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...
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...
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...
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...
Dear Molina Healthcare Member,
Your privacy is important to us. We respect and protect your privacy. Molina uses and shares your information to provide you with health benefits. We want to let you kno...