Provider Connection

Re-evaluation/Reconsideration Requests and Payment Status

Re-evaluation or Reconsideration Requests:

If you are requesting a re-evaluation or reconsideration of a denied or partially denied bill, please send a copy of the Explanation of Review (EOR) with the needed documentation or information to:

Montana State Fund
P.O. Box 4759
Helena, MT 59604-4759

If you are sending in a corrected billing (i.e., corrected code, corrected information in Boxes 31-33, # units, etc.), please write “Corrected Claim” on the billing form, attach a copy of the EOR and mail to the above address. If you are unsure of what is needed, contact CorVel Corp. or a member of the MSF Medical Team.

Payment Status

Please allow 30 days before calling for a payment status of a bill or reconsideration request. Most bills are processed within 30 days or returned to the provider with a form indicating needed information.

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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)