Provider News and Mailings

Provider Bulletin

February 2015 - Provider Bulletin: Coding Tips and Remainders

January 2014 - Provider Bulletin: Revised CMS 1500 claim form v02/12

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Electronic Data Interchange (EDI)

We want to make you aware of a change underway at Molina Healthcare of New Mexico, Inc. (Molina Healthcare).  Emdeon is now Molina Healthcare's designated EDI gateway and business Partner.

What this means for you:

As our designated EDI gateway, all EDI claims that come to Molina Healthcare must come through Emdeon.  Emdeon works with more than six hundred (600) vendor partners so you should experience no interruption in your current workflow.  Molina Healthcare and Emdeon will work with your EDI clearing house to see that they route your EDI claims to Emdeon, rather than directly to Molina Healthcare for processing and payment.

PLEASE NOTE: It is a New Mexico State regulation that ALL practitioners/providers that bill for Medicaid services bill all claims electronically. Therefore Molina Healthcare requires that ALL contracted practitioners/providers submit claims electronically.  If you are not currently billing electronically and/or need assistance with this process, contact your Provider Service Representative immediately.

Provider Office Manager's Corner

To better assist our practitioner/provider offices, Molina Healthcare now offers valuable updates and billing and coding tips to our Provider Office Managers.

Dear Office Manager/Administrator:

Molina Healthcare values all that you do for our valued contracted practitioners/providers. We would like to take this opportunity to thank you for your service, and have provided some helpful updates, reminders and tips that will assist you in your daily activities.  Your feedback is important to us, so please let us know what type of information you would like to have published in this monthly publication.  Please contact us.

Thank you,
Provider Services
Molina Healthcare of New Mexico, Inc.
Telephone: (800) 377-9594
Fax: (505) 798-7313


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