Molinalogo

Molina’s providers’ of laboratory services are Quest Diagnostics and Labcorp

Quest Diagnostics                                      LabCorp

866-MYQUEST (866-697-8378)               800-845-6167

www.questdiagnostics.com                    www.labcorp.com

Molina allows only specific laboratory tests in the physician’s office. All other medically necessary laboratory testing must be directed to Quest by the ordering physician. 

For a list of approved in-office tests, visit Molina’s website at www.molinahealthcare.com

This list includes most tests currently performed in the office by our network providers, and tests generally considered essential (“stat”) for immediate diagnosis and treatment. Claims for tests performed in the physician office, but not on Molina’s list of allowed in-office laboratory tests will be denied.

For more information about In-Network Laboratory Providers, please consult the Molina Provider Directory on our website.

For testing available through In-Network Laboratory Providers, or for a list of In-Network Laboratory Provider patient services centers, please reach out to the In-Network Laboratory Provider.

Molina Healthcare strives to improve HEDIS scores year-round through the collection and reporting of data. To achieve high HEDIS scores, the collection of medical records must occur multiple times throughout the year. Molina is interested in strengthening our relationship with provider groups by utilizing EMR Remote Access method to efficiently retrieve the necessary records to meet HEDIS requirements.

Benefits from EMR Remote Access:

• Reduction in time and office resources
• Removing the need for multiple outreaches from our team to yours
• Mitigating COVID-19 risks associated with going on-site

In order to fulfill our state and federal accreditation requirements regarding HEDIS and Risk Adjustment quality reporting, it is necessary for Molina to collect medical record data year-round.

By providing Molina Remote Access to HEDIS data, Molina can simplify the record collection process for the office staff. EMR access ensures Molina receives the required records in a timely manner to properly obtain HEDIS and contract compliance for the selected members.

We are striving for a collaborative relationship; therefore, your Intervention specialist is readily available to offer any help. You can also reach out to a HEDIS Specialist at: RegionDHEDIS@MolinaHealthCare.Com.

Claims denied for missing or additional documentation requirements such as consent forms, invoices, Explanation of Benefits from primary carrier, or itemized bills are not considered claim disputes. In order to process your claim appropriately and promptly, these documents, along with a copy of the claim, must be received within federal and state timely filing requirements and/or your Provider Services Agreement. Please mail the documentation with the copy of the claim to:

Please Note: As of January 15, 2020, disputes received for denial reasons stated above will be rejected.