Americans with Disabilities Act (ADA) FAQ
MyCare Ohio and Medicare Authorization and Claim Reconsideration Guide
Availity Essentials Overview
DME Coordination for Dual Eligible Members
Durabl...
You Matter to Molina is a unique avenue for our Provider Community to engage with Molina Healthcare of Wisconsin and My Choice Wisconsin by Molina Healthcare. It allows us to solicit feedback, reso...
Here you can find all your provider forms in one place. If you have questions or suggestions, please contact us.
Provider Services Phone: (855) 838-7999
Provider Relations Email: SWHProviderRelations@...
Provider Bulletin
The Provider Bulletin is published for Molina Healthcare participating providers in Idaho to communicate updates about medical management policies and procedures.
Provider Bulletins...
Page Content
Please click on a form below to view a PDF printable version.
Claims
Provider Dispute Resolution Request Form
Credentialing
CAQH Provider Data Portal
HIV and AIDS Specialist Form
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Page Content
Does Molina offer Electronic Remittance Advice (ERA) and Electronic Funds Transfer (EFT)?
Yes. Molina Healthcare offers ERA/EFT through The SSI Group, who has contracted with ECHO Heal...
Provider Bulletin
The Provider Bulletin is published for Molina Healthcare participating providers in Utah to communicate updates about medical management policies and procedures.
*The links below a...
Types of EDI Transactions
Electronic Data Interchange (EDI) functionality is utilized by Passport to complete several types of ASC X12N Version 5010 transactions, including:
Claims Submission (83...
