Use Stedi to exchange the following transactions with Molina Healthcare Utah 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 Utah.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to Molina Healthcare Utah 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 Utah in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to Molina Healthcare Utah and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to Molina Healthcare Utah and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from Molina Healthcare Utah to review full payment details.
Enrollment process type
One-click
Activation timeframe
Weeks
Not supported
Dental claims
(837D)
Submit dental claims to Molina Healthcare Utah and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Molina Healthcare Utah.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Molina Healthcare Utah and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Molina Healthcare Utah today.