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MOLINA HEALTHCARE PROVIDER INFORMATIONGuide to HFS MEDIA Eligibility Search The HFS MEDIA System is a website the Illinois Department of Healthcare and Family Services (HFS) operates that displays

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How to fill out molina healthcare provider information

01

Obtain the Molina Healthcare provider information form from the official website or your healthcare provider.

02

Start by filling in your personal details such as your name, address, phone number, and social security number.

03

Next, provide your professional information such as your medical license number, credentials, and specialty.

04

If you are a part of a group practice, include the group practice name and tax identification number.

05

Specify your billing information, including the payment address and tax identification number, if applicable.

06

Provide any additional details required by Molina Healthcare, such as your DEA number or NPI.

07

Review the form for accuracy and completeness.

08

Sign and date the form.

09

Submit the completed form to Molina Healthcare by mail or electronically, as instructed.

Who needs molina healthcare provider information?

01

Healthcare providers who wish to participate in the Molina Healthcare network need to provide their information. This includes individual physicians, group practices, hospitals, clinics, and other healthcare professionals.

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What is molina healthcare provider information?

Molina healthcare provider information includes details about healthcare providers participating in the Molina network such as their contact information, services offered, and credentials.

Who is required to file molina healthcare provider information?

Healthcare providers who are part of the Molina network are required to file their provider information.

How to fill out molina healthcare provider information?

Molina healthcare provider information can be filled out online through the Molina portal or by contacting Molina's provider services department.

What is the purpose of molina healthcare provider information?

The purpose of molina healthcare provider information is to ensure accurate and up-to-date information about healthcare providers in the Molina network for patients and other healthcare professionals.

What information must be reported on molina healthcare provider information?

Information such as provider name, contact information, specialties, languages spoken, and accepted insurance plans must be reported on Molina healthcare provider information.

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