Office Ally may, at its sole option, add or remove Payers to the Services at any time. Office ally will use commercially reasonable efforts to provide Customer with written notice of such removals.
Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
Secondary
WC / Auto
NOTES
Molina Healthcare of Illinois
Payer ID
20934
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Illinois 20934 835
Molina Healthcare of Illinois
Payer ID
13178
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Illinois 13178 270 / 271
Molina Healthcare of Iowa
Payer ID
MLNIA
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Iowa MLNIA 837P
Molina Healthcare of Iowa
Payer ID
MLNIA
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Iowa MLNIA 837I
Molina Healthcare of Iowa
Payer ID
MLNIA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Iowa MLNIA 835
Molina Healthcare of Michigan
Payer ID
38334
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Michigan 38334 837P
Molina Healthcare of Michigan
Payer ID
38334
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Michigan 38334 837I
Molina Healthcare of Michigan
Payer ID
38334
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Michigan 38334 835
Molina Healthcare of Michigan
Payer ID
MLNA-MI
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Michigan MLNA-MI 270 / 271
Molina Healthcare of Mississippi
Payer ID
77010
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Mississippi 77010 837P
Molina Healthcare of Mississippi
Payer ID
77010
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Mississippi 77010 837I
Molina Healthcare of Mississippi
Payer ID
77010
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Mississippi 77010 835
Molina Healthcare of Mississippi
Payer ID
MLNA-MS
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Mississippi MLNA-MS 276 / 277
Molina Healthcare of Mississippi
Payer ID
MLNA-MS
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Mississippi MLNA-MS 270 / 271
Molina Healthcare of Mississippi Marketplace
Payer ID
MLNA-MS-MKT
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Mississippi Marketplace MLNA-MS-MKT 276 / 277
Molina Healthcare of Mississippi Marketplace
Payer ID
MLNA-MS-MKT
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Mississippi Marketplace MLNA-MS-MKT 270 / 271
Molina Healthcare of Missouri
Payer ID
MLNA-MO
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Missouri MLNA-MO 270 / 271
Molina Healthcare of Nebraska
Payer ID
MLNNE
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Claim DOS on or after 1/1/24
Molina Healthcare of Nebraska MLNNE 837P
Molina Healthcare of Nebraska
Payer ID
MLNNE
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Claim DOS on or after 1/1/24
Molina Healthcare of Nebraska MLNNE 837I
Molina Healthcare of Nebraska
Payer ID
MLNNE
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Nebraska MLNNE 835
Molina Healthcare of Nevada
Payer ID
MLNNV
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Nevada MLNNV 837P
Molina Healthcare of Nevada
Payer ID
MLNNV
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Nevada MLNNV 837I
Molina Healthcare of Nevada
Payer ID
MLNNV
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Nevada MLNNV 835
Molina Healthcare of Nevada
Payer ID
MLNA-NV
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Nevada MLNA-NV 270 / 271
Molina Healthcare of New Mexico
Payer ID
NM505
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of New Mexico NM505 837P
Molina Healthcare of New Mexico
Payer ID
04423
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of New Mexico 04423 837I
Molina Healthcare of New Mexico
Payer ID
04423
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of New Mexico 04423 835
Molina Healthcare of New Mexico
Payer ID
NM505
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of New Mexico NM505 835
Molina Healthcare of New Mexico
Payer ID
00071
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of New Mexico 00071 276 / 277
Molina Healthcare of New Mexico
Payer ID
10486
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of New Mexico 10486 270 / 271
Molina Healthcare of New Mexico - Salud
Payer ID
09824
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of New Mexico - Salud 09824 837P
Molina Healthcare of New Mexico - Salud
Payer ID
09824
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of New Mexico - Salud 09824 837I
Molina Healthcare of New Mexico - Salud
Payer ID
09824
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of New Mexico - Salud 09824 835
Molina Healthcare of New York (formerly Total Care)
Payer ID
16146
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Former Payer ID TCARE
Molina Healthcare of New York (formerly Total Care) 16146 837P
Molina Healthcare of New York (formerly Total Care)
Payer ID
16146
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Former Payer ID TCARE
Molina Healthcare of New York (formerly Total Care) 16146 837I
Molina Healthcare of New York (formerly Total Care)
Payer ID
16146
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Former Payer ID TCARE Enrollment completed under 'Molina Healthcare'
Molina Healthcare of New York (formerly Total Care) 16146 835
Molina Healthcare of New York (formerly Total Care)
Payer ID
MLNA-NY
