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Webinars & Events
Your Provider Network Management team has developed a streamlined Provider Education Series for 2024. Thanks to input from you, our provider partners, we’ve consolidated our sessions to better fit int...
/providers/il/marketplace/comm/updatesevents.aspx
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News & Updates
Molina Healthcare of Illinois is committed to bringing you critical updates and information. Through Provider Memos (bulletins) and email updates, we share news with you about our health plan, new opp...
/providers/il/marketplace/comm/provbulletin.aspx
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HIPAA 5010 Readiness
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...
/providers/id/duals/hipaa/5010Readiness.aspx
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HIPAA Code Sets
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...
/providers/id/duals/hipaa/codesets.aspx
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Unique Identifiers
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...
/providers/id/duals/hipaa/npi.aspx
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HIPAA Transactions
HIPAA Standards for Electronic Healthcare TransactionsHIPAA required the Department of Health and Human Services (HHS) to adopt national standards for electronic healthcare transactions. All covered e...
/providers/id/duals/hipaa/tcs.aspx
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HIPAA Transaction Readiness
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...
/providers/id/duals/hipaa/tcs_readiness.aspx
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Florida Fraud and Abuse
Molina Healthcare of Florida 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 state authorit...
/providers/fl/medicaid/policies/fraud.aspx
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EDI
​​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...
/providers/sc/duals/ediera/edi/benefits.aspx
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Contact Us
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...
/providers/sc/duals/ediera/edi/contact.aspx