For questions regarding the above forms, please call the Medica Provider Demographics voice mailbox at 952-992-8580. Your call will be returned within 2 business days. When using the Minnesota Uniform Practitioner Change form to submit practitioner changes to multiple health plans, please submit your request to the additional health plans per their direction.
Medica Data Validation
Medica Seeks Current Demographic Information for Accurate Claims Payment, Provider DirectoriesMaintaining current and accurate provider demographic data in Medica's systems and databases is a critical factor in accurate and timely claims payment, as well as the printing and distribution of accurate and current provider directories. As part of an ongoing effort to ensure accurate information, Medica is currently working on validating its provider data in partnership with its participating providers.
Upon a provider’s request, Medica prepares an electronic spreadsheet based on the provider's tax ID number and then sends it to the provider. This spreadsheet contains the following information:
- Instructions for the project;
- A validation report containing all the active providers under a provider's tax ID;
- A list of clinic sites associated with a provider's tax ID, as well as space to update the clinic's hours;
- A sheet to add currently credentialed providers or active non-credentialed providers to another clinic site;
- A sheet to terminate providers from a clinic site; and
- A grid explaining the two-digit provider specialty codes (the first two digits of the Medica provider number).
Providers can then verify the information contained in the validation report to ensure that Medica has accurate and current demographic data.
In order to incorporate any and all necessary changes prior to the next release of the provider directories, Medica requests that providers please return the appropriate sheets to Medica within four weeks of receipt of the data. Changes received after that time will still be made and will be reflected on www.medica.com and WebMD®; however, they may not appear in the next printed directory. If no information is received from a clinic as part of this initiative, no changes or updates will be made to its provider data Medica has on file. All future changes must be submitted using the appropriate data-change forms that can be accessed below.
Clinics or sites that are interested in participating in this project are invited to contact Medica's Provider Operations team at
datavalidation@medica.com. Providers should include contact name, phone number, clinic name and tax ID.