Coverage profile
Work Molina Healthcare Michigan 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 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Molina Healthcare Michigan.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Molina Healthcare Michigan.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Molina Healthcare Michigan.
Other aliases
Also known as
- 10250
- 3551
- 38334
- 5443
- MIMLNA
- MLNMI
- MOLINA_MI
- Z1007
- Z1007MA
- MLNMI - MOLINA HEALTHCARE MICHIGAN
Payer policies
Molina Healthcare Michigan policies
The first 25 of 416 public policies Substrate tracks for Molina Healthcare Michigan, by title. Links open the payer's own document; check its current version before relying on it.
- 3D Interpretation and Reporting of Imaging StudiesView PDF ↗
- 3D Interpretation and Reporting of Imaging Studies MEDICAREView PDF ↗
- Abecma (idecabtagene vicleucel)View PDF ↗
- ActigraphyView PDF ↗
- Add On Coding PolicyView PDF ↗
- Add-on CodingView PDF ↗
- Adstiladrin (nadofaragene firadenovec vncg)View PDF ↗
- Adstiladrin (nadofaragene firadenovec vncg) MEDICAREView PDF ↗
- Advanced Beneficiary Notice ABN Modifiers GA GX GY GZView PDF ↗
- Advanced Beneficiary Notice ABN Modifiers GA GX GY GZView PDF ↗
- After Hours and Weekend Care PolicyView PDF ↗
- After Hours and Weekend Care PolicyView PDF ↗
- Allergy TestingView PDF ↗
- Allergy TestingView PDF ↗
- Allogeneic Pancreatic Islet Cell Transplantation with Lantidra (donislecel-jujn)View PDF ↗
- Allogeneic Processed Thymus Tissue–agdc (Rethymic)View PDF ↗
- Allogeneic Processed Thymus Tissue–agdc (Rethymic) MEDICAREView PDF ↗
- Ambulance ModifierView PDF ↗
- Ambulance ModifierView PDF ↗
- Ambulatory and Video EEG MonitoringView PDF ↗
- Ambulatory Echocardiograph MonitoringView PDF ↗
- Amtagvi (lifileucel)View PDF ↗
- Anesthesia BundlingView PDF ↗
- Anesthesia BundlingView PDF ↗
- Annual Wellness Visit sooner than 11 months following Initial (IPPE) PolicyView PDF ↗
Search all 416 Molina Healthcare Michigan policies by CPT code, keyword or policy number →
Routing reference
Molina Healthcare Michigan 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.
| Payer name | Molina Healthcare MichiganSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | MISource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | MLNMISource: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | MLNMISource: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | MLNMIEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | MLNMISource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | MLNMISource: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | MLNMISource: 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 Michigan. 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 ID; matched record: MOLINA HEALTHCARE MICHIGAN. 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 Michigan. 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 numbers4
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(800) 624-5078 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(800) 733-8387 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(855) 237-3501 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(866) 675-8852 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
Numbers stated in payer eligibility responses; scope may depend on benefits, products, or departments.