Provider Connection

Billing Re-Evaluation or Reconsideration Requests

Providers need to continue to send bills, reconsideration requests and supporting documentation to MSF. The process for requesting re-evaluation or reconsideration remains the same. If you are requesting a re-evaluation or reconsideration of a denied or partially denied bill, please send a copy of the CorVel or ACS Explanation of Review (EOR) with the necessary documentation or information to:

Montana State Fund
PO Box 4759
Helena, MT 59604-4759
FAX: 406-495-5020

ACS will be processing re-evaluation or reconsiderations of CorVel bills after 1/2/12. The ACS EOR will reflect the original CorVel bill number, as well as an ACS number, for cross reference purposes.

If you are sending a corrected bill that was previously evaluated by Corvel (e.g., to correct a code, add information in CMS 1500 Boxes 31-33, or specify # units, etc.), please write “Corrected Claim” on the bill, attach a copy of the CorVel EOR and mail or fax to the above address. If you are unsure of what is needed to reprocess an older bill, please contact a member of the Medical Team at 406-495-5011.

Payment Status
Please allow 30 days before calling for a payment status for a bill or reconsideration request. Most bills are processed within 30 days or returned to the provider requesting missing information. Even during the transition period, we hope this will be the case. However, some bills may be delayed during the transition period.

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Bill Status – 1-866-274-7464

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

RMS (Bill Status)
Phone  866-274-7464
Email customer.care@risingms.com

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


Medical Team

Michele Fairclough
Medical Team Leader
406-495-5362

Justin Kennedy
Nurse Manager
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

Sheryl Semans
Pharmacy Liaison
406-495-5010

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)