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Frequently Asked Questions
| 1. |
Can I submit COB claims electronically?
Yes, Molina and our connected Clearinghouses fully support electronic COB. |
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| 2. |
Do I need to submit a certain volume of claims to send EDI?
No, any number of claims via EDI saves both time and money. |
|
| 3. |
Which Clearinghouses are currently available to submit EDI claims to Molina?
See Clearinghouses |
|
| 4. |
What claims transactions are currently accepted for EDI transmission?
837P (Professional claims), 837I (Institutional claims). |
|
| 5. |
Will you continue to accept paper claims?
Yes, Molina understands that there will always be a need for some providers to submit paper claims. |
|
| 6. |
Where can I find more information on the HIPAA transactions?
See companion guides and State Guide websites |
|
| 7. |
How do I exchange the 270/271 Eligibility Inquiry?
Molina offers several options for exchanging Eligibility Status transactions.
- Molina has contracted with clearing house Emdeon to exchange Eligibility transaction.
- Utah providers may exchange eligibility transaction through UHIN.
You may contact the Molina EDI line and/or submit an email to EDI.Claims@molinahealthcare.com for more information. |
|
| 8. |
How do I exchange the 276/277 Claim Status Inquiry/Response?
Molina does not directly exchange the Claim Status transactions. Molina has contracted with clearing house Emdeon to exchange Claim Status transactions.
You may contact the Molina EDI line and/or submit an email to EDI.Claims@molinahealthcare.com for more information. |
|
| 9. |
What do I do if I still have questions?
Contact Us
|
| 1. |
Can I submit COB claims electronically?
Yes, Molina and our connected Clearinghouses fully support electronic COB. |
|
| 2. |
Do I need to submit a certain volume of claims to send EDI?
No, any number of claims via EDI saves both time and money. |
|
| 3. |
Which Clearinghouses are currently available to submit EDI claims to Molina?
See Clearinghouses |
|
| 4. |
What claims transactions are currently accepted for EDI transmission?
837P (Professional claims), 837I (Institutional claims). |
|
| 5. |
Will you continue to accept paper claims?
Yes, Molina understands that there will always be a need for some providers to submit paper claims. |
|
| 6. |
Where can I find more information on the HIPAA transactions?
See companion guides and State Guide websites |
|
| 7. |
How do I exchange the 270/271 Eligibility Inquiry?
Molina offers several options for exchanging Eligibility Status transactions.
- Molina has contracted with clearing house Emdeon to exchange Eligibility transaction.
- Utah providers may exchange eligibility transaction through UHIN.
You may contact the Molina EDI line and/or submit an email to EDI.Claims@molinahealthcare.com for more information. |
|
| 8. |
How do I exchange the 276/277 Claim Status Inquiry/Response?
Molina does not directly exchange the Claim Status transactions. Molina has contracted with clearing house Emdeon to exchange Claim Status transactions.
You may contact the Molina EDI line and/or submit an email to EDI.Claims@molinahealthcare.com for more information. |
|
| 9. |
What do I do if I still have questions?
Contact Us
|
| 1. |
Can I submit COB claims electronically?
Yes, Molina and our connected Clearinghouses fully support electronic COB. |
|
| 2. |
Do I need to submit a certain volume of claims to send EDI?
No, any number of claims via EDI saves both time and money. |
|
| 3. |
Which Clearinghouses are currently available to submit EDI claims to Molina?
See Clearinghouses |
|
| 4. |
What claims transactions are currently accepted for EDI transmission?
837P (Professional claims), 837I (Institutional claims). |
|
| 5. |
Will you continue to accept paper claims?
Yes, Molina understands that there will always be a need for some providers to submit paper claims. |
|
| 6. |
Where can I find more information on the HIPAA transactions?
See companion guides and State Guide websites |
|
| 7. |
How do I exchange the 270/271 Eligibility Inquiry?
Molina offers several options for exchanging Eligibility Status transactions.
- Molina has contracted with clearing house Emdeon to exchange Eligibility transaction.
- Utah providers may exchange eligibility transaction through UHIN.
You may contact the Molina EDI line and/or submit an email to EDI.Claims@molinahealthcare.com for more information. |
|
| 8. |
How do I exchange the 276/277 Claim Status Inquiry/Response?
Molina does not directly exchange the Claim Status transactions. Molina has contracted with clearing house Emdeon to exchange Claim Status transactions.
You may contact the Molina EDI line and/or submit an email to EDI.Claims@molinahealthcare.com for more information. |
|
| 9. |
What do I do if I still have questions?
Contact Us |
|
|
| 1. |
Can I submit COB claims electronically?
No, Molina does not currently process electronic COB. |
|
| 2. |
Do I need to submit a certain volume of claims to send EDI?
No, any number of claims via EDI saves both time and money. |
|
| 3. |
Which Clearinghouses are currently available to submit EDI claims to Molina?
See Clearinghouses |
|
| 4. |
What claims transactions are currently accepted for EDI transmission?
837P (Professional claims), 837I (Institutional claims). |
|
| 5. |
Will you continue to accept paper claims?
