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

features

Always check member eligibility and benefits

It’s easier than ever with Availity Essentials

Member benefits and eligibility renew annually, so keep in mind that changes are likely at this time of year. Remember to verify eligibility/benefits to confirm 1) insurance coverage and 2) the appropriate amount to charge per session.

Fortunately, it’s easier than ever to verify the member’s eligibility information on Availity Essentials!

Getty Images -1138661274
It’s always best and easiest to locate a member using their unique subscriber ID;
however, if you don’t have that number, you now have the option to search without it.

 

Eligibility and benefits search no longer requires subscriber/patient ID

It’s always best and easiest to locate a member using their unique subscriber ID; however, if you don’t have that number, you now have the option to search without it. 

  1. Perform an initial search using the patient ID.
  2. If you receive an error message, change the search parameters to the first name, last name and date of birth
  3. If you still receive an error message, the member may not be an active Magellan member. 

Availity Essentials access

If you are not currently registered to use the Availity Essentials portal, visit Availity.com/MagellanHealthcare.

 

2021 MarCom Gold Award Winner 2020 MarCom Gold Award Winner
2019 MarCom Gold Award Winner 2018 MarCom Gold Award Winner

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.

Previous Issues