Washington Medical Payment Guidance is a set of resources available to Washington State residents who need assistance with paying for medical care. It includes information about Medicaid, Medicare, and other types of medical coverage, as well as guidance on financial assistance programs for those who are uninsured or under insured. Washington Medical Payment Guidance also provides information on insurance options, health care resources, and ways to pay for medical care. Types of Washington Medical Payment Guidance include the Health Care Authority, Department of Social and Health Services, Washington State Health Insurance Exchange, and Indian Health Services.
Washington Medical Payment Guidance
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Medical Payment Guidance
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Submit Claims to Molina through your EDI clearinghouse using Payer ID 38336, refer to our website .molinahealthcare.com/providers/common/medicaid/ediera/edi/benefits.aspx for additional information.
Claims for services provided to Molina members should be submitting within six months (180 days) of the date of service unless otherwise agreed upon in the Participating Provider Agreement.
A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers.
Timely filing is when an insurance company put a time limit on claim submission. For example, if a insurance company has a 90-day timely filing limit that means you need to submit a claim within 90 days of the date of service.
Yes. To bill Medi-Cal, a provider must complete the appropriate enrollment forms. For questions about which forms to use, contact the Out-of-State Provider Unit at (916) 636-1960. If a provider chooses not to enroll, they may bill the patient.
Apple Health is the name for Medicaid in Washington.
Timely Filing Guidelines: accepted for payment after 365 days from the date of service. When Coordinated Care is the secondary payer, claims must be received within 365 calendar days from the date of disposition (final determination) of the primary payer. notification of payment or denial is issued.
Timely Filing Guidelines: accepted for payment after 365 days from the date of service. When Coordinated Care is the secondary payer, claims must be received within 365 calendar days from the date of disposition (final determination) of the primary payer. notification of payment or denial is issued.