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Updated January 22, 2024
The COVID-19 pandemic is rapidly evolving. Molina would like to share resources and updates with our provider partners.
As the COVID-19 public health concer...
February 19, 2024
Not contracted with Molina? Send us your roster/practice info by March 1
As part of the My Choice Wisconsin integration to Molina Healthcare of Wisconsin, we are working diligently ...
March 12, 2024
Last Chance: Send us your roster/practice info by March 15 for claims payment after July 1
If you are a Trilogy/My Choice provider for BadgerCare Plus and/or Medicaid SSI only (meani...
June 24, 2024
Molina/My Choice Wisconsin Integration Update for June 2024
Important Reminder!
On Monday, July 1, all My Choice Wisconsin Medicaid SSI and BadgerCare Plus (BC+) products...
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 informatio...
For questions about any of the following areas, please select the appropriate link:Submitting Electronic: Claims, Referral Certification and Authorization1-866-409-2935Email Directly: EDI.Claims@Molin...
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...
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...
The Federal HIPAA regulations issued by DHHS dictate that only approved code sets may be used in standard electronic transactions. The CMS site has official resources that define these standard code s...
