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Administrative Resources

Administrative Manuals

To better assist you, the Administrative Manuals are available online. You have access to the Provider Administrative Manual and the SelectCareTM Administrative Manual.

Medica Administrative Manual

The administrative manual is a resource for all clinic and facility staff, including physicians and other health care providers, nurses, and all business office staff. This manual ensures that you have accurate and timely information about Medica products, programs, policies and procedures.

View the Medica Administrative Manual »

 


SelectCare and LaborCare

This manual is delivered to you in accordance with a provider’s SelectCare/LaborCare Participation Agreement (the “Agreement”). All information in this manual applies to both Medica SelectCareSM and LaborCare®, the preferred provider organization (PPO) options in our product portfolio. This manual describes the administrative policies and procedures of these PPOs.

For details regarding the basic elements of your Agreement with SelectCare, please refer to the body of the Agreement. To the extent of any conflict between this manual and your Agreement, the Agreement will govern.

Note: Some SelectCare and LaborCare third-party administrators (TPAs) may apply their own policies or code edits. See more directly from these TPAs:

United HealthCare LaborCare

The United Healthcare Administrative Guide can be reviewed and/or printed via the UnitedHealthcare Online portal.

Log in at UnitedHealthCareOnline.com » 

If you are a first-time user and need an ID & password or if you are an existing user and need additional assistance, please call 1-866-UHC-FAST (1-866-842-3278).

United HealthCare Wisconsin Medicaid

UnitedHealthcare of Wisconsin offers HMO health care services to Wisconsin residents participating in the BadgerCare Plus and Medicaid SSI programs. 

BadgerCare Plus and Medicaid SSI members enrolled with UnitedHealthcare of Wisconsin are referred to as UnitedHealthcare members. 

UnitedHealthcare of Wisconsin is operated under the UnitedHealth Group business unit UnitedHealthcare Community Plan. 

UnitedHealthcare of Wisconsin members in western Wisconsin access the Medica SelectCareSM provider network.

This administrative guide is designed as a comprehensive reference source for the information you and your staff need to conduct your interactions and transactions with us in the quickest and most efficient manner possible. Much of this material, as well as operational policy changes and additional electronic tools, are available at uhccommunityplan.com.

View Administrative Guide »

Additional Information

Reporting Obligations: Find information and forms intended for Medica network providers to use in responding to reporting obligations required by law, contract or accreditation standards (including those required by the National Committee for Quality Assurance, or NCQA®).

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