CommercialAdministrativeMedium impact
Medica Provider News: August 2026
Medica·WI, MO·Provider News
Effective date
Sep 1, 2026
We identified it
Aug 6, 2026
Summary
Medica is decommissioning its provider portal effective September 1, 2026. After July 1, 2026, all claim appeals for payer ID 39113 must be submitted via fax or mail using the Claim Adjustment or Appeal Request Form instead of the portal. Starting September 1, providers must contact the Provider Service Center (1-800-458-5512) for claims status and appeal status inquiries. Additionally, providers must sign up for newsletters and Provider Alerts using a new centralized e-communications form on Medica.com, as portal-based management will no longer be available.
Action Required
By July 1, 2026: Billing team must update appeal submission procedures for Medica payer ID 39113 to use the Claim Adjustment or Appeal Request Form submitted via fax or mail instead of the provider portal. Obtain and document the fax number and mailing address from the form. Update internal appeal process documentation and staff training. By September 1, 2026: Discontinue any portal-based claims status or appeal status inquiries. Train billing staff to contact Medica Provider Service Center at 1-800-458-5512 for all claims and appeal status inquiries for payer ID 39113. Before September 1, 2026: Ensure all authorized staff members sign up for Medica Provider Alerts and newsletters using the new e-communications sign-up form on Medica.com based on contracted brand and region. Continue using Availity Essentials for all other electronic transactions with Medica's other payer IDs. Failure to transition appeal submission methods by July 1 may result in claims being rejected through the decommissioned portal.