PPO/Managed Care Area

Employee Services

Providers Overview

EAP Forms

PPO Forms

SBIRT Wellness Coaches

Providers (Psychiatrists, Psychologists, Social Workers, Licensed Professional Counselors, Licensed Marriage & Family Therapists, Nurse Practitioners, etc.) providing services through the insurance side of members benefit plans.


Please submit all insurance related billing to Mines at:

MINES and Associates Claims
P.O. Box 270669
Littleton, CO 80127
303-832-1068 x4051
800-873-7138 x4051

To check benefits, eligibility or exclusions, please check the client's insurance card.

PPO/Managed Care Forms

Medication Evaluation/Management Treatment Plan
To be completed by prescribing provider who provides medication management only! If provider provides medication management and therapy please, instead, complete PPO/Managed Care Evaluation/Treatment Plan below.

PPO/Managed Care Evaluation/Treatment Plan
To be completed by those who are providing psychotherapeutic services to clients

Additional information in PDF* format:

Provider Procedures
Reviews required procedures for those providing services to insure reimbursement

Authorization for Release of Health Information
To be completed when confidential health information needs to be released

Summary of Responsibilities for Managed Care Clients
Outlines responsibilities of providers, clients and insurance company

*You will need Adobe Acrobat Reader to view the files in this section. If you do not have a copy of Acrobat Reader, you can download a free copy of Acrobat Reader : here. (This link will open a new window and your computer must have the capability of downloading a 5.5 mg file.)

Please note:If you are using Acrobat Reader 3.0 or older, you may experience problems viewing our files.

MINES & Associates 10367 West Centennial Road Littleton, CO 80127 800.873.7138
Copyright 2013 MINES & Associates, All Rights Reserved.