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Molina Healthcare Illinois

Molina Healthcare Illinois

This page contains information you can use to exchange healthcare transactions with Molina Healthcare Illinois using Stedi.
Use any of the following payer IDs to send transactions to Molina Healthcare Illinois using Stedi APIs or SFTP. Read the docs
Primary Payer ID
20934
Stedi Payer ID
BJEWB
Payer ID aliases
10685, 20934, 6806, MLNIL, MOLIL, MOLINA_IL
Coverage types
Dental, Medical, Vision

Supported transactions

Use Stedi to exchange the following transactions with Molina Healthcare Illinois using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Molina Healthcare Illinois.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Molina Healthcare Illinois to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to Molina Healthcare Illinois in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Molina Healthcare Illinois and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Molina Healthcare Illinois and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Molina Healthcare Illinois to review full payment details.
Enrollment process type
One-click
Activation timeframe
Weeks
Not supported

Dental claims

(837D)
Submit dental claims to Molina Healthcare Illinois and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Molina Healthcare Illinois.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Molina Healthcare Illinois and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Molina Healthcare Illinois today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
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