Molina Healthcare Phone Number| Molina Claim Address (2024)

Molina Healthcare is a managed care insurance company and its head office situated in Long Beach, California, USA. Molina Health Insurance company provides health insurance to individuals through government or federal programs such as Medicaid and Medicare. Molina healthcare phone number and claim address list is updated from trusted sources and the purpose of this list is to help people who are searching for claim status and appeal status in the Medical Billing industry.

Table of Contents

• Molina Healthcare Phone Number claims address of Medicare and Medicaid
  • Molina Phone Number, Claim Address and Payer Id List of States – Medicare
  • Molina Phone Number, Claim Address and Payer id List of States – Medicaid
• An Overview of Molina Healthcare:
• Molina Healthcare claims:
  • Initiating a Claim
  • Documentation Requirements
• Molina Healthcare Claims Process
• Understanding Explanation of Benefits (EOBs)
• Appealing a Claim
• FAQs: Molina Healthcare Claims
• Conclusion:
• Related Articles :

Molina Healthcare Phone Number claims address of Medicare and Medicaid

Molina Phone Number, Claim Address and Payer Id List of States – Medicare

Molina Healthcare List of States – Medicare	Payer ID	Molina Healthcare Claim Address – Medicare	Molina Healthcare Phone Number	Molina Healthcare Timely Filing Limit
Molina Healthcare of California (Medicare Advantage)	38333	PO Box 22702, Long Beach, CA 90801	For Provider Services-800-675-6110	1 year from the DOS
			For Member Services-800-665-0898
Molina Healthcare of Florida -(Molina Medicare Option Plus)	51062	PO Box 22811, Long Beach, CA 90802	Provider Services- 855-322-4076	1 year from the DOS
			Member Services-866-553-9494
Molina Healthcare Idaho Phone Number- (Medicare Option HMO)	61799	PO Box 22617, Long Beach, CA 90801	Provider Services-844-239-4914	365 days/1 year  from the DOS
			Member Services- 844-239-4913
Molina Healthcare of Michigan Phone Number -(Medicare Advantage)	38334	PO Box 22668, Long Beach, CA 90801	Provider Services- 855-322-4077	1 year  year from the DOS
			Member Services- 800-665-3072
Molina Healthcare New Mexico Phone Number – (Medicare Option Plus)	9824	Not Accepted	Provider/Member Services- 866-440-0127	1 year  year from the DOS
Molina Healthcare Ohio Phone Number – Molina Medicare Option plus	20149	PO Box 22712, Long Beach, CA 90801	Provider/Member Services- 866-472-4584	1 year  year from the DOS
Molina Healthcare South Carolina Phone Number – Molina Medicare  Complete Care	46299	PO Box 22664, Long Beach, CA 90801	Provider Services- 855-237-6178	1 year  year from the DOS
			Member Services- 844-526-3195
Molina Healthcare Texas Phone Number – Molina Medicare Option Plus	20554	Not Accepted	Provider Services- 855-322-4080	1 year  year from the DOS
			Member Services- 866-440-0012
Molina Healthcare  Utah Phone Number – Molina Medicare Option Plus	SX109	Not Accepted	Member Services- 866-449-6817	1 year  year from the DOS
	12X09		Provider Services- 866-449-6817
			Healthy Advantage- 877-644-0344
Molina Healthcare Washington – Medicare Advantage Plan	38336	Not Accepted	800-665-1029	180 days from Date of Service (DOS)
Molina Healthcare Wisconsin Phone Number – Medicare Advantage	ABRI1	Not Accepted	Provider Services- 855-326-5059	1 year  year from the DOS
			Member Services-855-315-5663

