IP Billing for Claims Submission


Effective September 1, 2020, Molina Healthcare is requesting a change to the billing requirements for inpatient claims of hospital providers.

Providers will be required to submit charges for non-covered days in field 48 of the UB-04 claim form to equal the total amount of services for the units submitted in box 39 with value code 81. This requirement will help ensure that the provided information is used to accurately pay for approved inpatient services.

Submitting Advanced Benefit Notification (ABN) with claims submissions will no longer be required.