Magellan Health

For Providers

Claims

To serve the needs of our client companies, Magellan provides managed behavioral health care treatment services for a number of different claim payors and accounts. As a result, the procedures for filing a claim including timeliness may vary depending upon the payor, the state, and the particular account involved.

However, following some basic guidelines, found in Section 5 and Appendix F of our Magellan National Provider Handbook, will help you in making sure your claim is processed in a timely manner.

Our in-network providers can take advantage of our web-based direct data entry electronic claims submission tool, our EDI (direct submit) option, or use one of our contracted clearinghouses.

Find out about our electronic submission options in the Getting Paid section of the Magellan provider website. Also review online demos, review frequently asked questions, and more.

By signing in to the Magellan provider website with your secure username and password, you can check and submit claims and much more. 

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Contact Information

Important member information: Iowa Medicaid Enterprise is now managing behavioral health services for the state of Iowa. For questions regarding your services, please call 1-800-338-7909.

** To file a grievance or appeal for services provided on or before December 31, 2015, please call Magellan Healthcare at 1-800-638-8820.