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Coverage profile

Work Molina Healthcare South Carolina 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 South Carolina.

Supported

Eligibility

EDI 270/271

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

Available

Portal claim status

Browser automation

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

Supported

Other aliases

Also known as

  • 10815
  • 46299
  • 6794
  • 6998
  • MLNSC
  • MOLINA_SC
  • SCMLNA

Payer policies

Molina Healthcare South Carolina policies

The first 25 of 407 public policies Substrate tracks for Molina Healthcare South Carolina, by title. Links open the payer's own document; check its current version before relying on it.

Search all 407 Molina Healthcare South Carolina policies by CPT code, keyword or policy number →

Routing reference

Molina Healthcare South Carolina 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 South Carolina payer name, operating states, and transaction-specific payer IDs
Payer nameMolina Healthcare South CarolinaSource: Substrate payer directory · data last changed
Operating statesSCSource: Substrate payer directory · data last changed
837P professional claims payer IDStedi46299Source: Stedi payer catalog · catalog dated · matched by payer ID
837I institutional claims payer IDStedi46299Source: Stedi payer catalog · catalog dated · matched by payer ID
835 ERA payer IDStedi46299Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDStedi46299Source: Stedi payer catalog · catalog dated · matched by payer ID
276 claim status payer IDStedi46299Source: Stedi payer catalog · catalog dated · matched by payer ID
276 claim status payer IDAvailityMLNSCSource: Availity 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 .
  • Stedi payer catalogMatched by payer ID; matched record: Molina Healthcare South Carolina. 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 SOUTH CAROLINA. 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 South Carolina. 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 lines1
  • (412) 544-7000Phone Line and Office HoursGreeting offers a directory entry option and a wait for the next available representative, and states weekday office hours of 8:30 AM to 4:45 PM Eastern.Answered by: Automated phone menu
Phone numbers18
Molina Healthcare South Carolina phone numbers
Channel and numberPayer NotesDepartmentSpecialties
phone(412) 544-7000Other stated contextBenefit context: Other or Additional Payor
  • SC HIGHMARK BLUE CROSS BLUE SHIELD X1R
Health Benefit Plan Coverage
phone(800) 214-4844Other stated contextBenefit context: Other or Additional Payor
  • SC BLUE CROSS BLUE SHIELD OF NORTH CAROLINA X0C
Health Benefit Plan Coverage
phone(800) 244-6224Other stated contextBenefit context: Other or Additional Payor
  • CIGNA 55555
Health Benefit Plan Coverage
phone(800) 288-2500Other stated contextBenefit context: Other or Additional Payor
  • BCBS SOUTH CAROLINA FEDERAL EMPLOYEES BCSCF
  • BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA BCSC
Health Benefit Plan Coverage
phone(800) 333-4432Other stated contextBenefit context: Other or Additional Payor
  • SC AETNA US HEALTHCARE 100
Health Benefit Plan Coverage
phone(800) 457-4726Other stated contextBenefit context: Other or Additional Payor
  • SISCO SISCO
Health Benefit Plan Coverage
phone(800) 517-6425Other stated contextBenefit context: Other or Additional Payor
  • SC BLUE CROSS AND BLUE SHIELD OF ALABAMA X0O
Health Benefit Plan Coverage
phone(800) 622-4822Other stated contextBenefit context: Other or Additional Payor
  • SC ANTHEM BLUE CROSS AND BLUE SHIELD X0YRX
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) 722-7535Other stated contextBenefit context: Other or Additional Payor
  • CIGNA 43751
Health Benefit Plan Coverage
phone(800) 826-9781Other stated contextBenefit context: Other or Additional Payor
  • SC UMR 143
  • UMR FISERV HEALTH WAUSAU 39026
Health Benefit Plan Coverage
phone(800) 925-2272Other stated contextBenefit context: Other or Additional Payor
  • CORPORATE BENEFIT SERVICES OF AMERICA 41124
Health Benefit Plan Coverage
phone(803) 788-3860Other stated contextBenefit context: Other or Additional Payor
  • SC BLUE CROSS AND BLUE SHIELD OF SC 401
Health Benefit Plan Coverage
phone(833) 270-5443Other stated contextBenefit context: Other or Additional Payor
  • AMBETTER 0001
Health Benefit Plan Coverage
phone(866) 675-8852Other stated contextBenefit context: Other or Additional Payor
  • CENTENE EXCHANGE CNEXC
Health Benefit Plan Coverage
phone(866) 977-7378Other stated contextBenefit context: Other or Additional Payor
  • BLUE CROSS BLUE SHIELD OF ILLINOIS BCIL
Health Benefit Plan Coverage
phone(877) 842-3210Other stated contextBenefit context: Other or Additional Payor
  • UNITED HEALTHCARE 65978
Health Benefit Plan Coverage
phone(888) 632-3862Other stated contextBenefit context: Other or Additional Payor
  • AETNA 60054
Health Benefit Plan Coverage

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

Retired numbers1

These numbers played a not-in-service recording when called. Do not use them; call the replacement or the number on the member’s ID card.

Not affiliated with Molina Healthcare South Carolina 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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