Alert
If you are impacted by the Change Healthcare cyber incident and are looking for alternate Clearinghouse options, visit our billings and claims page.
If you are a Change Healthcare customer and need an ERA, we can provide a spreadsheet with your claims details. Contact our EDI team at edigroup@modahealth.com
Visit Change Healthcare for information on their cyber response.
Welcome, providers!
We’re Moda Health Plans, Inc. and we can’t wait to work with you! As a valued provider partner, we are committed to making sure you have the tools, resources and support to continue delivering excellent care to our members living in Idaho.
Better value and a better experience — it’s what your patients can expect from us.
About Moda Health
We are a premier health insurance company known for our exceptional customer service. We have a rich history of providing benefits that help our members achieve better health and wellness.
Coverage and claims
Check benefits and eligibilty
We’ve made it easy to check your patients’ benefits and eligibility.
Authorizations and referrals
See our guidelines about prior authorizations and referrals.
Resources
Forms, policies and procedures
We make it easy to access everything you need to work with us. Download forms, policies and manuals now.
Provider tools
Use the secure Benefit Tracker to check patient eligibility and more. Find out who is in our provider network and view provider reports.