Yes, Molina understands that there will always be a need for some providers to submit paper claims. |
|
| 6. |
Where can I find more information on the HIPAA transactions?
See companion guides and State Guide websites |
|
| 7. |
How do I exchange the 270/271 Eligibility Inquiry?
Molina offers several options for exchanging Eligibility Status transactions.
- Molina has contracted with clearing house Emdeon to exchange Eligibility transaction.
- Utah providers may exchange eligibility transaction through UHIN.
You may contact the Molina EDI line and/or submit an email to EDI.Claims@molinahealthcare.com for more information. |
|
| 8. |
How do I exchange the 276/277 Claim Status Inquiry/Response?
Molina does not directly exchange the Claim Status transactions. Molina has contracted with clearing house Emdeon to exchange Claim Status transactions.
You may contact the Molina EDI line and/or submit an email to EDI.Claims@molinahealthcare.com for more information. |
|
|
| 9. |
What do I do if I still have questions?
Contact Us |
| 1. |
Can I submit COB claims electronically?
Yes, Molina and our connected Clearinghouses fully support electronic COB. |
|
| 2. |
Do I need to submit a certain volume of claims to send EDI?
No, any number of claims via EDI saves both time and money. |
|
| 3. |
Which Clearinghouses are currently available to submit EDI claims to Molina?
See Clearinghouses |
|
| 4. |
What claims transactions are currently accepted for EDI transmission?
837P (Professional claims), 837I (Institutional claims). |
|
| 5. |
Will you continue to accept paper claims?
Yes, Molina understands that there will always be a need for some providers to submit paper claims. |
|
| 6. |
Where can I find more information on the HIPAA transactions?
See companion guides and State Guide websites |
|
| 7. |
How do I exchange the 270/271 Eligibility Inquiry?
Molina offers several options for exchanging Eligibility Status transactions.
- Molina has contracted with clearing house Emdeon to exchange Eligibility transaction.
- Utah providers may exchange eligibility transaction through UHIN.
You may contact the Molina EDI line and/or submit an email to EDI.Claims@molinahealthcare.com for more information. |
|
| 8. |
How do I exchange the 276/277 Claim Status Inquiry/Response?
Molina does not directly exchange the Claim Status transactions. Molina has contracted with clearing house Emdeon to exchange Claim Status transactions.
You may contact the Molina EDI line and/or submit an email to EDI.Claims@molinahealthcare.com for more information. |
|
| 9. |
What do I do if I still have questions?
Contact Us |
| 1. |
Can I submit COB claims electronically?
Yes, Molina and our connected Clearinghouses fully support electronic COB. |
|
| 2. |
Do I need to submit a certain volume of claims to send EDI?
No, any number of claims via EDI saves both time and money. |
|
| 3. |
Which Clearinghouses are currently available to submit EDI claims to Molina?
See Clearinghouses |
|
| 4. |
What claims transactions are currently accepted for EDI transmission?
837P (Professional claims), 837I (Institutional claims). |
|
| 5. |
Will you continue to accept paper claims?
Yes, Molina understands that there will always be a need for some providers to submit paper claims. |
|
| 6. |
Where can I find more information on the HIPAA transactions?
See companion guides and State Guide websites |
|
|
| 7. |
How do I exchange the 270/271 Eligibility Inquiry?
Molina offers several options for exchanging Eligibility Status transactions.
- Molina has contracted with clearing house Emdeon to exchange Eligibility transaction.
- Utah providers may exchange eligibility transaction through UHIN.
You may contact the Molina EDI line and/or submit an email to EDI.Claims@molinahealthcare.com for more information. |
|
| 8. |
How do I exchange the 276/277 Claim Status Inquiry/Response?
Molina does not directly exchange the Claim Status transactions. Molina has contracted with clearing house Emdeon to exchange Claim Status transactions.
You may contact the Molina EDI line and/or submit an email to EDI.Claims@molinahealthcare.com for more information. |
|
| 9. |
What do I do if I still have questions?
Contact Us
|
| 1. |
Can I submit COB claims electronically?
Yes, Molina and our connected Clearinghouses fully support electronic COB. |
|
| 2. |
Do I need to submit a certain volume of claims to send EDI?
No, any number of claims via EDI saves both time and money. |
|
| 3. |
Which Clearinghouses are currently available to submit EDI claims to Molina?
See Clearinghouses |
|
| 4. |
What claims transactions are currently accepted for EDI transmission?
837P (Professional claims), 837I (Institutional claims). |
|
| 5. |
Will you continue to accept paper claims?
Yes, Molina understands that there will always be a need for some providers to submit paper claims. |
|
| 6. |
Where can I find more information on the HIPAA transactions?
See companion guides and State Guide websites |
|
| 7. |
How do I exchange the 270/271 Eligibility Inquiry?
Molina offers several options for exchanging Eligibility Status transactions.
- Molina has contracted with clearing house Emdeon to exchange Eligibility transaction.
- Utah providers may exchange eligibility transaction through UHIN.
