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. 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