features region/plan-specific news
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Want to avoid the claims appeals process?
With our Claims Tips, you can brush up on best practices that will help ensure your claims are paid timely:
Elements of a Clean Claim (PDF)
Claim Dos (PDF)
Claim Don'ts (PDF)
Coordination of Benefits (PDF)
Top reasons your cla . . .
88.3 percent of providers reported that they were satisfied with Magellan services.
Although overall provider satisfaction was down slightly from 90.6 percent in 2016, it still exceeds our goal of 85 percent provider satisfaction.
Greatest contributor to overall satisfacti . . .
As a Magellan network provider, did you know you can create a provider profile that members can view when looking for a provider in their program?
If you haven’t created your profile yet, or maybe you have but it’s been awhile since you refreshed it, here are some tips to . . .
Evidence-based. Integrated. Innovative.
Learn more about Magellan’s approach to substance use treatment and how you can help patients battling substance use disorders, including opioid use disorder.
Check out recent updates the substance use area of our provider website, i . . .
Patient safety report - sharing results
In alignment with the National Academy of Medicine’s quality aim of patient safety in healthcare and your provider contract, Magellan distributes an annual patient safety survey to inpatient and residential facilities, and psychiatri . . .
As you may know, Magellan uses Milliman Care Guidelines – in addition to our proprietary clinical criteria – as the primary decision support tools for our Utilization Management Program for commercial health plans. Collectively, they are known as the Magellan Care Guidelin . . .