You may contact the Molina EDI line and/or submit an email to EDI.Claims@molinahealthcare.com for more information. |
|
| 8. |
How do I exchange the 276/277 Claim Status Inquiry/Response?
Molina does not directly exchange the Claim Status transactions. Molina has contracted with clearing house Emdeon to exchange Claim Status transactions.
You may contact the Molina EDI line and/or submit an email to EDI.Claims@molinahealthcare.com for more information. |
|
| 9. |
What do I do if I still have questions?
Contact Us
|
| 1. |
Can I submit COB claims electronically?
Yes, Molina and our connected Clearinghouses fully support electronic COB. |
|
| 2. |
Do I need to submit a certain volume of claims to send EDI?
No, any number of claims via EDI saves both time and money. |
|
| 3. |
Which Clearinghouses are currently available to submit EDI claims to Molina?
See Clearinghouses |
|
| 4. |
What claims transactions are currently accepted for EDI transmission?
837P (Professional claims), 837I (Institutional claims). |
|
| 5. |
Will you continue to accept paper claims?
Yes, Molina understands that there will always be a need for some providers to submit paper claims. |
|
| 6. |
Where can I find more information on the HIPAA transactions?
See companion guides and State Guide websites |
|
| 7. |
How do I exchange the 270/271 Eligibility Inquiry?
Molina offers several options for exchanging Eligibility Status transactions.
- Molina has contracted with clearing house Emdeon to exchange Eligibility transaction.
- Utah providers may exchange eligibility transaction through UHIN.
You may contact the Molina EDI line and/or submit an email to EDI.Claims@molinahealthcare.com for more information. |
|
| 8. |
How do I exchange the 276/277 Claim Status Inquiry/Response?
Molina does not directly exchange the Claim Status transactions. Molina has contracted with clearing house Emdeon to exchange Claim Status transactions.
You may contact the Molina EDI line and/or submit an email to EDI.Claims@molinahealthcare.com for more information. |
|
| 9. |
What do I do if I still have questions?
Contact Us
|
|
|
| 1. |
Can I submit COB claims electronically?
Yes, we capture the COB information electronically as long as the information is submitted in the correct fields. |
|
| 2. |
Do I need to submit a certain volume of claims to send EDI?
No, any number of claims via EDI saves both time and money. |
|
| 3. |
Which Clearinghouses are currently available to submit EDI claims to Molina?
See Clearinghouses |
|
| 4. |
What claims transactions are currently accepted for EDI transmission?
837P (Professional claims), 837I (Institutional claims). |
|
| 5. |
Will you continue to accept paper claims?
Yes, Molina understands that there will always be a need for some providers to submit paper claims. |
|
| 6. |
Where can I find more information on the HIPAA transactions?
See companion guides and State Guide websites |
|
| 7. |
How do I exchange the 270/271 Eligibility Inquiry?
Molina offers several options for exchanging Eligibility Status transactions.
- Molina has contracted with clearing house Emdeon to exchange Eligibility transaction.
- Utah providers may exchange eligibility transaction through UHIN.
You may contact the Molina EDI line and/or submit an email to EDI.Claims@molinahealthcare.com for more information. |
|
| 8. |
How do I exchange the 276/277 Claim Status Inquiry/Response?
Molina does not directly exchange the Claim Status transactions. Molina has contracted with clearing house Emdeon to exchange Claim Status transactions.
You may contact the Molina EDI line and/or submit an email to EDI.Claims@molinahealthcare.com for more information. |
|
| 9. |
What do I do if I still have questions?
Contact Us
|
| 1. |
Can I submit COB claims electronically?
Yes, Molina and our connected Clearinghouses fully support electronic COB. |
|
| 2. |
Do I need to submit a certain volume of claims to send EDI?
No, any number of claims via EDI saves both time and money. |
|
| 3. |
Which Clearinghouses are currently available to submit EDI claims to Molina?
See Clearinghouses |
|
| 4. |
What claims transactions are currently accepted for EDI transmission?
837P (Professional claims), 837I (Institutional claims). |
|
| 5. |
Will you continue to accept paper claims?
Yes, Molina understands that there will always be a need for some providers to submit paper claims. |
|
| 6. |
Where can I find more information on the HIPAA transactions?
See companion guides and State Guide websites |
|
|
| 7. |
How do I exchange the 270/271 Eligibility Inquiry?
Molina offers several options for exchanging Eligibility Status transactions.
- Molina has contracted with clearing house Emdeon to exchange Eligibility transaction.
- Utah providers may exchange eligibility transaction through UHIN.
You may contact the Molina EDI line and/or submit an email to EDI.Claims@molinahealthcare.com for more information. |
|
| 8. |
How do I exchange the 276/277 Claim Status Inquiry/Response?
Molina does not directly exchange the Claim Status transactions. Molina has contracted with clearing house Emdeon to exchange Claim Status transactions.
You may contact the Molina EDI line and/or submit an email to EDI.Claims@molinahealthcare.com for more information. |
|
| 9. |
What do I do if I still have questions?
Contact Us
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