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...
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...
Molina Healthcare uses the Healthcare Effectiveness Data and Information Set (HEDIS®) tool every year for quality reporting. This is done by looking at the type of care and services provided. Along w...
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...