Coordination of Benefits (COB): How to handle COB claims and calculations, including Medicare claims.

Government Program Requirements:

Provider Requirements for Medicare, Medicaid and Government Programs: Requirements that apply to Medica’s Medicare, Medicaid and other government program products.

Medica's Contracts with Minnesota Department of Human Services (DHS)

Personal Care Assistant Agencies: Administrative requirements for participating agencies.

Reimbursement for Health Services: Contractual and reimbursement obligations.

Resolution of Member Complaints: Information for complaint resolution.

Special Transportation Driver and Vehicle Services: Definitions and vehicle, personnel and certification requirements.

Subcontracting: Process and provisions for providers who want to subcontract with Medica.

Subrogation and Recovery: Information on recovery of expenses from third parties.



Return to Provider Administrative Manual.