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

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You're just a few steps from helping members keep their resolutions

Why your practice information matters 

Call them goals or resolutions, with a new year underway, many of us are looking for ways to achieve a better life in 2020.

  • Read more.
  • Eat healthy.
  • Exercise.
  • Get professional help.

Magellan members are looking for your services. Are you available? 

One way you can help members keep their resolutions is by keeping your practice information up to date, especially your ability to accept new clients.
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 It's easy to share updates to your practice data online: 

checklist
Attest to the accuracy of your practice information on a quarterly basis. 
To fully complete this step, review each category; updated categories will reflect a green check mark.
  1. Go to MagellanProvider.com and sign in securely.
  2. Under My Practice in the left-hand menu, click Display/Edit Practice Information. The first tab is the Provider Data Change Form.
  3. Select your individual or group’s TIN/MIS combination, and click Go.
  4. Verify all information and update as needed. This includes your street address, phone number, office hours and ability to accept new patients.
  5. If you are an administrator for a GROUP practice, be sure to validate information for all practitioners on the group roster.
    • Click Roster Maintenance.
    • Select each practitioner’s name in the left column.
    • Review all sections for accuracy.
    • Edit or add information as needed.

Questions?

Contact the Provider Services Line at 1-800-788-4005.

Why it matters

Keeping your practice data up to date through Magellan’s online Provider Data Change Form is essential to ensuring appropriate referrals, appointment availability, and accurate and timely claims processing. In support of NCQA and CMS standards, Magellan requires participating providers to sign into our online Provider Data Change Form quarterly to validate the accuracy of their practice information.

Thank you for your timely response to our requests.

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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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