Provider Connection

New Medical Bill & Payment Vendor

Effective January 1, 2019, Rising Medical Solutions (RMS) will be our new bill review and payment vendor. We believe this partnership will make the bill review process timelier and more accurate for our providers and claim examiners. One major enhancement that RMS offers, is the ability for electronic billing and the issuance of electronic funds transfer payments.

In addition, RMS is staffed with Certified Professional Coders (CPC’s) and nursing staff which we expect to mean a higher level of accuracy when reviewing your bills for payment.

We are working hard to ensure a smooth and easy transition with as little interruption and changes to your business processes as possible.


Below is a transition timeline

  • Up to December 15, 2018: Providers continue to contact CONDUENT/ACS about payment status or bill review. Contact CONDUENT/ACS at 888-208-2116 or by emailing: MSFBillReviewInquiries@Conduent.com.
  • December 15 – 31, 2018: Contact Montana State Fund directly at 406-495-5011 about payment status or bill review :CONDUENT/ACS (our current vendor) will cease bill review services and the processing of bills and payments. (Completion of our billing process with them is 12/31/18).
  • January 1, 2019: Rising Medical Solutions (RMS) will begin automated and standardized bill review and payment services to MSF. (We will provide RMS contact information in the future).
  • 2018 1099’s:  ACS/Conduent will process them.

Click to view Medical Bill Review FAQ

If you have any further questions about the change from Conduent/ACS to RMS, please contact Michele Fairclough at 406-495-5362.

 

 

 

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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)