HIPAA Help TeamHIPAA Transactions testing and enrollmentHIPAA Transactions testing and enrollment Contact Molina's EDI Team. If you are a provider and have a concern or complaint regarding Molina's HI...
Beginning July 1, 2024, a Single Pharmacy Benefit Administrator (SPBA) will begin providing pharmacy services for all health plans for Medicaid and CHIP beneficiaries. Gainwell will be responsible f...
HIPAA Help TeamHIPAA Transactions testing and enrollmentHIPAA Transactions testing and enrollment Contact Molina's EDI Team. If you are a provider and have a concern or complaint regarding Molina's HI...
Senior Whole Health of New York (SWH of NY) Member Services
Thank you for being a member of SWH of NY. We will do all we can to help you with your health care needs. If this is an emergency situation,...
Important update for providers!
Effective Jan. 1, 2026, Molina Healthcare of Ohio, Inc. will discontinue fax submissions of prior authorizations (PA). All requests for PA must be submitted through the...
Molina Healthcare wants to ensure that members who may have been displaced and affected by the recent wildfires have access to their needed medications, DME or medical supplies. Here are the process...
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...