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
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)