Moda Health Plan
dentalmedicalvision
Summary
Moda Health Plan is a dental, medical, and vision payer operating in 4 states. Claims route under payer ID 13350, with 4 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
13350Also seen as 11005, 13350MA, 93098, MODA- Also known as
- EOCCO, Eastern Oregon Coordinated Care Organization, Moda Health, ODS Community Dental, ODS Health Plan
- Service area
- AK, ID, OR, TX
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Moda Health Plan?
- The payer ID for Moda Health Plan is 13350. Alternate IDs seen across clearinghouses include 11005, 13350MA, 93098, MODA.
- Does Moda Health Plan require ERA enrollment?
- Yes. Moda Health Plan requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Moda Health Plan cover?
- Moda Health Plan operates in AK, ID, OR, TX. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Moda Health Plan offer?
- Moda Health Plan covers dental, medical, and vision.
- Can I submit claims to Moda Health Plan electronically?
- Yes. Moda Health Plan is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.