aWelcome to Molina Healthcare of Florida!As you may be aware, Molina Healthcare of Florida will acquire the Medicaid contract for Integral Quality Care (Integral) effective November 1, 2015. As a resu...
Welcome to Molina Healthcare of Florida!
As you may be aware, Molina Healthcare of Florida will acquire the Medicaid contract for Integral Quality Care (Integral) effective November 1, 2015. As a resu...
Clinical practice guidelines are documents which seeks to guide decisions about the diagnosis and treatment of certain health conditions. Clinical practice guidelines are based on scientific evidence...
Preventive health guidelines can be beneficial to the provider and his/her patients. Guidelines are based on scientific evidence, review of the medical literature, or appropriately established autho...
Utilization Management (UM) Program
Page ContentMolina’s UM Department is designed to provide comprehensive health care management by managing utilization services and benefits effectively an...
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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...
