Molina Provider Issue Notification Process

Providers contracted with Molina Healthcare of MS may submit issues to Molina in several ways, depending on the nature and/or the origin of the issue.

Each department may have differing steps or intake processes; however, upon receipt of an issue, all departments acknowledge receipt within 24-48 hours of receiving the correspondence.

Next, an initial assessment, included but not limited to, verification of the provider’s participation status, complete review of the issue presented, any claim examples, etc., are then reviewed to determine the root cause and when necessary, departments will work collaboratively until a complete resolution has been reached.

Provider Contact Center (Checking Eligibility, Claims Inquiry, Members’ Benefits, etc.)

  • Phone: (844) 826-4335

Provider Relations Department (Complex Claims Issues, DOM Policy Education, Training, etc.)

Claims Department

  • Phone: (844) 826-4335

 

Claims Recovery Department

  • Phone: 1 (866) 642-8999
  • Fax: (844) 891-2863
  • Provider Disputes

    Molina Healthcare of Mississippi
    ATTN: Corporate Claims Recovery - Disputes
    PO Box 2470
    Spokane, WA 99210-2470

***Overpayment requests can now be accessed on the Availity Provider Portal: www.Availity.com

 

 

Appeals & Grievances Department

  • Pre-Service Appeals
    Fax to: (844) 808-2407
  • Post-Service Appeals
    Fax to: (844) 808-2409
  • Mail:

    Molina Healthcare of Mississippi, Inc.
    ATTN: Appeals and Grievance Department
    1020 Highland Colony Parkway, Suite 602
    Ridgeland, MS 39157

 

Healthcare Services

  • Fax (Behavioral Health)

    (844) 207-1622 (Inpatient)
    (844) 206-4006 (Non-Inpatient)

  • Mail

    Molina Healthcare of Mississippi, Inc.
    ATTN: Healthcare Service Department
    1020 Highland Colony Parkway, Suite 602
    Ridgeland, MS 39157

 

 

NOTE: Providers must first be contracted with Molina, and all contact information and provider resources can be found on Molina’s website in the provider manuals, frequently used forms and billing tips and guidelines. 

Molina Healthcare of Mississippi