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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...
Does Molina offer Electronic Remittance Advice (ERA) and Electronic Funds Transfer (EFT)?
Yes. Molina Healthcare offers ERA/EFT through Change Healthcare, who has contracted with ECHO Health for thes...
All clinical practice guidelines are based on scientific evidence, review of the medical literature, or appropriately established authority, as cited. All recommendations are based on published conse...
You can find answers to your questions below! Also, check out our glossary to look up any words that may be confusing. Don’t see your question? Just give us a call!
Transparency in Coverage
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The following benefits are only available to Silver Plan Members Emergency Medical TransportationWe cover Emergency transportation (ambulance), or ambulance transport services provided through the “91...
All STAR+PLUS members can get the (2) Long-Term Care benefits if there is a functional need:Day Activity and Health Services (DAHS)Personal Attendant Services (PAS)Day Activity and Health ServicesLice...
All STAR+PLUS members can get the two (2) Long Term Care benefits if there is a functional need:Personal Attendant Services (PAS)Day Activity and Health Services (DAHS) Day Activity and Health Service...