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Provider Resources


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For all the latest news from Medica, network providers are encouraged to get Provider Alerts and the monthly Medica Connections provider newsletter. If you haven't already done so, be sure to sign up for these news bulletins as well as other notifications.
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Welcome to Provider Resources, an information source for Medica providers including physicians and clinic and facility staffs. Here you'll find information regarding Medica's policies and programs; access administrative manuals, clinical guidelines, utilization management policies, and medical technology policies; learn about classes offered by our Provider College; log in to administer electronic transactions; and much more.

  • Electronic Transactions: Log in to electronically administer patient and claims information. Available transactions include Eligibility Inquiry, Administrative Referral Entry, Claim Adjustment Request, Admission Notification, Prior Authorization, Referral Status, and others.

  • Reference Tools and Forms: Access the administrative tools and forms, manuals, credentialing and demographic information, as well as information regarding Medica-specific product information.

  • Clinical & Quality Resources: Learn about Medica's clinical programs and find current versions of medical policies and guidelines.

  • News You Can Use: Find Provider Alerts to get important and proactive notices on Medica-related issues, policies and programs, and view Medica Connections newsletters by date. Sign up to receive updates via e-mail.

  • Pharmacy: Review Medica pharmacy policies and procedures, see pharmacy-related updates, print medication request forms, and refer to the Medica Drug Formulary.

  • Events and Training: Learn more about Medica's Provider College and classes that are offered. The Provider College provides classroom and online training for provider staffs at locations throughout Medica's service area.

  • Contact Medica: Get general contact information for Medica and Medica Customer Service. You can contact Medica Provider Service directly at 1-800-458-5512, Monday - Thursday from 8 a.m. – 5 p.m., and Friday 9 a.m. – 5 p.m.