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.

New Medical Bill and Payment Vendor Coming

Montana State Fund has entered into a contract with Rising Medical Solutions for medical bill review and payment services. During the next few months MSF will be working with Rising to insure that we have a seamless transition from ACS/Conduent. ...

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18th Annual Medical Conference Follow Up

Thank you to all who attended our 18th Annual Medical Conference. Please find the  Medical Conference Program from the two-day event. You can also review all of the speaker presentations on our website. Mark your calendar for next year’s conference scheduled ...

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Michael Neisinger v. New Hampshire Ins. Co.

2018 MTWCC 9; WCC No. 2017-4143  Neisinger Case Order Reversing in Part and Affirming in Part Order Directing a Medical Examination Summary:  Claimant appeals an Order from the DLI directing him to attend a § 39-71-605, MCA, examination with a ...

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Physical Rehabilitation

Physical, Occupational and Chiropractic therapies are the cornerstone for healing for many injured workers. This function plays an important role in getting workers back on the job and feeling better.  Department of Labor & Industry posts Instruction sets for physical ...

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ICD-10 Diagnosis Codes

MSF is still receiving a high number of incomplete ICD-10 diagnosis codes. ICD-10 has been in effect since 10/1/2015.  Most of the incomplete ICD-10 we receive are missing the 4th, 5th, 6th or 7th characters which add a level of ...

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Department of Labor & Industry Fee Schedule Updates

The Department of Labor & Industry (DLI) updated the fee schedules effective 7/1/18: Professional Conversion Factors 2018 Standard $63.50 Anesthesia $66.97                  Facility Base Rates 2018 Hospital Inpatient $8,373.00 Hospital Outpatient $   116.00 Ambulatory Surgery Center $     87.00 For ...

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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 ...

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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: ...

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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 ...

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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 ...

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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
406-495-5362

Heather O’Hara
Nurse Manager
406-495-5458

Justin Kennedy
Medical Management Specialist
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)