Molina Healthcare
How To Submit Claims To Molina Healthcare
Molina supports electronic claims submission through Availity Essentials/portal and through EDI clearinghouses in many markets. Paper claims are accepted in…
Short answer
Molina supports electronic claims submission through Availity Essentials/portal and through EDI clearinghouses in many markets. Paper claims are accepted in some states at state-specific mailing addresses. Payer IDs and submission channels vary by line of…
Molina Healthcare's reviewed provider guidance starts with this submission channel: Provider portal / Availity Essentials (where enabled). Confirm the member plan and claim type before using a payer ID or paper address.
At a glance
- Molina supports electronic claims submission through Availity Essentials/portal and through EDI clearinghouses in many markets. Paper claims are accepted in some states at state-specific mailing addresses. Payer IDs and submission channels vary by line of business and state.
Submission channels
- Provider portal / Availity Essentials (where enabled)
- EDI via clearinghouse
- Paper claim mail
- State-specific portal tools or fiscal intermediary workflows in certain markets
Electronic claims payer IDs
- MCC02
- 16146
- 20149
- 38333
- 61325
Paper claims addresses
- State-specific mailing addresses vary by line of business and state; official sources reviewed do not support a single universal Molina paper-claims address.
Corrected claims and follow-up
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Corrected claims should include the original Molina claim ID/claim number and the appropriate corrected-claim indicator.
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Some markets allow corrected claims via EDI, provider portal, or state-specific paper/mail workflows.
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If resubmitting a dispute, use the required Molina appeal/dispute form where applicable and include supporting documentation.
Caveats
- Electronic payer IDs differ by state/product; do not flatten into a single national payer ID.
- Some states use Availity Essentials as the secure provider portal; others reference Molina's portal or state intermediary processes.
- Paper addresses and channels are highly state-specific.
Provider resources
- Molina Healthcare Provider Portal (login) (official)
- Molina Healthcare EDI Transactions / Provider Services Web Portal (official)
- Molina Healthcare Provider Home - South Carolina Medicaid (official)
- Molina Healthcare Provider Home - Idaho Medicaid (official)
- Molina Healthcare Provider Claims Submission - Virginia Medicaid (official)
- Molina Healthcare Provider Prior Authorization - Virginia Medicaid (official)
- Molina Healthcare Provider Manual - Ohio Medicaid 2026 (official)
- Molina Healthcare Corrected Claims Policy (official)
Sources
| Fact | Value | Source | Confidence |
|---|---|---|---|
| EDI / portal options and payer IDs | Molina references EDI submissions through a clearinghouse or provider portal, with payer IDs varying by market (examples include MCC02, 16146, 20149, 38333, 61325). | Official | high |
| Portal submission and claim functions | Provider portal supports claims submission, claims status, corrections, voids, attachments, and prior authorization requests in some markets. | Official | medium |
| Paper claims and EDI in Virginia | Claims can be submitted by paper or electronically; Molina encourages electronic submission and states its clearinghouse relationships and portal options. | Official | high |
| Claims status and portal access | Availing portal access is used for claims inquiry and submission in some markets; Availity Essentials is described as the official secure provider portal in some states. | Official | high |
Last reviewed: March 27, 2026
Sources used: 4 official
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