OSP News

Molina: Availity Appeals and Reconsideration Changes

Posted: 03/12/2025

Based on feedback Molina received from their provider community regarding the multiple options to select from when submitting a reconsideration or appeal, they have streamlined the options in Availity to simplify the selection process for you. There are now only two options to select from: 

  • Claim Payment Inquiry/Reconsideration 
  • Claim Payment Dispute/Appeal 

Please note that you cannot submit supporting documentation with a claim payment inquiry. The outcome of a payment inquiry may result in either a claims adjustment or a directive to submit a Corrected Claim or initiate the Claim Payment Dispute/Appeal process.

Click here to read the full announcement from Molina. 

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