• Mailing Addresses
• Mailing Addresses For Claims - Medica
• Adjustment and Resubmission Processes
• Adjustment Request Form
• Adjustment Request Form Letter Q & A and Sample Letter
• Department of Labor Q & A and Sample Letter
• Late Claim Appeal Form
• Remote Mail Operations Q & A and Sample Letter

• Advance Beneficiary Notices
• CMS Information on Advance Beneficiary Notices 
  

• Claim Forms
• Cosmos PRA Template and Field Key
• EPRA 2008 Enhancements
• How To Complete - CMS 1500 Claim Form
• How To Complete - UB-04
• How To Complete - UB-92 For Home Health
• How To Complete - UB-92 For Hospitals
• UB-04 FAQ for Providers
• UB-92 Type of Bill

• Eligibility
• Copayment Descriptions

• High-Tech Imaging
• High-Tech Imaging Appeal Form
• High-Tech Imaging Appeal Policy
• High-Tech Imaging Approved Alternative Programs
• High-Tech Imaging Code List 
• High-Tech Imaging Fact Sheet 
• High-Tech Imaging FAQ
• High-Tech Imaging Online User Guide
• High-Tech Imaging Performing Provider Facility ID List
• High-Tech Imaging Product Exclusions
• High-Tech Imaging Program Clinical Information/Fax Form
• High-Tech Imaging Program Overview and Tips for Patients
• RadConsult Clinical Information
• RadConsult Step by Step

• Inpatient Admission
• Inpatient Admission - FAQ
• Inpatient Admission - Notification Guidelines
• Inpatient Admission - Notification Report
• Inpatient Notification Requirements & Form

• National Provider Identifier
• National Provider Identifier - FAQ
• NPI Submission Form

• Referral Processes
• Care System Referrals – FAQs
• Referral Guidelines - Advantage Plan
• Referral Guidelines - Elect / Essential
• Referral Guidelines - MSHO/Dual Solutions & MSC+
• Referral Guidelines - Premier
• Referral Guidelines – Restricted Recipient Program
• Referral Request Form

• Special Transportation
• How To Complete - Special Transportation Certification of Need Form
• Special Transportation - Appointment
• Special Transportation - Certification of Need Form
• Special Transportation - Guidelines
• Special Transportation - Sendback Fax Letter Sample
• Special Transportation - SPP Provider list
• Special Transportation - Tutorial

• Specialty Guidelines
• Dental Guide To Medical Coverage for Dental Related Services
• Home Health Services Requiring Prior Authorization
• Vision Care at a Glance

• Timely Filing
• Timely Filing Policy Handout

• Miscellaneous Claims
• Care Grouping Request Form
• Care Grouping Request Form Instructions
• COSMOS Disallow, Denial and Adjustment Codes
• Herceptin Pathology Report Fax Cover Sheet
• Medica Member Rights & Responsibility Statement - All Products
• Medica Provider Review Process Survey Results
• Procedure Codes That Require Notes
• RHC - FQHC
• Sequence of Claim Edits
• Top Denial Reasons - Ancillary
• Top Denial Reasons - Facility
• Top Denial Reasons - Physician
• Top Denial Reasons - RAPLET
• United Platform EOB to ePRA/835 Crosswalk

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