Molina Phone Number, Claim Address and Payer id List of States – Medicaid

List of States Molina Healthcare Medicaid	Payer ID	Molina Healthcare Claims addres – Medicaid	Molina Healthcare Phone Number – Medicaid	Molina Healthcare Timely Filing Limit
Molina Healthcare of Florida	51062	PO Box 22812, Long Beach, CA ZIP-90801	Member Services-866-472-4585	180 days from the DOS
			Claims Department- 855-322-4076/800-955-8771
Molina Healthcare of Illinois	20934	PO Box 540, Long Beach, CA ZIP-90801	Provider services-855-866-5462	180 days from the DOS
			Member Services- 855-687-7861 (HealthChoice), 877-901-8181 (MMP)
Molina Healthcare of Michigan – Medicaid/MIChild	38334	PO Box 22668 Long Beach, CA-90801	Member and Provider Services-855-322-4077	1 Year from the DOS
Molina Healthcare of Mississippi – Medicaid MCAN/CHIP	77010	PO Box 22618, Long Beach, CA 90801	Provider services- 844-826-4335	180 Days from the DOS
			Member Services-844-809-8438
Molina Healthcare of New Mexico	9824	PO Box 22801, Long Beach, CA 90801	Provider services and Member Services- 855-322-4078	120  Days from the DOS
Molina Healthcare of New York – Medicaid(Essential Plan)	16146	PO Box 22615, Long Beach, CA-90801	Provider Services-877-872-4716	90 Days from the DOS
			Member Services- 800-223-7242
Molina Healthcare of Ohio	20149	PO Box 22712, Long Beach, CA-90801	Provider Services- 855-322-4079	120 Days from the DOS
Molina Healthcare of Ohio – Medicaid Dental Claims	SKYGEN	PO Box 2136, Milwaukee, WI 53201	Provider Services- 855-322-4079	180 Days from the DOS
Molina Healthcare of Puerto Rico	81794	PO Box 364828	Provider Services- 888-558-5501	90 Days from the DOS
		San Juan, PR 00936-4828	Member Services- 877-335-3305
Molina Healthcare of South Carolina	46299	PO Box 22664, Long Beach, CA-90801	Provider Services- 855-237-6178	365 days/12  months from the DOS
			Member Services- 855-882-3901
Molina Healthcare of Texas	20554	PO Box 22719, Long Beach, CA-90801	Provider Services- 855-322-4080
(STAR, STAR+PLUS, CHIP, CHIP Perinate, Molina Dual Options STAR+PLUS MMP)	Member Services- 866-449-6849
			CHIP rural service areas- 877-319-6826
Molina Healthcare of Utah – Medicaid and CHIP	12X09	Not Accepted	Provider Services- 855-322-4081	365 days/12  months from the DOS
			Member Services- 888-665-1328
Molina Healthcare of Washington	38336	Not Accepted	Provider Services- 855-322-4082	180 Days from the DOS
			Member Services- 800-869-7165
Molina Healthcare of Wisconsin –	ABRI1	Not Accepted	Provider Services- 855-326-5059	180 Days from the DOS
			Member Services- 888-999-2404
			888-999-2404(IVR)
Molina Healthcare of California – Medi-Cal	38333	Not Accepted	Provider Services- 855-322-4075	180 Days from the DOS
			Member Services- 888-665-4621

Molina Healthcare Phone numbers and claim address updated as per the latest and authorized source of information, if any discrepancy found please let us know via the contact us page.

An Overview of Molina Healthcare:

Molina Healthcare is a managed care company that provides health insurance services to individuals and families in the United States. The company focuses on serving low-income and underserved populations, including Medicaid beneficiaries, Medicare recipients, and individuals enrolled in the Health Insurance Marketplace.

Founded in 1980 by Dr. C. David Molina, Molina Healthcare started as a single clinic in Long Beach, California, serving predominantly Hispanic patients. Over the years, the company expanded its services and coverage options, becoming a leading provider of government-sponsored health insurance programs.

Molina Healthcare operates in several states, including California, Florida, Texas, Michigan, and others. It works closely with state governments to administer health insurance programs and deliver healthcare services to eligible individuals.

The company’s primary offering is managed care plans, which involve partnering with healthcare providers, such as hospitals, physicians, and specialists, to deliver coordinated and cost-effective care to its members. Molina Healthcare also emphasizes preventive care and wellness initiatives to help improve the overall health outcomes of its members.

