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Coverage profile

Work Molina Healthcare California across every published route

Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Molina Healthcare California.

Supported

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Molina Healthcare California.

Available

Portal claim status

Browser automation

The Substrate Claim Status Agent can check claim status via the payer portal for Molina Healthcare California.

Supported

Other aliases

Also known as

  • 1019
  • 1423
  • 14305
  • 33373
  • 3539
  • 38333
  • 38333MA
  • 38339
  • 7844
  • CAMLNA
  • ISMCA
  • MLNCA
  • MOLCA
  • MOLINA_CA
  • MRUNG
  • Central Health Medicare Plan
  • Molina Healthcare of California

Payer policies

Molina Healthcare California policies

The first 25 of 360 public policies Substrate tracks for Molina Healthcare California, by title. Links open the payer's own document; check its current version before relying on it.

Search all 360 Molina Healthcare California policies by CPT code, keyword or policy number →

Routing reference

Molina Healthcare California payer IDs and operating states

Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.

Molina Healthcare California payer name, operating states, and transaction-specific payer IDs
Payer nameMolina Healthcare CaliforniaSource: Substrate payer directory · data last changed
Operating statesCASource: Substrate payer directory · data last changed
837P professional claims payer IDStedi38333Source: Stedi payer catalog · catalog dated · matched by payer ID
837I institutional claims payer IDStedi38333Source: Stedi payer catalog · catalog dated · matched by payer ID
835 ERA payer IDStedi38333Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDStedi38333Source: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDAvailityMLNCASource: Availity payer catalog · catalog dated · matched by payer name
276 claim status payer IDStedi38333Source: Stedi payer catalog · catalog dated · matched by payer ID

Routing sources and verification

  • Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
  • Stedi payer catalogMatched by payer ID; matched record: Molina Healthcare California. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
  • Availity payer catalogMatched by payer name; matched record: MOLINA HEALTHCARE CALIFORNIA. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
  • United Clearinghouse payer catalogMatched by payer name; matched record: Molina Healthcare California. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗

Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.

Phone and fax contacts

Numbers vary by plan, service, and department. Check the member’s ID card before calling or sending a fax.

Phone lines4
  • (800) 526-8196Molina Healthcare of California phone line (800) 526-8196Route Molina Healthcare of California callers: providers reach a live provider line after a plan-type prompt, and members use member services.Answered by: Automated phone menu → Live person
  • (800) 665-0898Molina Healthcare of California Medicare LineMolina Healthcare of California Medicare line. An AI assistant answered, gave a notice that the Medicare Advantage plan ends, and asked whether the caller is a provider or has a general question.Answered by: AI assistant → Recorded message
  • (800) 788-0710Customer Service LineCustomer service line that asks whether the caller is a medical services provider, then asks for an identifier that it reads back for confirmation.Answered by: Automated phone menu
  • (916) 350-7790Mailbox SystemGeneric mailbox system that asks for a mailbox number or the number of the person being called.Answered by: Automated phone menu → Voicemail
Phone numbers19
Molina Healthcare California phone numbers
Channel and numberPayer NotesDepartmentSpecialties
phone(800) 244-6224Other stated contextBenefit context: Other or Additional Payor
  • CIGNA 55555
Health Benefit Plan Coverage
phone(800) 245-0000Other stated contextBenefit context: Other or Additional Payor
  • CA CIGNA S498
Health Benefit Plan Coverage
phone(800) 348-4058Other stated contextBenefit context: Other or Additional Payor
  • CA UNITED HEALTHCARE A811
Health Benefit Plan Coverage
phone(800) 521-2227Other stated contextBenefit context: Other or Additional Payor
  • BLUE CROSS BLUE SHIELD OF TEXAS BCTX
Health Benefit Plan Coverage
phone(800) 522-0088Other stated contextBenefit context: Other or Additional Payor
  • HEALTH NET CALIFORNIA 95567
Health Benefit Plan Coverage
phone(800) 541-6652Other stated contextBenefit context: Other or Additional Payor
  • CA BLUE SHIELD OF CALIFORNIA PPO C010
Health Benefit Plan Coverage
phone(800) 624-0756Other stated contextBenefit context: Other or Additional Payor
  • CA AETNA US HEALTHCARE U148
Health Benefit Plan Coverage
phone(800) 633-4227Other stated contextBenefit context: Other or Additional Payor
  • MEDICARE PART AB CI003
  • MEDICARE PART B CI002
Health Benefit Plan Coverage
phone(800) 722-3130Other stated contextBenefit context: Other or Additional Payor
  • BLUE CROSS BLUE SHIELD OF OKLAHOMA BCOK
Health Benefit Plan Coverage
phone(800) 777-6000Other stated contextBenefit context: Other or Additional Payor
  • ANTHEM BLUE CROSS CALIFORNIA BCCA
  • ANTHEM BLUE CROSS OF CALIFORNIA BCCA
Health Benefit Plan Coverage
phone(800) 788-0710Other stated contextBenefit context: Other or Additional Payor
  • CA KAISER PERMANENTE INSURANCE CO K101
Health Benefit Plan Coverage
phone(800) 826-9781Other stated contextBenefit context: Other or Additional Payor
  • CA WAUSAU INS CO W052
Health Benefit Plan Coverage
phone(800) 835-8699Other stated contextBenefit context: Other or Additional Payor
  • CA HEALTH CARE SERVICES CORP H140
Health Benefit Plan Coverage
phone(800) 962-2242Other stated contextBenefit context: Other or Additional Payor
  • CAPITAL BLUE CROSS CAPBC
Health Benefit Plan Coverage
phone(801) 533-8282Other stated contextBenefit context: Other or Additional Payor
  • CA SELECT HEALTH I224
Health Benefit Plan Coverage
phone(855) 609-9960Other stated contextBenefit context: Other or Additional Payor
  • MEDICARE PART A MCA
Health Benefit Plan Coverage
phone(866) 645-3269Other stated contextBenefit context: Other or Additional Payor
  • CA ANTHEM BLUE CROSS BLUE SHIELD A810
Health Benefit Plan Coverage
phone(877) 431-2273Other stated contextBenefit context: Other or Additional Payor
  • LA CARE HEALTH PLAN LACHP
Health Benefit Plan Coverage
phone(916) 350-7790Other stated contextBenefit context: Other or Additional Payor
  • BLUE SHIELD CALIFORNIA BSCA
  • BLUE SHIELD OF CALIFORNIA BSCA
Health Benefit Plan Coverage

Numbers stated in payer eligibility responses; scope may depend on benefits, products, or departments.

Not affiliated with Molina Healthcare California or BCBSA.

Confirm routing with your clearinghouse. Report an error

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.

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