How To Submit Claims To Molina Healthcare of Texas,

Molina Healthcare of Texas,'s reviewed provider guidance starts with this submission channel: Provider Portal. Confirm the member plan and claim type before using a payer ID or paper address.

At a glance

• Molina Texas accepts claims electronically through its Provider Portal and through EDI clearinghouses using payer ID 20554. The provider manual says paper claims for Medicaid/CHIP/MMP go to Long Beach, CA, and corrected claims are submitted through the original claims submission process and identified as corrected. Provider portal functions include attachments, corrected claims, voids, claim status, and saving incomplete claims.

Submission channels

• Provider Portal
• EDI clearinghouse
• Paper claims
• Corrected claims through original submission process

Electronic claims payer IDs

• 20554

Paper claims addresses

• Molina Healthcare of Texas, Inc., P.O. Box 22719, Long Beach, CA 90801

Corrected claims and follow-up

• Submit corrected claims electronically using the appropriate 837I or 837P fields.

• Corrected claims are treated as new claims for processing purposes.

• Corrected claims must be clearly identified as corrected claims.

• Provider portal supports corrected institutional and professional claims.

• Claims status resource 1

Caveats

• The paper-claims mailing address in the provider manual is specific to Medicaid/CHIP/MMP.
• The manual references both provider portal submission and a payer ID, but clearinghouse enrollment/format requirements may vary by vendor.
• Some contact pages list different phone numbers by line of business and service area.

Provider resources

• Texas Provider Home (official)
• Texas Provider Manual Home (official)
• Texas Provider Manual PDF (official)
• Texas Provider Contact Information (official)
• Texas Provider Portal / Availity Essentials entry (official)

Sources