Claims & Appeals

  • Submitting appeals on behalf of your patients

    The provider may file appeals and/or grievances on behalf of a Molina Healthcare member with the member’s written consent.

    To file an appeal or grievance:

    • Call us at (833) 685-2102
    • Fax your request to (833) 412-3146
    • Write to us at:

     Molina Healthcare Inc. 
     Attn: Provider Appeals and Grievances
     PO Box 401825
     Las Vegas, NV 89140

    We will make our appeal decision and send it to you in writing within 30 days of receipt of the request. Expedited appeals will be resolved within 72 hours.

    A grievance on behalf of a Molina member must be filed within 60 days of the event. We resolve to route complaints immediately. However, we may need to ask you to submit additional information. In that case, you will have 14 days to get us the information. We would notify the member and/or the representative within 30 days of the grievance filing or 44 days if an extension was granted.