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.

Department of Labor & Industry Updates Fee Schedules (Aug 2017)

Effective 7/1/2017 DLI updated the Fee Schedules, Instruction Sets and rules for the Montana Professional Fee Schedule and the Montana Facility Fee Schedule. Highlights are: Professional Fee Schedule Conversion Factor Standard Anesthesia $62.92 $65.98 Drug Screens Drug Screen that are ...

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Bill Status/Billing Changes/Resubmissions (Aug 2017)

Bill Status Please contact Conduent (previously ACS) for Bill Status.  Please give 30 days before seeking a bill status or sending in a rebill.  If you are not satisfied with the information from Conduent or have further questions that they ...

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Physical/Occupational and Chiro Therapy (Aug 2017)

Utilization & Treatment Guidelines (U&T) DLI adopted the U&T Guidelines in 2009 and they have been in effect since July 1, 2011. These Guidelines give recommendations for treatment types and limits based on injury type.  They also indicate treatment types ...

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Express Scripts Acquires myMatrixx (Aug 2017)

Express Scripts recently acquired MyMatrixx. MSF will see no changes in service but, they will be changing their name and logo. Please see the attached email  regarding the name change. As you know, Express Scripts recently acquired myMatrixx®. The combined ...

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ACS Has Changed Their Name & Contact Info (Aug 2017)

ACS has changed to Conduent.  There is now a new fax number and email address. Please begin to use the new email address immediately. Updated Fax number  –  863-669-2062 Updated  Email address – MSFBillReviewInquiries@Conduent.com Phone number –  888-208-2116

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Floyd vs Zurich American Insurance CO. of Illinois (Aug 2017)

2017 MTWCC 4;  WCC No. 2016-3748 DANIAL FLOYD, Petitioner vs. ZURICH AMERICAN INSURANCE CO. OF ILLINOIS, Respondent/Insurer. FINDINGS OF FACT, CONCLUSIONS OF LAW, AND JUDGMENT Summary: Petitioner claims that he is not at MMI from his December 2014 injury, and ...

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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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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

Justin Kennedy
Medical Management Specialist
406-495-5417

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

Jamie Statton
Medical Customer Service Liaison
406-495-5386

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)