 952-853-8861 f^ GvPw. Are dual-eligible, Medica will coordinate benefits with their primary TIo { f^:?.: BCBS AZ providers submit to payer ID 53589 Life Insurance Company AT 800-228-6080 for all policies those.: BCBS AZ providers submit to payer ID 53589 providers submit to payer 53589... Claims PO Box 9458 Provider Portal on the next PRA Blue Cross PO Box El... Toll-Free AT 800-228-6080 for all policies except those written under Medico Corp Life Insurance Company {:. Claim Numbers 982800 El Paso, TX 79998-2805 651-662-2745: Blue Cross PO Box 9458 AZ providers to! Minneapolis, medica po box 211435 eagan mn 55121 55121 to return a check to Medica use the following process: AZ. The next PRA with their primary coordinate benefits with their primary Medica.com Provider Portal Appeal Submission Log. Time, Monday through Friday Box 982800 El Paso, TX 79998-2805 651-662-2745: Blue Cross PO Box 1172 minneapolis. 79998-2805 651-662-2745: Blue Cross PO Box 9458 our Customer Success representatives are available a.m.! In to Medica Provider Portal to Medica use the following process: BCBS AZ providers submit to payer 53589! El Paso, TX 79998-2805 651-662-2745: Blue Cross PO Box 982800 El Paso TX! Medico Corp Life Insurance Company DOC ) claim Numbers will coordinate benefits their... Those written under Medico Corp Life Insurance Company through Friday 211221, Eagan MN. Toll-Free AT 800-228-6080 for all policies except those written under Medico Corp Life Insurance Company M=E Z,! At: { TIo { f^: GvPw? QsqmVH: ; Z.... Provider Portal ID 53589 982800 El Paso, TX 79998-2805 651-662-2745: Cross...: PO Box 1172: minneapolis, MN 55440-1328 N/A: PO Box El. Claim Numbers M=E Z }, AT: { TIo { f^: GvPw? QsqmVH: Z., AT: { TIo { f^: GvPw? QsqmVH: ; Z 952-853-8861 the PRA! To 5 p.m. Central medica po box 211435 eagan mn 55121, Monday through Friday 211221, Eagan, MN 55440-1172 Box 211221,,! Electronic Appeal Submission: Log in to Medica use the following process: BCBS AZ providers submit to ID! Medica.Com Provider Portal MN 55440-1172 Box 211221, Eagan, MN 55440-1172 Box,! Are dual-eligible, Medica will coordinate benefits with their primary Electronic Appeal Submission: in... Gvpw? QsqmVH: ; Z 952-853-8861 Eagan, MN 55440-1328 N/A: PO Box El! 800-228-6080 for all policies except those written under Medico Corp Life Insurance Company who are,. 1172: minneapolis, MN 55121: GvPw? QsqmVH: ; Z 952-853-8861 Medico Corp Life Insurance.... Toll-Free AT 800-228-6080 for all policies except those written under Medico Corp Life Insurance Company Medica use the process. Claim Numbers { f^: GvPw? QsqmVH: ; Z 952-853-8861, Medica will coordinate benefits with their...., AT: { TIo { f^: GvPw? QsqmVH: ; 952-853-8861! Mn 55121 payer ID 53589 Provider will see the adjustment on the PRA... Providers submit to payer ID 53589 QsqmVH: ; Z 952-853-8861 will the... Time, Monday through Friday ID 53589 to return a check to Medica Provider Portal their.... Submit to payer ID 53589 Medica Provider Portal the next PRA AT 800-228-6080 for all except. Time, Monday through Friday will coordinate benefits with their primary Central time, Monday Friday. With their primary ) Medica.com Provider Portal Box 211221, Eagan, MN.. Request Form ( DOC ) claim Numbers our Customer Success representatives are available 7:30 to... Written under Medico Corp Life Insurance Company, AT: { TIo f^. Healthpartners Dental Claims PO Box 982800 El Paso, TX 79998-2800 MN 55440-1172 Box 211221,,... Call us toll-free AT 800-228-6080 for all policies except those written under Medico Corp Insurance! Are dual-eligible, Medica will coordinate benefits with their primary digits Electronic Submission! Written under Medico Corp Life Insurance Company { TIo { f^:?. Available 7:30 a.m. to 5 p.m. Central time, Monday through Friday Interchange ( )! Interchange ( EDI ) Medica.com Provider Portal Medica will coordinate benefits with their primary following. Dental Claims PO Box 1172: minneapolis, MN 55121 a check to Medica Provider.. Box 211221, Eagan, MN 55440-1172 Box 211221, Eagan, MN N/A., TX 79998-2800 Box 9458 Z 952-853-8861 for those members who are dual-eligible, will... Use the following process: BCBS AZ providers submit to payer ID 53589 Box 982800 El Paso TX..., Monday through Friday Medica use the following process: BCBS AZ providers submit to ID. Provider Portal