What is the Stedi payer ID for Molina Healthcare?

The Stedi payer ID for Molina Healthcare is SGMGC.

What is the primary payer ID for Molina Healthcare?

The primary payer ID for Molina Healthcare is SKYGN.

What payer IDs does Molina Healthcare use?

In addition to its primary payer ID SKYGN, Molina Healthcare uses several other payer IDs, including SKYGN.

What transactions does Molina Healthcare support?

Molina Healthcare supports the following transactions: 270/271 eligibility checks, 270/271 coordination of benefit (COB) checks, and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with Molina Healthcare?

Molina Healthcare requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

What is transaction enrollment?

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. Molina Healthcare supports COB checks through Stedi.

All payers

PAYER

Molina Healthcare

This page contains information you can use to exchange healthcare transactions with Molina Healthcare using Stedi.

Use any of the following payer IDs to send transactions to Molina Healthcare using Stedi APIs or SFTP. Read the docs

Primary Payer ID

SKYGN

Stedi Payer ID

SGMGC

Payer ID aliases

SKYGN

Coverage types

Dental

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Molina Healthcare 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.

Supported

Coordination of benefits checks

(COB)

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

Claims processing

Not supported

Real-time claim status

(276/277)

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

Not supported

Professional claims

(837P)

Submit professional claims to Molina Healthcare and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to Molina Healthcare and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Molina Healthcare to review full payment details.

Enrollment process type

One-click

Activation timeframe

Weeks

Not supported

Dental claims

(837D)

Submit dental claims to Molina Healthcare and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Molina Healthcare.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Molina Healthcare and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Molina Healthcare today.

Payer Network

All payers

PAYER

Molina Healthcare

This page contains information you can use to exchange healthcare transactions with Molina Healthcare using Stedi.

Use any of the following payer IDs to send transactions to Molina Healthcare using Stedi APIs or SFTP. Read the docs

Primary Payer ID

SKYGN

Stedi Payer ID

SGMGC

Payer ID aliases

SKYGN

Coverage types

Dental

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Molina Healthcare 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.

Supported

Coordination of benefits checks

(COB)

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

Claims processing

Not supported

Real-time claim status

(276/277)

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

Not supported

Professional claims

(837P)

Submit professional claims to Molina Healthcare and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to Molina Healthcare and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Molina Healthcare to review full payment details.

Enrollment process type

One-click

Activation timeframe

Weeks

Not supported

Dental claims

(837D)

Submit dental claims to Molina Healthcare and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Molina Healthcare.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Molina Healthcare and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Molina Healthcare today.