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of New York (formerly Total Care) MLNA-NY 270 / 271
Molina Healthcare of Ohio
Payer ID
20149
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Ohio 20149 837P
Molina Healthcare of Ohio
Payer ID
20149
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Ohio 20149 837I
Molina Healthcare of Ohio
Payer ID
20149
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Ohio 20149 835
Molina Healthcare of Ohio
Payer ID
00445
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Ohio 00445 276 / 277
Molina Healthcare of Ohio
Payer ID
10487
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Ohio 10487 270 / 271
Molina Healthcare of Puerto Rico
Payer ID
81794
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Puerto Rico 81794 837P
Molina Healthcare of Puerto Rico
Payer ID
81794
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Puerto Rico 81794 837I
Molina Healthcare of Puerto Rico
Payer ID
81794
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Puerto Rico 81794 835
Molina Healthcare of South Carolina
Payer ID
46299
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of South Carolina 46299 837P
Molina Healthcare of South Carolina
Payer ID
46299
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of South Carolina 46299 837I
Molina Healthcare of South Carolina
Payer ID
46299
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Enrollment completed under 'Molina Healthcare'
Molina Healthcare of South Carolina 46299 835
Molina Healthcare of Texas
Payer ID
20554
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Texas 20554 837P
Molina Healthcare of Texas
Payer ID
20554
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Texas 20554 837I
Molina Healthcare of Texas
Payer ID
20554
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Texas 20554 835
Molina Healthcare of Texas
Payer ID
00451
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Texas 00451 276 / 277
Molina Healthcare of Texas
Payer ID
10488
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Texas 10488 270 / 271
Molina Healthcare of Utah
Payer ID
00227
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Utah 00227 276 / 277
Molina Healthcare of Utah (aka American Family Care)
Payer ID
SX109
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Utah (aka American Family Care) SX109 837P
Molina Healthcare of Utah (aka American Family Care)
Payer ID
12X09
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Utah (aka American Family Care) 12X09 837I
Molina Healthcare of Utah (aka American Family Care)
Payer ID
SX109
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Utah (aka American Family Care) SX109 835
Molina Healthcare of WA Encounters
Payer ID
43174
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
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Encounters ONLY.
Molina Healthcare of WA Encounters 43174 837P
Molina Healthcare of WA Encounters
Payer ID
43174
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Encounters ONLY.
Molina Healthcare of WA Encounters 43174 837I
Molina Healthcare of Washington
Payer ID
38336
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Washington 38336 837P
Molina Healthcare of Washington
Payer ID
38336
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Washington 38336 837I
Molina Healthcare of Washington
Payer ID
38336
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Washington 38336 835
Molina Healthcare of Washington
Payer ID
00228
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Washington 00228 276 / 277
Molina Healthcare of Washington
Payer ID
00228
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Washington 00228 270 / 271
Molina Healthcare of Wisconsin
Payer ID
ABRI1
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Wisconsin ABRI1 837P
Molina Healthcare of Wisconsin
Payer ID
ABRI1
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Healthcare of Wisconsin ABRI1 837I
Molina Healthcare of Wisconsin
Payer ID
ABRI1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Wisconsin ABRI1 835
Molina Medicaid Solutions - Idaho
Payer ID
MCDID
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Medicaid Solutions - Idaho MCDID 837P
Molina Medicaid Solutions - Idaho
Payer ID
MCDID
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Medicaid Solutions - Idaho MCDID 835
Molina Medicaid Solutions - Louisiana
Payer ID
MCDLA
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Medicaid Solutions - Louisiana MCDLA 837P
Molina Medicaid Solutions - Louisiana
Payer ID
MCDLA
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Molina Medicaid Solutions - Louisiana MCDLA 837I
Molina Medicaid Solutions - Louisiana
Payer ID
MCDLA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Molina Medicaid Solutions - Louisiana MCDLA 835
Molina Ohio Medicaid
Payer ID
73160
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Molina Ohio Medicaid 73160 837P
Molina Ohio Medicaid
Payer ID
73160
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Molina Ohio Medicaid 73160 837I
Molina Ohio Medicaid
Payer ID
73160
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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ERA Enrollment should be completed under Medicaid Ohio. If you are already approved to receive ERA for Medicaid of Ohio, you do not have to re-enroll.