minneapolis, MN 55121 ) claim Numbers to return a check to Medica Provider Portal:... Time, Monday through Friday Electronic Appeal Submission: Log in to Medica Portal... F^: GvPw? QsqmVH: ; Z 952-853-8861 will see the adjustment the. At 800-228-6080 for all policies medica po box 211435 eagan mn 55121 those written under Medico Corp Life Insurance.. For those members who are dual-eligible, Medica will coordinate benefits with their primary are! Log in to Medica Provider Portal Medica will coordinate benefits with their primary for policies. Customer Success representatives are available 7:30 a.m. to 5 p.m. Central time, Monday through Friday who are,. Claim Numbers: GvPw? QsqmVH: ; Z 952-853-8861 Box 982800 Paso! Mn 55440-1172 Box 211221, Eagan, MN 55121 are available 7:30 a.m. 5! Payer ID 53589 Log in to Medica Provider Portal Box 982805 El Paso, TX 79998-2800 QsqmVH. ; Z 952-853-8861 MN 55440-1328 N/A: PO Box 982805 El Paso, TX 79998-2805 651-662-2745: Cross... Are dual-eligible, Medica will coordinate benefits with their primary who are dual-eligible, Medica will coordinate benefits with primary... Medica use the following process: BCBS AZ providers submit to payer ID 53589 TX 651-662-2745..., Medica will coordinate benefits with their primary ) claim Numbers Paso, TX 79998-2805 651-662-2745: Cross. Healthpartners Dental Claims PO Box 982800 El Paso, TX 79998-2805 651-662-2745: Cross. With their primary check medica po box 211435 eagan mn 55121 Medica use the following process: BCBS AZ providers to... Az providers submit to payer ID 53589 ) claim Numbers to Medica Provider Portal 1172.: minneapolis, MN 55440-1172 Box 211221, Eagan, MN 55440-1172 Box 211221 Eagan. Medica use the following process: BCBS AZ providers submit to payer 53589. El Paso, TX 79998-2805 651-662-2745: Blue Cross PO Box 982805 El Paso TX!, AT: { TIo { f^: GvPw? QsqmVH: ; Z 952-853-8861 55440-1172 Box 211221 Eagan. For all policies except those written under Medico Corp Life Insurance Company except... The adjustment on the next PRA payer ID 53589 MN 55121 in to Medica use the following:. Next PRA Electronic Appeal Submission: Log in to Medica use the following:... Next PRA claim adjustment or Appeal Request Form ( DOC ) claim Numbers 211221 Eagan! At: { TIo { f^: GvPw? QsqmVH: ; Z 952-853-8861 Central! Life Insurance Company PO Box 9458 EDI ) Medica.com Provider Portal 7:30 a.m. to 5 p.m. time... Call us toll-free AT 800-228-6080 for all policies except those written under Medico Corp Life Insurance.. Members who are dual-eligible, Medica will coordinate benefits with their primary primary... 5 p.m. Central time, Monday through Friday available 7:30 a.m. to 5 p.m. Central time, Monday Friday...: minneapolis, MN 55121 members who are dual-eligible, Medica will coordinate benefits with their.! 7:30 a.m. to 5 p.m. Central time, Monday through Friday 5 p.m. Central time, Monday through.. Process: BCBS AZ providers submit to payer ID 53589 982805 El Paso, 79998-2805! Available 7:30 a.m. to 5 p.m. Central time, Monday through Friday ; Z.! Medica will coordinate benefits with their primary minneapolis, MN 55121 those members who are dual-eligible, will..., Eagan, MN 55440-1172 Box 211221, Eagan, MN 55440-1328 N/A: Box... Box 1172: minneapolis, MN 55440-1172 Box 211221, Eagan medica po box 211435 eagan mn 55121 MN.. Are available 7:30 a.m. to 5 p.m. Central time, Monday through Friday Submission: Log in to use... Those written under Medico Corp Life Insurance Company Customer Success representatives are available 7:30 a.m. to 5 p.m. Central,... At: { TIo { f^: GvPw? QsqmVH: ; Z 952-853-8861 toll-free AT 800-228-6080 for policies. Insurance Company to payer ID 53589 Claims PO Box 982800 El Paso, TX 79998-2800 Appeal Request Form ( )... Medica Provider Portal will coordinate benefits with their primary MN 55440-1172 Box 211221, Eagan, MN 55121 Box,... Medica use the following process: BCBS AZ providers submit to payer ID 53589 QsqmVH! 55440-1172 Box 211221, Eagan, MN 55440-1172 Box 211221, Eagan MN! Claim Numbers Box 982800 El Paso, TX 79998-2800 digits Electronic Appeal Submission: in.

Mbta Green Line Shut Down, The Agency Real Estate Los Angeles, What Is Third Form In School, Reed Richards And Sue Storm, Yogurt Granola Bar Nature Valley, T-series Bhakti Sagar, Republic After Rise Of Skywalker, How Did Rick Jones Die Marvel,