Member satisfaction holds steady in 2022
Although members find working with Magellan providers helpful and feel respected and understood, getting connected with a provider initially remains the biggest challenge.
Magellan cares about the members we serve, and we know you d . . .
You’re thinking about what to pack for your cruise…even though it’s still a few weeks away. You like to be prepared. You have a checklist:
Book the pet sitter.
Set up out-of-office response on your email and outgoing voicemail.
Update appointment availability with Magella . . .
Claims will deny without amendments to your Magellan agreement
Suppose you—or a practitioner in your group—becomes licensed in a new state. That’s positive, right?
You’re already contracted with Magellan to provide services in your state of residence and perhaps other stat . . .
On Availity’s Essentials portal, you can:
Obtain eligibility and benefits—including accumulated amounts—for Magellan members using Eligibility & Benefits.*
Check the status of a Magellan claim—even if you don’t use Availity for claim submission—using Claim Status.
. . .
During September and throughout the year, Magellan invites our network providers to join us in increasing awareness about the signs of suicide—in yourself and others—along with the importance of speaking up when help is needed.
Having an open, supportive conversation can . . .
Include appropriate qualifier and original claim number
Magellan continually assesses better solutions in applying consistent reimbursement using industry-standard guidelines.
Remember to include the appropriate qualifier and original claim number on corrected claims (CMS . . .
Let us know!
Magellan strives to build a diverse and inclusive provider community to match our members’ needs. We value your participation in our network and the services you provide our members.
So that we can continue to improve services for all members, we ask you . . .
Although Magellan uses many safeguards to reduce errors, we realize that no process or procedure (either manual or automated) is completely foolproof.
On rare occasions, due to human error or a systems glitch, you may inadvertently access or receive information from us tha . . .
Magellan's updated monograph is designed to enhance your services.
In July 2023, Magellan completed a review and update of its clinical monograph, Evidence-based Practices in Drug and Alcohol Treatment and Recovery.
You’ll find our monograph highlights evidence-based resea . . .
Magellan must implement and regularly conduct fraud, waste, abuse (FWA) and overpayment prevention activities to:
Monitor and audit provider utilization and claims to detect FWA and overpayment.
Investigate and pursue FWA, overpayment and other alleged illegal, unethical, . . .
The 2023-2024 Magellan Care Guidelines will become effective Nov. 18, 2023. Stay tuned to our provider website, MagellanProvider.com, for its release. The 2022-2023 Magellan Care Guidelines remain in effect until that time.
Magellan uses the MCG Behavioral Health Guideline . . .
We invite you to share your interest and availability to deliver short-term, non-medical counseling services to eligible active-duty service members and their families, should Magellan be awarded the Military OneSource contract.
Complete and submit the non-binding . . .
Join a Magellan Regional Network Credentialing Committee and get reimbursed for monthly participation
As a Magellan network provider, you’re invited to participate in a monthly, virtual meeting of a Regional Network Credentialing Committee (RNCC) in your region.
Magellan’s . . .