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 via EDI saves both time and money.
Which Clearinghouses are currently available to submit EDI claims to Molina?
What claims transactions are currently accepted for EDI transmission?
837P (Professional claims), 837I (Institutional claims).
Where can I find more information on the HIPAA transactions?
See companion guides and State Guide websites
How do I exchange the 270/271 Eligibility Inquiry?
Molina does not directly exchange the Eligibility transactions. The transactions may be sent to Molina's contracted clearinghouse Change Healthcare to verify Eligibility. *New York Providers will continue to submit transactions through Claimsnet.
How do I exchange the 276/277 Claim Status Inquiry/Response?
Molina does not directly exchange the Claim Status transactions. The transactions may be sent to Molina's contracted clearinghouse Change Healthcare to verify Claim Status. *New York Providers will continue to submit transactions through Claimsnet.
What do I do if I still have questions?