Senior Whole Health of New York has implemented the HIPAA NPI requirements. Beginning May 23, 2008, HIPAA standard transactions must include NPIs. No legacy identifiers (other than the billing/pay-to...
Authorizations
Medicare
Medicare PA Guide
Medicare PA Form
Medicare BH PA Form
Medicare Pharmacy PA Form
MLTC
Prior Authorization Request Form (MLTC)
PA Code Matrix Q1 2022 - Medicaid Advan...
Medicaid entities/Providers are required to report, return, and explain any overpayments they have received to the New York State Office of the Medicaid Inspector General (OMIG) Self- Disclosure Prog...
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...
Can I submit COB claims electronically?
Yes, Molina and our connected Clearinghouses fully support electronic COB.
Do I need to submit a certain volume of claims to send EDI?
No, any number of claims...
Can I submit COB claims electronically?
Yes, Molina and our connected Clearinghouses fully support electronic COB.
Do I need to submit a certain volume of claims to send EDI?
No, any number of claims...
Getting a mammogram is a simple test that can find breast cancer early when it's smaller, easier to treat and chances of survival are higher.
What is a mammogram?
A mammogram is an x-ray of the breas...
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