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Electronic Data Interchange (EDI) Services

Provider Self-Services


The Provider Portal provides a number of features to support our provider’s needs.  Below is a list of the current supported features, this feature list will continue to grow as we enhance the website.

  • New User Registration - Providers can complete the required information to get immediate access to the website.
  • Secure Login - The website is secured with 128 bit encryption to support the HIPAA requirements.
  • Change Password - Providers can change their password whenever they want.
  • Forgot Password - Providers can request their password in case it is forgotten.
  • Member Eligibility Inquiry - Providers can search for eligibility on any member.
  • Provider Search - Providers can search for other providers.
  • View/Update Profile - Providers can view their profile as well as request changes.
  • Authorization Submissions - Providers can submit Authorizations directly online.
  • Authorization Inquiry - Providers can view the status of both previous Authorizations as well as those submitted online.
  • Claims Inquiry - Providers can view the status of previously submitted claims.
  • Patient Listing - Patient listing enables providers to get the list of members who are eligible on a particular date and the PCP assigned.
  • Reports - Providers are able to export the claim reports in Excel or PDF format.
  • Nurse Advice Reports - The nurse advice reports are available for PCP's to download.
  • Contact Us - Providers can contact Molina directly about an issue and that message is directed to the appropriate department for follow-up.
  • Download Forms - Providers have access to download forms that are most frequently used.

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