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L ast updated: 5/20/21 If you are a member of a health plan, please consult your health plan’s HIPAA Notice of Privacy Practices for more information about how your protected health information (PHI) is handled; if you are a MRx pharmacy patient, please consult the HIPAA Notice of Privacy Practices you were given, which […]
[…] website. However, Magellan may need to use information you provide in connection with your use of this website within the Magellan family of affiliated companies or with a third party vendor or customer to perform administrative, technical, or other functions that help us provide service or information to you or to meet our customer […]
M agellan Behavioral Health of Pennsylvania (Magellan) welcomes you as a “provider” in HealthChoices and to Magellan. In Pennsylvania, Magellan works with county partners in Bedford, Bucks, Cambria, Lehigh, Montgomery, Northampton, and Somerset counties. As a Behavioral Health-Managed Care Organization (BH-MCO), Magellan manages members’ benefits in coordination with you – our network providers. This […]
Find multiple resources to assist you with a variety of Magellan functions. Check back frequently for updates as we will add more information when it is available. For providers already registered with Availity Essentials to manage authorizations, find authorization training resources at www.MagellanProvider.com/authsystem. Learn more about other tools available through Availity Essentials at www.MagellanProvider.com/availity. […]
Browse thousands of health topics from A-Z, in English and Spanish, as well as interactive tools for health, fitness, and lifestyle.
M agellan utilizes an electronic process that provides a confirmation number to confirm receipt of a provider’s incident submission. Each incident is reviewed. Providers should anticipate that a Magellan QI staff may outreach about any additional information needed to complete investigation of each report. The Adverse Incident form can be found below at the […]
IF YOU HAVE A MEDICAL EMERGENCY OR IF AT ANYTIME WHILE USING THIS WEBSITE YOUR MOOD GETS WORSE OR YOU GET THOUGHTS OF SELF HARM OR HARM TO OTHERS OR YOU EXPERIENCE SIMILAR OR RELATED EMERGENCY CONDITIONS OR HARMFUL THOUGHTS OR CONCERNS, IMMEDIATELY CALL 911 TO GET PROMPT MEDICAL ATTENTION.
[…] access to online resources and support. Magellan’s secure site allows providers to more efficiently perform the day-to-day tasks associated with serving consumers – from checking eligibility and submitting claims to staying current on training and industry best practices in a trusted, easily navigated online environment. The Adobe Reader is required to view PDF files. Magellan Provider Website Adobe Reader
[…] means you accept those changes. Magellan also has the right to make changes to the products, benefits and features described within its websites. Disclaimer IF YOU HAVE A MEDICAL EMERGENCY OR IF AT ANYTIME WHILE USING THIS WEBSITE YOUR MOOD GETS WORSE OR YOU GET THOUGHTS OF SELF HARM OR HARM TO OTHERS OR […]
[…] or the EDI Support Mail Box: EDISupport@magellanhealth.com Accepted Methods for Submission of Claims Electronic Data Interface (EDI) via Direct Submit “Claims Courier”-Magellan’s Web-based Claims submission tool EDI via a Third Party Clearinghouse Paper Claims: CMS-1500 (Non-Facility-Based Providers) or UB-04 (Facility-Based Providers) Direct EDI Submission Direct Submission is free to providers. Provider sends HIPAA transaction files […]