Provider Connection

Medical Billing

Work Comp EDI
Now that we are up and running with Rising Medical Solutions (RMS), electronic billing is an option for those providers who want to switch from paper billing.  To get signed up please call Work Comp EDI at 800-297-6909 or email mt@wcedisupport.com. https://www.workcompedi.com/montanastatefund

 

ECHO
Rising Medical Services has contracted with ECHO for provider payments.  The default payment method under ECHO is the ECHO Mastercard.  Providers can opt out of this method and continue to get paid by check or EFT but you will need to call ECHO directly at (877) 705-4230 or go to their website.

Please continue to submit bills and records to:
Montana State Fund
PO Box 4759
Helena, MT  59604

Status Requests/Re-evaluation Requests
When checking bill status of a current bill or requesting a reconsideration of a bill that has been previously processed, please contact Rising Medical Solutions at 866-274-7464.

Highlighting Revisited
If a line or an item needs to be “showcased or noted” on a document MSF recommends that a circle or a line and arrow be used.  Highlighting scans as a blackout so the information cannot be read.  Red ink or pencil is dropped out of any document sent through Optical Character Recognition (OCR) scanning process.

Multiple Page Bills
When submitting a multiple page bill (CMS 1500/HCFA only) with a total on each page, be sure to submit them separately with the corresponding notes attached for each bill.  Submitting these as a group with the attached notes delay processing as the bills are returned to MSF to separate the bills and notes and get them rescanned for processing.  If you want to send them as a multiple page bill, do not total each page, add the total of all bills on the last page and indicate on each bill page that it is page 1 of XX (# of bills) to indicate it is a multiple page bill.

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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)