Magellanprovider.com

Magellan Provider's Home Page

WEBMagellan Health Services is a specialty health care management company that delivers innovative solutions in collaboration with health plans, corporations and

Actived: 1 days ago

URL: https://www.magellanprovider.com/MagellanProvider/do/LoadHome

Contact Us FAQs

WEBFind out how to contact Magellan Provider for FAQs, eligibility, claims, payments, credentialing, and more. Get the best support for your behavioral health care services.

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Magellan Care Guidelines 2022-2023

WEBMagellan uses MCG Guidelines®, along with its proprietary clinical criteria, Magellan Healthcare Guidelines, as the primary decision support tools for our Utilization …

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Contact Us FAQs

WEBAll members whose behavioral health care services are managed by Magellan will be available through Eligibility Inquiry except some EAP members and member information …

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Contact Us FAQs Claims Submission

WEBOnly participating providers can obtain a secure log in to access the online claims submission application Claims Courier. If you are a non-participating provider, and would …

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Contact Us FAQs Claims Submission

WEBClaims are generally available in Claims Inquiry one day after they are entered into the adjudication system and will remain in Claims Inquiry for 18 months. Please note, claims …

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Mulpleta® (lusutrombopag)

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Medical Necessity Criteria

WEBPreamble - Principles of Medical Necessity Determinations . Individualized, Needs-Based, Least-Restrictive Treatment . Magellan . 1. is committed to the …

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Telehealth Provider Frequently Asked Questions

WEBAs a Magellan provider, you will continue to verify benefits and eligibility, as well as submit claims, exactly as you do now. Note: You must bill using the “GT” or “95” modifier to …

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Substance Use Treatment

WEBEvidence-based. Magellan recognizes substance use disorders as chronic conditions—and seeks to coordinate with you to reduce the likelihood of acute events. In this section of …

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HEDIS® measures

WEBMedical literature shows that aftercare reduces the rate of. 18% of adults and 13-20% of children under 18 experience mental illness. Follow-up care results in fewer repeat ED …

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National Provider Identifier

WEBA: The National Provider Identifier (NPI) is a 10-digit number required on all HIPAA standard electronic transactions. NPIs have replaced all separately issued identifiers, including …

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Frequently Asked Provider Questions

WEBPage 4 of 11 . Basic Questions 1. Why is a new payment system being offered? The new payment system will allow your office the ability to receive a virtual credit card

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In-network provider: Instead of completing this form, sign in …

WEBAuthorization for psychological testing will not be considered until all sections of this form are completed. To avoid potential issues with reimbursement, psychological testing …

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California Quick Reference Guide

WEB1-800-750-4776. Clinical. 1-800-424-4134. Claims Mailing Address. PO Box 710520 San Diego, CA 92171. Appeals. Health Plan of San Mateo ATTN: Claims Department 801 …

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Change Healthcare outage

WEBOn Feb. 21, 2024, Change Healthcare a software and data analytics subsidiary of UnitedHealth Group’s Optum unit, and vendor of Magellan Health (Magellan), …

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Informed Consent for Treatment

WEBIf the patient is under age 18 or unable to consent to treatment, I attest that I have legal custody of this individual and am authorized to initiate and consent for treatment and/or …

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