Provider Connection

The Provider Connection is an online informative newsletter geared towards our medical providers. We produce the newsletter twice a year. If you are not on the e-mail list sign up to receive it.

Register for Medical Conference Today

Evidence Based Medicine: New Opportunities to Improve Outcomes is the theme for Montana State Fund’s 18th annual medical conference, May 31 – June 1, 2018 in Helena. Topics for the event include: Lumbar Fusion in Workers’ Compensation Hot Clinical Topics: ...


Medical Review Status

A Request for Proposal (RFP) for medical bill review services was issued on November 1, 2017.  All submitted proposals received have been reviewed.  MSF is currently in the final selection process and will update providers once a decision has been ...


Please Complete ICD-10

ICD-10 diagnosis codes are extremely important to MSF for a variety of reasons. We continue to receive bills with incomplete codes.  ICD-10 codes are 3-7 characters (alpha and numeric).  Some codes require a 6th or 7th character in order to ...



CORRECTED BILLS When submitting a corrected bill (CMS 1500 or UB04), please mark the bill “CORRECTED BILL” to indicate that there has been a change to the original billing. Please include a copy of the EOR and any records to ...


No Highlighters Please

Please do not use a highlighter to draw attention to pertinent information as it turns black during the scanning process. Use a black or blue pen and “star”, circle or underline to indicate the information that is being referenced.  Do ...


Stress Claims. Yarborough vs. Montana Municipal Insurance Authority

On June 28, 1996, the Workers’ Compensation Court entered findings of fact, conclusions of law and judgment denying Petitioner/Appellant Joe Yarborough (Yarborough) compensation and medical benefits for an alleged work-related injury aswell as attorney fees, costs and a penalty. Yarborough ...


Medical Bill Review Services

We have started the request for proposal (RFP) for medical bill review services. The RFP was issued on November 1, 2017 and proposals are due by December 15, 2017. We currently contract with ACS/Conduent for these services. We hope to ...


Save The Date – 18th Annual Medical Conference

Montana State Fund will hold our 18th Annual Medical Conference on May 31 – June 1, 2018 at Helena’s Radisson Colonial Hotel. Continuing education credits and contact hours will be available for: • Medical Professionals • Pharmacy Professionals • Vocational ...


Vocational Rehabilitation

INVJA, INVTR, INVMI: New codes have been implemented for the Investigative Job Analysis, and travel time and mileage associated with this service. INVJA    Investigative Job Analysis INVTR   Travel time associated with the investigative job analysis INVMI   Mileage associated with the ...


Bill Status/Billing Changes/Resubmissions


Bill Status Please contact Conduent (previously ACS) for Bill Status. Please give 30 days before seeking a bill status or sending in a rebill.  If you are not satisfied with the information from Conduent or have further questions that they ...


Bill Status – 1-877-591-8028

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

ACS (Bill Status)
Phone  888-208-2116
Email  BillReviewInquiries

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

Medical Team

Michele Fairclough
Medical Team Leader

Heather O’Hara
Nurse Manager

Justin Kennedy
Medical Management Specialist

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)