For questions about any of the following areas, please select the appropriate link:
Submitting Electronic: Claims, Referral Certification and Authorization
1-866-409-2935
Email Directly: EDI.Claims@Mo...
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...
Molina supports our Providers, and as such would like to highlight the many benefits ERA/EFT:
Providers get faster payment (processing can take 5-7 business days from the day the claim was submit...
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 informati...
Molina supports our Providers, and as such would like to highlight the many benefits ERA/EFT:
Providers get faster payment (processing can take 5-7 business days from the day the claim was subm...
What is a denial? A denial means Molina Healthcare is telling a provider and you that services will not be rendered or bills will not be paid. If we deny your service or claim, you have the right to r...
aaaaPlease follow the instructions and complete the Enrollment Form, today. We encourage you to read the Summary of Benefits before completing an Individual Enrollment Request form. 2014 Molina Medic...
aaaaPlease follow the instructions and complete the Enrollment Form, today. We encourage you to read the Summary of Benefits before completing an Individual Enrollment Request form. 2014 Molina Medic...