The Provider Bulletin is published for Molina Healthcare participating providers in Ohio to communicate updates about medical management policies and procedures.
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Welcome!
Molina Healthcare of Ohio's "You Matter to Molina" program prioritizes connecting directly with our entire network of providers and supporting their efforts to deliver hig...
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...
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...
For questions about any of the following areas, please select the appropriate link:
Submitting Electronic: Claims, Referral Certification and Authorization
(866) 409-2935
Email Directly: EDI.Claims@Mo...
Page Content
Welcome!
Molina Healthcare of Ohio's "You Matter to Molina" program prioritizes connecting directly with our entire network of providers and supporting their efforts to deliver hig...
The Molina Healthcare Quality Improvement (QI) Program provides the structure and key processes that enable the health plan to carry out its commitment to ongoing improvement of care and service, and ...
The Molina Healthcare Quality Improvement (QI) Program provides the structure and key processes that enable the health plan to carry out its commitment to ongoing improvement of care and service, and ...