Coverage profile
Work SKYGEN USA 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.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with SKYGEN USA.
Coordination of benefits
Real-time checkThe Substrate Eligibility Agent can check coordination of benefits for other active coverage and primary or secondary order with SKYGEN USA. Results can be partial. Enrollment is not required for this check.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for SKYGEN USA.
Other aliases
Also known as
- SKYGN
- Molina Healthcare
- OPTUM SKYGEN IHP
- MOLINA HEALTHCARE - AFFINITY BY MOLINA HEALTHCARE
Routing reference
SKYGEN USA 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 | SKYGEN USASource: Substrate payer directory · data last changed |
|---|---|
| Operating states | AZ, CA, FL, IA, ID, IL, IN, KY, MA, MI, MO, MS, NM, NV, NY, OH, SC, TX, UT, VA, WA, WISource: Substrate payer directory · data last changed |
| 835 ERA payer IDStedi | SKYGNEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | SKYGNSource: 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: SKYGEN USA. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Molina Healthcare - Affinity by Molina Healthcare. 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
- (877) 408-0881SkyGen USA Dental Benefits LineSkyGen USA dental benefits line for WellPoint West Virginia, routing members to member services and other callers to the provider line.Answered by: Automated phone menu
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.
- (855) 918-2256Not in service when called; re-check pending