Magellan Healthcare
Provider Focus Newsletter
News & information for Magellan network providers

region/plan-specific news : District of Columbia Medicaid

Submit behavioral health claims for MedStar enrollees to Magellan

As the behavioral health vendor for MedStar Family Choice Health Plan (DC Medicaid), Magellan processes claims for the behavioral health services you render to enrollees in this plan.

Remember to submit behavioral health claims for MedStar (DC Medicaid) clients to Magellan.

Submitting claims to Magellan

  • Timely filing limit: 365 days from date of service
  • Acceptable methods include:
    • EDI via direct submit at
    • EDI via clearinghouse or via “Claims Courier”—Magellan’s web-based claims submission tool
    • Paper claims on CMS-1500 or UB-04
    • Address for paper claims: Magellan Healthcare, PO Box 2271, Maryland Heights, MO 63043
    • Magellan’s EDI Payer ID #: 01260

Checking status of your claims on

  1. Sign into
  2. Select Check Claims Status from the menu.
  3. Search the claim by member or subscriber name, date of service, etc.
    • View claim details such as check number, date and payment method.
    • If a claim is denied, the reason code and description is provided.
    • View EOB online.


Contact Magellan at 1-800-777-5327 with claims-related questions.

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About Provider Focus

Welcome to Provider Focus, our award-winning e-newsletter for network providers! Here you’ll find articles and information to keep you up-to-date on news and topics relevant to serving Magellan members, including a section for regional- and plan-specific news. Check back as a new issue is released each quarter.

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