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
Thank you for partnering with Moda Health. We appreciate your partnership because we know you — like us — are committed to providing our members with the best care.
As our valued partner, we want to make sure you have the tools and resources you need to continue providing excellent care.
About Moda Health
Moda Health is a premier health insurer known for its exceptional customer service, rich history of providing benefits that members and their employers love, best-in-class online tools and more.
Partner with us
As our partners, you will get competitive reimbursement rates, excellent customer service, convenient online tools and more. Find out more about how we can work together.
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 want you to be able to easily access everything you need to work with us. Download forms, policies and manuals now.
Online tools
Use the secure Benefit Tracker to check patient eligibility and more. Find out who is in our provider network and view provider reports.
