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Molina Healthcare Wisconsin

dentalmedicalvision

Summary

Molina Healthcare Wisconsin is a dental, medical, and vision payer operating in Wisconsin. Claims route under payer ID ABRI1, with 5 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
ABRI1Also seen as 10628, 2119, MLNAWI, MLNWI, MOLINA_WI
Also known as
Molina Healthcare of Wisconsin
Service area
WI

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Claim status (276/277)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Molina Healthcare Wisconsin?
The payer ID for Molina Healthcare Wisconsin is ABRI1. Alternate IDs seen across clearinghouses include 10628, 2119, MLNAWI, MLNWI.
Does Molina Healthcare Wisconsin require ERA enrollment?
Yes. Molina Healthcare Wisconsin requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Molina Healthcare Wisconsin cover?
Molina Healthcare Wisconsin operates in WI. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does Molina Healthcare Wisconsin offer?
Molina Healthcare Wisconsin covers dental, medical, and vision.
Can I submit claims to Molina Healthcare Wisconsin electronically?
Yes. Molina Healthcare Wisconsin is reachable through clearinghouses for eligibility checks, claim status inquiries, 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 Spot something out of date?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.