Molina Healthcare’s insurance plans typically cover a wide range of healthcare services, including hospital stays, doctor visits, prescription medications, preventive screenings, and other essential medical treatments. The specific coverage and benefits can vary depending on the state and the program in which the member is enrolled.

In addition to its core health insurance services, Molina Healthcare often provides additional support and resources to its members. This can include care management programs, assistance finding healthcare providers, help navigating the healthcare system, and language assistance services.

Over the years, Molina Healthcare has become one of the largest Medicaid-managed care companies in the United States. It has earned a reputation for its commitment to serving vulnerable populations and its focus on providing quality healthcare services while controlling costs.

Please note that the information provided is based on the knowledge available until September 2021, and there may have been further developments or changes in Molina Healthcare’s operations since then.

Molina Healthcare claims:

Molina Healthcare Claims refer to the requests for payment submitted by healthcare providers to Molina Healthcare on behalf of its members. These claims include detailed information about the medical services, such as doctor visits, hospital stays, medications, and treatments. The claims process ensures that healthcare providers reimburse Molina Healthcare members for their care.

Initiating a Claim

When you receive medical services covered by your Molina Healthcare plan, the provider will initiate the claims process on your behalf. It’s essential to present your Molina Healthcare member identification card during your visit, ensuring the provider has accurate information to initiate the claim.

Documentation Requirements

To ensure the smooth processing of your claim, providing the necessary documentation to your healthcare provider is vital. This documentation may include:

• Personal information: Your name, address, date of birth, and contact details.
• Molina Healthcare member ID: To link the claim to your insurance coverage, provide your identification number.
• Treatment details: Accurately describe the medical services received, including diagnosis, procedures performed, and medications prescribed.
• Provider information: Include the healthcare provider’s name, address, and contact details.

Proper documentation helps prevent delays or denials during the claims process.

Molina Healthcare Claims Process

The claims process begins once your healthcare provider submits a claim to Molina Healthcare. Here’s an overview of what happens next:

1. Claim submission: The healthcare provider sends the claim electronically or by mail to Molina Healthcare.
2. Verification and review: Molina Healthcare’s claims department verifies the claim’s accuracy, ensuring it aligns with your coverage and the services provided.
3. Adjudication: Molina Healthcare evaluates the claim based on the terms of your insurance plan, determining the amount covered and any cost-sharing responsibilities.
4. Payment or denial: Molina Healthcare issues payment to the healthcare provider if the claim is approved. In case of denial, the provider and member are notified, outlining the reasons for the denial and any appeal rights.

Understanding Explanation of Benefits (EOBs)

After the claims process, you will receive an Explanation of Benefits (EOB) from Molina Healthcare. This document details the services rendered, the amount billed, the coverage provided, and any out-of-pocket expenses. It’s essential to review your EOB carefully, ensuring its accuracy and addressing any discrepancies promptly.

Appealing a Claim

You can appeal the decision if a claim is denied or you disagree with the coverage determination. The appeal process allows you to provide additional information or dispute the denial, seeking a reconsideration of the claim. To initiate an appeal, follow these steps:

1. Review the denial notice: Carefully read the statement provided by Molina Healthcare, noting the reasons for the denial and the timeframe for filing an appeal.
2. Gather supporting documentation: Collect any relevant documents, such as medical records, letters from healthcare providers, or additional information that supports your case.
3. Submit the appeal: Follow the instructions provided by Molina Healthcare to submit your appeal. Include all necessary documentation and written statements explaining why you believe the claim should be reconsidered.

FAQs: Molina Healthcare Claims

Conclusion:

Understanding the Molina Healthcare claims process empowers you to navigate your healthcare’s financial aspect confidently. By initiating claims correctly, providing accurate documentation, and reviewing EOBs diligently, you can ensure a seamless experience. Remember, you have the right to appeal and seek reconsideration in case of claim denials. Molina Healthcare is dedicated to supporting its members and delivering quality healthcare services, and the claims process is an integral part of that commitment.

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