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We use cookies on our website. Cookies are used to improve the use of our website and analytic purposes. By using our we...
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Molina has made videos to help you get the most out of your plan with us. Some links will send you to a video and other links will take you to a new page. The new page may have a video and other help...
The Marketplace Prior Authorization Guide is a listing of codes that allows contracted providers to determine if a prior authorization is required for a health care service and the supporting document...
Utilization Management (UM) Program
Page ContentMolina’s UM Department is designed to provide comprehensive health care management by managing utilization services and benefits effectively an...
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...
Care CoordinationAs medical practice becomes more complex and demanding, coordinating care between various providers involved in a patient’s care is a challenge. It is not unusual to hear from paitent...