Reference Tools & Forms

  • Tools and Forms: Access various tools and forms developed to assist Medica's provider network, including the Adjustment Request Form, the Late Claim Appeals Form, High-Tech Imaging Program reference documents, how-to instructions for filling out forms, referral guidelines, coding updates, and reimbursement policies.

  • Administrative Manuals: Access the Medica Provider Administrative Manual, SelectCare and LaborCare Provider Administrative Manual, and the Common Security and Registration User's Manual. Also, find information and forms intended for Medica network providers to use in responding to reporting obligations required by law, contract or accreditation standards (including those required by the National Committee for Quality Assurance, or NCQA®).

  • Contracting: Access information and forms to establish and update existing contracts.

  • Credentialing / Demographics: Find credentialing and clinic demographic information, as well as submit demographic change requests.

  • Reporting Obligations: Find information and forms intended for Medica network providers to use in responding to reporting obligations required by law, contract or accreditation standards (including those required by the National Committee for Quality Assurance, or NCQA®).
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