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Your doctor’s office should give You an appointment in the time frames listed below. Exceptions may apply to these timely access standards if the Department of Managed H...
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Notice of Your Rights and Protections Against Surprise Medical Bills
When you get emergency care or get treated by an out-of-network provider at an in-network hospital or amb...
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HIPAA Standards for Electronic Healthcare Transactions
HIPAA required the Department of Health and Human Services (HHS) to adopt national standards for electron...
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The Federal HIPAA regulations issued by DHHS dictate that only approved code sets may be used in standard electronic transactions. The CMS site has official r...
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 (837 Profe...
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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:
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What is Data Sharing?
How can you manage access to your health data ?
As your Healthcare insurer, we know how busy life can be. As a valued member, you can now view and share yo...
The Provider Bulletin publication is Molina Healthcare of California's (MHC) primary communication method with our Provider/Practitioner community.
Information types include:
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Providers are required to conform to the Access to Care appointment standards to ensure that healthcare services are provided in a timely manner. Primary Care Providers (PCPs) or their designees must ...
