Can I submit COB claims electronically?
Yes, Molina and our connected Clearinghouses fully support electronic COB.
Do I need to submit a certain volume of claims to send EDI?
No, any number of claims...
Molina supports our Providers, and as such would like to highlight the many benefits of electronic claims submission that will have direct impact on your time! EDI will help:
Efficient informati...
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Long term services and supports are Medi-Cal benefits that help members with ongoing personal care needs. Molina Dual Options will work with the member's doctors and long term services ...
Thank you for your interest in joining Molina Healthcare of Illinois' provider network. We currently provide coverage to HealthChoice Illinois (Medicaid), MLTSS, Medicare-Medicaid Program (Dual Option...
COVID-19 (Coronavirus) Response
Updated May 2022
The COVID-19 pandemic is rapidly evolving. Molina would like to share resources and updates with our provider partners.
Prior Authoriz...
COVID-19 (Coronavirus) Response
Last Updated April 5, 2022
The COVID-19 pandemic is rapidly evolving. Molina would like to share resources and updates with our provider partners.
Mo...
Medicaid entities/Providers are required to report, return, and explain any overpayments they have received to the New York State Office of the Medicaid Inspector General (OMIG) Self- Disclosure Prog...
Claims Payment Systemic Errors
Passport by Molina Healthcare will post monthly reports to communicate to providers when claims adjustment are processed for incorrectly underpaying, overpaying, or de...
Types of EDI Transactions
Electronic Data Interchange (EDI) functionality is utilized by Molina to complete several types of ASC X12N Version 5010 transactions, including:
Claims Submission (83...
