Bills are processed within 30 days of receipt. Please provide a minimum of two weeks before inquiring about payment status. For fastest turnaround, submit medical bills electronically accompanied by the appropriate medical records.
SFM’s Jopari e-billing clearinghouse payer ID is J1553.
SFM accepts medical bills and records electronically and by mail. Due to clarity issues, SFM no longer accepts medical bills and records by fax.
Minnesota Rule 5221.0700 Subp 2a & 2b requires medical providers to submit charges electronically.
Jopari Solutions is SFM’s e-billing clearinghouse (Payer ID J1553). If you don’t already have a clearinghouse established, sign up at jopari.com or call 866-269-0554. If you use another clearinghouse and experience issues sending us bills and records, call us at 800-937-1181.
Non-Minnesota providers also have the option to send bills with medical records to:
SFM Companies
PO Box 9416
Minneapolis, MN 55440
Identify any physical restrictions, giving clear, concise and specific restrictions, using functional terms. (Ex: Employee can lift up to 20 pounds, or can stand a maximum of 30 minutes/hour.) Review physical restrictions at each patient visit. Complete a Report of Work Ability form at each visit that provides a date for return to work and describes work abilities, even if the injured worker says the employer does not have light-duty work available. Provide a copy to the injured employee and keep one in the medical record. Also ensure the employee understands the benefits of healing at work and the benefits of staying active.
Please submit any prior authorization requests for injured workers’ medical procedures and treatments through the Provider Connection portal. If you don’t have an account, register for one here. Requests can also be submitted by fax at 800-944-1169 or 952-838-2000. Supporting documentation must be included for all prior authorization requests.
Maximum medical improvement is reached when no further significant recovery or lasting improvement from the injury is reasonably anticipated, regardless of subjective complaints. If you determine a worker has reached MMI or if there is any permanent disability, communicate that with your patient’s SFM claims representative.
SFM’s Provider Connection portal allows you to check the status of work comp claims, access Explanation of Benefit statements, and look up billing information and other details about claims. If you don’t already have an account, register for one here.
Medical providers who regularly treat injured workers covered by SFM can register for online access to bill status, explanation of benefits (EOBs) and claim information in SFM’s Provider Connection portal. If you don’t already have an account, click here to register.
If you have questions about the Provider Connection or the registration process, please call 800-937-1181. If you want to register to receive your payments via direct deposit or eCheck, please visit the Jopari portal and click “Register Now” to enroll.
Visit the Forgot your password page to reset your password.
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