Molina Healthcare Just the Fax June 2010 - cincinnatichildrens-2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by locating the Coordination of Benefits (COB) section. Ensure you have your Molina Healthcare ID number ready, as this is essential for accurate processing.
  3. Fill in the required fields with your updated COB information. Attach a copy of both sides of your other insurance ID card and include verification of eligibility, such as member ID numbers and coverage dates.
  4. Once all necessary information is entered, review your entries for accuracy. This step is crucial to avoid delays in claims processing.
  5. Submit your completed form via secure email or fax as indicated in the document. Remember, no further action is needed after submission; Molina will handle the rest.

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If a dispute arises between You and the Workers Compensation carrier, as to Your ability to collect under Page 8 Molina Healthcare of Ohio, Inc., P.O. Box 349020, Columbus, OH 43234-9020 .MolinaHealthcare.com MHO-1735-9 1213 workers compensation laws, Molina will provide the benefits described in this Agreement
For questions regarding claims, please contact the Provider Customer Service at (844) 809-8438 or fax (844) 303-5188. You can also contact the provider direct line at (844) 826-4335.
Molinas clearinghouse payer ID for both Medicare and Medicaid claims is MCC02.
Benefits at a Glance Your easy-to-print list of whats covered under your Molina Healthcare of Ohio Medicaid Health Plan.
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