Molina Healthcare
Part of Molina Healthcare, Inc.
Summary
Molina Healthcare is a Medicaid managed care organization, part of Molina Healthcare, Inc., offering dental coverage operating in 19 states. Claims route under payer ID SKYGN. Provider enrollment typically takes 60-90 days, with applications through Molina Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
SKYGN- Uses CAQH
- YesApplication route: Payer portal application
- Service area
- 19 states
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 |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Molina Healthcare?
- The payer ID for Molina Healthcare is SKYGN.
- How long does Molina Healthcare provider enrollment take?
- Molina Healthcare provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does Molina Healthcare require CAQH?
- Yes. Molina Healthcare uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- Does Molina Healthcare require ERA enrollment?
- Yes. Molina Healthcare requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Molina Healthcare cover?
- Molina Healthcare operates in 19 states. Coverage can differ by plan and product line, so confirm the specific plan before you file.
Related payers
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 Spot something out of date?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.