EDI
Yes, Molina and our connected
Clearinghouses fully support electronic COB.
No, any number of claims via EDI saves both time and money.
837P (Professional claims), 837I (Institutional claims).
Molina does not directly exchange the Eligibility transactions. The transactions may be sent to Molina's contracted clearinghouse The SSI Group to verify Eligibility.
Molina does not directly exchange the Claim Status transactions. The transactions may be sent to Molina's contracted clearinghouse The SSI Group to verify Claim Status.
ERA-EFT
- Yes. Molina Healthcare offers ERA/EFT through Change Healthcare, who has contracted with ECHO Health for these services. Please refer to the ERA/EFT enrollment information section for more information.
- No. This is a FREE service for you to take advantage of. Molina Healthcare covers any fees related to access to your payment information as well as the EFT payment.
This information is necessary to ensure that the person registering the Provider has the authority to do so and is aware of the Explanation of Payment-EOP (aka Remittance Advice) name and address information – while registering with ECHO. (Please refer to the below FAQ if you do not have historical payment information from Molina or with ECHO.)
- An initial payment to at least one Tax ID is necessary to become eligible for EFT thru ECHO Health.
- If the Provider has multiple NPIs associated to one Tax ID, then only one affiliation needs a paper check number or ECHO draft number.
- If the Provider has multiple Tax IDs, then each Tax ID would need a minimum of one paper check from Molina or ECHO draft number.
If you do not have a Molina check number or ECHO draft number from another payer, please contact ECHO Customer Support at (888) 834-3511 for assistance. They can help register you for EFT using their alternative EFT registration process.
Ensure you have completed the following verification steps:
- Signed and returned an ACH Authorization form as well as a voided check or bank verification letter for the account you designated to receive your deposits to ECHO. It takes 24-48 hours for ECHO to process these documents once received.
- Verified that the bank account and routing information provided to ECHO is valid (this could possibly cause delays in finalizing of your set-up).
- Checked the status of an EFT enrollment, by calling ECHO customer support at (888) 834-3511 or via email at edi@echohealthinc.com.
- Yes. To change your bank information, contact ECHO customer support at (888) 834-3511.
- For verified bank accounts, the money is transferred within 5 business days of Molina’s payment process. Your bank may vary on when they release the funds into your account. Please check with your bank on specifics.
- The EOP PDF will remain online for up to 24 months after original payment.
- Yes. You can specify your clearinghouse to receive 835 files when can complete the “Electronic Remittance Advice Information” section of the EFT application.
- If you have a clearinghouse currently and wish to change, you will need to contact ECHO customer support at (888) 834-3511 or via email at edi@echohealthinc.com.
The ACA No Surprises Act requires carriers to inform members of Broker Compensation rates from December 27, 2021 to present. If you would like copy of these rates, please contact your state member services.
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