Note: The most efficient way for claims to be submitted is electronically.
Claims submitted electronically are processed an average of 14 days faster than paper claims.
Paper claims submitted via mail are processed an average 12 days faster than paper claims submitted via fax.
There are two ways to submit claims to the Montana Healthcare Programs: Electronic and paper. Electronic claims are processed much faster. The information below is intended to support claim submission in both formats. The information is divided in two sections. The first section contains documents supporting electronic claim submissions. The second section contains documents supporting paper claim submissions.
Electronic Billing Instructions
NOTE: WINASAP-Windows 10 Issue
Due to recent Microsoft Windows Security updates, Windows 10 is no longer compatible with WINASAP.
EDI Gateway developers are addressing this issue, however, we do not currently have a timeline for resolution of this issue.
Please continue to check the Announcements for updates.