Key Contact Information
UPlan MTM Network
Contact / Purpose / Telephone, E-mail, or WebsiteGary Schneider
Director, Medication Management Network / Provider questions and issues; enrollment and contracting information / 612-626-9917
Julie Balthazor
Network Coordinator,
UPlan MTM Benefit Program / MTM pharmacist questions and issues; enrollment, credentialing and contracting information.
Contact to report MTM pharmacist changes (e.g., site adds, terminations, name change etc.) / 612-625-0001
or
Sarah Westberg
Chair, MTM Peer Advisory Panel / Assistance in developing your MTM practice; quality improvement issues and questions / 612-625-4632
UPlan MTM
Provider Website / General program information for pharmacist MTM providers; program documents and forms—including Member Participation Agreement; Formulary /
UPlan MTM
Member Website
(Direct patients here for more information.) / View information that has been provided to members including the MTM provider directory, Member Participation Agreement, and MTM FAQs /
UPlan Employee
BenefitsService Center
(Direct patients here for questions and problem resolution.) / Member questions and issues, including copay problems;
Member eligibility questions / 612-624-8647 or 1-800-756-2363, ask for‘benefits’
Prime Therapeutics / Formulary information
Prior Authorization Info /
Medica Provider Service Center / Medica claims payment issues / 1-800-458-5512
SEGIP MTM Diabetes Management Program
Contact / Purpose / Telephone, E-mail, or WebsiteState of Minnesota website for SEGIP MTM Diabetes Management Program / All SEGIP documents and forms; general information about the program /
Blue Cross & Blue Shield of Minnesota / Claims and other state health plan questions / Anna J. Web, Senior Account Consultant
651-662-6052; fax 651-662-0893
Blue Cross Claims address:
P.O. Box 64560, St. Paul, MN 55124
HealthPartners / Claims and other state health plan questions / Claims Department;for claims questions or status of claims submission:
952-883-7755 or 1-800-444-4558
Member Services; for benefit related questions: 952-883-7900 or 888-343-4404
PreferredOne / Claims and other state health plan questions / Kristopher Klinger, Provider Relations Representative
763-847-3252; fax 763-847-4845
Navitus (PBM for State of Minnesota) / Questions about enrollment forms, copays for SEGIP employees
Note: SEGIP Members who have questions about the program should first read frequently asked questions (FAQs) available on the State website. If unable to find an answer in the FAQs, contact Navitus at 1-866-333-2757 / 1-866-333-2757
StayWell / Questions about Diabetes MTM Lifestyle Coaching Program /
1-855-428-6320
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UPlan MTM Network
MTM Key Contact Listw SEGIP Revised 3/5/14