Senior Whole Health by Molina Healthcare (“SWH”) is partnering with Availity to help reduce administrative resources by eliminating paperwork and phone calls. Availity Essentials (formerly known as the Availity Portal) is a secure, multi-payer site where providers can check eligibility and benefits, manage claims, submit prior authorizations, and complete other secure administrative tasks for SWH.
MCG Cite AutoAuth Video (Provider would start Prior Authorization via the SWH Payer Space on Availity)
To request a claims retraction please utilize this form. A copy of overpayment letters sent to providers and all overpayment details are now available in the Availity Provider Portal. In the Overpayment Application section, providers can make an inquiry, contest an overpayment with supporting documentation, resolve an overpayment, or check status. This is Senior Whole Health's preferred method of communication.
Availity Contact Number: (800) 282-4548 (Monday - Friday 8 a.m. - 8 p.m.)
FAQs and Helpful Resources including training and registration help can be found on the right side of Availity.com/MolinaHealthcare