Passport Health Plan by Molina Healthcare
Passport Health Plan by Molina Healthcare is a regional health plan operating in Kentucky. For an ASC, what matters isn't the logo. It's how Passport Health Plan by Molina Healthcare pays: where it runs rich, where it runs thin, and how its reimbursement compares with peer plans for the same procedures.
Pilot Analysis
Get the complete Passport Health Plan by Molina Healthcare analysis
Tell us where to send it. Our team will prepare an analysis of Passport Health Plan by Molina Healthcare covering rates by code, market position, and underpaid areas, and email it to you within 5-10 business days. Need it faster? Book a demo.
What Insights reveals
How Passport Health Plan by Molina Healthcare pays
See how Passport Health Plan by Molina Healthcare reimburses across procedures and markets, benchmarked against the peer plans competing for the same cases. Not a raw rate sheet, a read on where it sits.
Geographic footprint
Passport Health Plan by Molina Healthcare's presence spans Kentucky. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Passport Health Plan by Molina Healthcare and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Passport Health Plan by Molina Healthcare's volume, so you know where a rate change moves the needle.
Whether you're an ASC benchmarking a contract or a provider team looking Passport Health Plan by Molina Healthcare up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Passport Health Plan by Molina Healthcare
- Payer ID
- 61325 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Passport Health Plan by Molina Healthcare through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Passport Health Plan by Molina Healthcare members are verified before the date of service, through a clearinghouse using payer ID 61325or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Passport Health Plan by Molina Healthcare directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Passport Health Plan by Molina Healthcare the way it pays.
- What is Passport Health Plan by Molina Healthcare's payer ID?
- Passport Health Plan by Molina Healthcare's electronic payer ID is 61325. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Passport Health Plan by Molina Healthcare through a clearinghouse.
- How do ASCs verify eligibility for Passport Health Plan by Molina Healthcare members?
- Eligibility and benefits for Passport Health Plan by Molina Healthcare members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 61325) or through the payer's provider portal.
- Does Passport Health Plan by Molina Healthcare require prior authorization for ASC procedures?
- Prior-authorization requirements for Passport Health Plan by Molina Healthcare are set per plan and per procedure. Confirm whether an authorization is required with Passport Health Plan by Molina Healthcare directly before the date of service.
- What type of payer is Passport Health Plan by Molina Healthcare?
- Passport Health Plan by Molina Healthcare is a regional health plan operating in Kentucky.
- How does Passport Health Plan by Molina Healthcare compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Passport Health Plan by Molina Healthcare pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Passport Health Plan by Molina Healthcare paying my ASC below market?
- Put your own Passport Health Plan by Molina Healthcare contract next to the peer benchmark in DataLily AI and you'll see the gap by procedure and market, the fastest way to know whether you're leaving money on the table.