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

region/plan-specific news : District of Columbia Medicaid

You could get paid sooner with electronic claims submission and EFT payments

Current claims data indicate that some DC providers are still submitting paper claims and getting paid by check.* If you are one of them, why not enroll in in an electronic option today? Not only will it reduce your paperwork, but it could also mean getting paid sooner, giving you more time to devote to your practice.

Electronic methods for submitting claims

  • Electronic data interface (EDI) via direct submit www.edi.magellanprovider.com
  • EDI via a clearinghouse
  • “Claims Courier”—Magellan’s web-based claims submission tool

Learn more about your options for submitting electronic claims and enrolling in electronic funds transfer (EFT) at MagellanProvider.com.

Remember: Claims must be submitted within 365 days from the date of service. Magellan’s payer ID is 01260.

Questions?

If you have questions about electronic claims submission or EFT enrollment, email us at DCProviderNetwork@MagellanHealth.com. We will be happy to provide a brief orientation on how your practice or organization can get set up for these services.

*Note: Your contractual relationship with Magellan requires that you file claims and get paid electronically.

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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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