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.