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Molina Medicaid and Marketplace claims must be submitted by to Molina within six (6) months after the discharge for inpatient services or the date of service for outpatient services.

“The process of getting approved for Medicaid can take anywhere between six months to a year,” Brown said.

Timely Filing of Claims Health Net will process claims received within 180 days after the later of the date of service and the date of the physician's receipt of an Explanation of Benefits (EOB) from the primary payer, when Health Net is the secondary payer.

You can submit claims or resubmissions online through ConnectCenter using payer ID 38692. These come directly to the Medicaid/CHIP claims system. This is our provider claims submission portal via Change Healthcare (formerly known as Emdeon).

You can submit claims or resubmissions online through ConnectCenter using payer ID 38692. These come directly to the Medicaid/CHIP claims system. This is our provider claims submission portal via Change Healthcare (formerly known as Emdeon).

A claim that is not submitted within 365 days of the date of service will not be considered for payment. If a client is not yet eligible for Medicaid, providers must submit the claim using either 999999999 or 000000000 as the recipient identification number.

A crossover claim is a claim for a recipient who is eligible for both Medicare and Medicaid, where Medicare pays a portion of the claim, and Medicaid is billed for any remaining deductible and/or coinsurance.