Provider Bulletin

The Provider Bulletin is an online informative newsletter geared towards our medical providers. We produce the newsletter twice year. If you are not on the e-mail list sign up to receive it.

Register for Medical Conference

For the seventeenth consecutive year, MSF will host our medical conference on Friday – June 2, 2017 at the Great Northern Hotel in Helena. The one day event is jointly provided by MSF and St. Vincent Healthcare. The topics for ...

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Mid Level Provider Information

Mid Level Providers May Assume The Treating Physician Role: Section 39-71-116 (41) “Treating physician” means the person who, subject to the requirements of 39-71-1101, is primarily responsible for delivery and coordination of the worker’s medical services for the treatment of a ...

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New Online Payment Option

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Our online payment portal has been expanded to include options for injured employees, attorneys, and medical providers. With this service the payer can use an e-check (no additional fees) or a credit card (1.0995% processing fee) to conveniently and securely ...

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Murphy v WestRock

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2017 MTWCC 2; WCC No. 2016-3787 CARL MURPHY vs. WESTROCK COMPANY ORDER GRANTING RESPONDENT’S MOTION FOR SUMMARY JUDGMENT AND DENYING RESPONDENT’S MOTION FOR PROTECTIVE ORDER, RESPONDENT’S MOTION IN LIMINE, AND PETITIONER’S MOTION TO COMPEL AS MOOT Summary: Respondent moves for ...

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Update Your Records: ACS Has Changed To “Conduent”

ACS has changed to Conduent.  There is now a new fax number and email address. Please begin to use the new email address immediately. The old email MSFBillReviewInquiries@xerox.com will only route emails until the end of May. Updated Fax number  –  863-669-2062 Updated  Email ...

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New Evaluation Codes for Physical Medicine

There are new Evaluation codes for Physical Therapy and Occupational Therapy that became effective 1/1/17: Physical Therapy 97161 – Low complexity 97162 – Moderate complexity 97163 – High complexity 97164 – Reevaluation of physical therapy established plan of care Occupational ...

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Physical Medicine– Active/Passive

The number of Passive therapeutic procedures/modalities allowed when an active therapeutic procedure is billed was changed to 2 effective 7/1/16 for dates of service on or after 7/1/16. The total of 8 units/procedures/modalities did not change (of which only 2 ...

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Rebilling

When rebilling MSF for services, please retain the integrity of the original billing (unless you are sending a corrected claim) if the services have not changed. Send the original billing with any additional information or a reconsideration request and it ...

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Changing Codes

When a code change is required by a provider, please submit a corrected claim form with all services provided for that date of service (even if some have already been paid), Clearly mark the claim as “Corrected”. This will assist ...

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Need Complete ICD-10 Diagnosis Codes

Please be sure a complete ICD-10 diagnosis code is being used when billing Montana State Fund. We are still seeing a number of bills with partial ICD-10 codes.

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Bill Status – 1-877-591-8028

Main Phone Number 406-495-5000 or 800-332-6102

Main Fax  406-495-5020

Medical Team – 406-495-5011

Submit your Claims and/or Correspondence To
Montana State Fund
PO Box 4759
Helena, MT  59604

ACS (Bill Status)
Phone  888-208-2116
Email  MSFBillReviewInquiries@Conduent.com

For questions regarding
: Information in this bulletin, call 800-332-6102 and ask for a member of the Medical Team. Advanced Nurse Review, Kym Vonada at 406-495-5389.


Medical Team

Michele Fairclough
Medical Team Leader
406-495-5362

Judy Morgan
Nurse Manager
406-495-5277

Shannon Hadley
Provider Relations Specialist
406-495-5245

Kym Vonada
Medical Auditor
406-495-5389

Annalyn Stewart
Medical Payment Auditor
406-495-5367

Susan Bomar
Medical Payment Auditor
406-495-5271

Cindy Gallus
Medical Customer Service Liaison
406-495-5189

Sherri Sprenger
Medical Customer Service Liaison
406-495-5420

Shannon Mergenthaler
Medical Customer Service Liaison
406-495-5185

Maggie Pentecost
Medical Customer Service Liaison
406-495-5322

Website Information

Montana State Fund montanastatefund.com

Department of LaborDepartment of Labor and Industry (DLI) website.
The website includes the Facility and Non-Facility Fee Schedule information as well as the Administrative Rules of Montana (ARM) and the instruction set for the Non-Facility Fee Schedule. Historical fee schedule information can also be found on this website.

If you have questions regarding the fee schedules call 406-444-6530 and someone will direct you to a DLI representative. For NPI information click here National Plan and Provider Enumeration System (NPPES)