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Molina Healthcare South Carolina

Molina Healthcare South Carolina

This page contains information you can use to exchange healthcare transactions with Molina Healthcare South Carolina using Stedi.
Use any of the following payer IDs to send transactions to Molina Healthcare South Carolina using Stedi APIs or SFTP. Read the docs
Primary Payer ID
46299
Stedi Payer ID
OEZFO
Payer ID aliases
10815, 46299, 6794, MLNSC, MOLINA_SC, SCMLNA
Coverage types
Dental, Medical, Vision

Supported transactions

Use Stedi to exchange the following transactions with Molina Healthcare South Carolina 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 South Carolina.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Molina Healthcare South Carolina 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 South Carolina in real-time by sending a claim status check (276/277).
Supported

Professional claims

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

Institutional claims

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

Claim payments

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

Dental claims

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

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Molina Healthcare South Carolina.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Molina Healthcare South Carolina and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Molina Healthcare South Carolina today.
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