Is the FA-455 sent to Provider Relations or to Claims?
A. For electronic claims, the FA-455 can either be faxed to (406) 442-4402 with the appropriate Paperwork Attachment Coversheet or mailed to Paperwork Attachment at P.O. Box 8000, Helena, MT., 59604, with the same coversheet. For paper claims, providers can either attach the paperwork to the claim or submit the paperwork separately with a Paperwork Attachment Coversheet as described above. Instructions can be found at the bottom of the coversheet.