An Organization Determination (Part C) is a request you submit to Medica asking us to decide whether a Part C medical service is covered by your plan and/or if the amount you are required to pay is appropriate.
To initiate an Organization Determination (Part C) request, you will need to contact Member Services via phone, fax or mail.
Phone: 1-888-347-3630 (TTY: 711)
P.O. Box 9310 CP520
Minneapolis, MN 55440
Appeal Your Determination
If you submitted a coverage determination request and it was denied, you have the right to file an appeal asking Medica to reconsider the initial denial. To start an appeal, you will need to submit an appeal form: