Provider Connection

MT001: How To Correctly Bill Using This Code

Woman writing notes from laptopOver the last couple of years MT001 has been expanded to include a number of common services requested by workers’ compensation carriers.  MT001 is to  be used for the following services:

  • Face to face conferences with payer representative(s) to update the status of a patient upon request of the payer. 

For example, a claim examiner requests the Medical Case Manager attend an appointment with the injured worker for an update on status and treatment plan. 

  • A report associated with non-physician conferences required by the payer.

For example, a conference between a non-physician provider (physical therapist, speech therapist) and a physician that would generate a written report and is requested by the payer. 

  • Completion of a job analysis requested by the payer:

For example, a Claims Examiner or vocational rehabilitation provider requests review and approval/disapproval for job analysis. 

  • Written questions that require a written response from the provider, excluding the Medical Status Form:

For example, a Claims Examiner submits a letter or a request with additional questions that are not normally covered in an office visit or where clarification is needed.

**Using CPT code 99080 for any of the above listed services will result in a denial of payment. 

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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

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

Justin Kennedy
Nurse Manager

Shannon Hadley
Provider Relations Specialist

Kym Vonada
Medical Auditor

Annalyn Stewart
Medical Payment Auditor

Sheryl Semans
Pharmacy Liaison

Susan Bomar
Medical Payment Auditor

Cindy Gallus
Medical Customer Service Liaison

Sherri Sprenger
Medical Customer Service Liaison

Shannon Mergenthaler
Medical Customer Service Liaison

Maggie Pentecost
Medical Customer Service Liaison

Jamie Statton
Medical Customer Service Liaison

Website Information

Montana State Fund

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)