Medica's Web site contains information on wellness, illness prevention and new developments in health care. Specific information on Medica's health care products, plans and services is also included.
Providers have online access to:
- Provider Alerts
- Tools and Forms
- Administrative Manuals
- Newsletters
- Medical Policies
- Credentialing and Demographics
- Clinical Programs
- Pharmacy Resources
- Fraud and Abuse
- Products
- Provider Directory
- Other documents, publications and information to be added
The Administrative Manual assists Medica providers in understanding and implementing the administrative policies and procedures required by Medica as referenced in the Medica Participation Agreement. Updates are made periodically and are published in each monthly edition of Medica Connections.
View Medica Provider Administrative Manual.
This manual documents Medica’s medical policies and clinical practice guidelines. It is periodically reviewed and updated.
View Medical Policy Manual.
The List of Preferred Drugs lists prescription drugs covered for Medica members and provides comparative cost information. It was developed by Medica’s Pharmacy and Therapeutics Committee and is periodically reviewed and modified.
View Medica List of Preferred Drugs.
This is a montly publication that informs participating providers of policy changes and updates on benefits, coding, claims, participating providers and enrollment. It is designed to keep clinic and facility administrators and their staff up-to-date about Medica's policies, administrative procedures and business operations.
View Medica Connections.
The Provider Directory and Member Handbook lists participating providers and describes procedural information for members on accessing health services. It is updated biannually.
View Provider Directory and Member Handbook.
For ongoing training, call the Provider Education Coordinator at 952-992-2290.
Visit Medica Provider College.
Login to submit claims electronically and to view eligibility, claim status, referrals, provider number inquiry and electronic provider remittance advice (EPRA). A variety of information and tools for electronic claim submission, as well as other real-time transactions, such as eligibility and claim status.
Go to Electronic Commerce.
For printed materials, call Medica’s Provider Literature Request Line at 952-992-2355 or 1-800-458-5512, provider option 1, then option 5, ext. 2-2355.
Return to Medica Points of Contact.