Passport Health Plan by Molina Healthcare
Part of Molina Healthcare
Summary
Passport Health Plan by Molina Healthcare is a Medicaid managed care organization, part of Molina Healthcare, offering dental, medical, and vision coverage operating in Kentucky. Claims route under payer ID 61325, with 11 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Passport Provider Portal, and CAQH is used for credentialing data. 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
61325Also seen as 10368, 1281, 5015, 61129, 61325MA, 6528 and 5 more- Also known as
- Passport Health Plan by Molina Healthcare (Medicaid)
- Uses CAQH
- YesApplication route: Payer portal application
- Service area
- KY
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 |
| Claim status (276/277) | 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 Passport Health Plan by Molina Healthcare?
- The payer ID for Passport Health Plan by Molina Healthcare is 61325. Alternate IDs seen across clearinghouses include 10368, 1281, 5015, 61129.
- How long does Passport Health Plan by Molina Healthcare provider enrollment take?
- Passport Health Plan by 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 Passport Health Plan by Molina Healthcare require CAQH?
- Yes. Passport Health Plan by Molina Healthcare uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- Does Passport Health Plan by Molina Healthcare require ERA enrollment?
- Yes. Passport Health Plan by Molina Healthcare requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Passport Health Plan by Molina Healthcare cover?
- Passport Health Plan by Molina Healthcare operates in KY. 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.