HIPAA Standards for Electronic Health Care Transactions
HIPAA required the Department of Health and Human Services (HHS) to adopt national standards for electronic health care transactions. All cover...
Since HIPAA’s inception, Molina Healthcare has worked diligently and collaboratively with the broader healthcare community to achieve compliance with the federal HIPAA transactions requirements. Molin...
Welcome to Molina Healthcare of Washington, Inc. Enclosed please find your Molina Provider Manual, written specifically to address the contractual and regulatory requirements of delivering health care...
Molina Healthcare of Washington ("Molina") seeks to uphold the highest ethical standards for the provision of health care benefits and services to its members, and supports the efforts of federal and ...
Molina Healthcare has a claims pre-payment auditing process that identifies frequent correct coding billing errors such as: Bundling and unbundling coding errors Duplicate claims Services included in ...
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...
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...
aMolina Healthcare’s HIPAA 5010 Readiness *Molina Healthcare is ready to test the 5010 versions of the HIPAA transactions with providers and other trading partners. We look forward to working collabo...
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...
Molina Healthcare has implemented the HIPAA NPI requirements. Beginning May 23, 2008, HIPAA standard transactions must include NPIs. No legacy identifiers (other than the billing/pay-to provider's Ta...
