region/plan-specific news : Pennsylvania HealthChoices

Submit Medicare-eligible claims directly to Medicare

In case you missed our previous COBA notification updates*

Magellan has updated its systems to process Medicare-eligible claims directly from Medicare.

In these cases, providers should no longer send claims to Magellan for payment but rather submit directly to Medicare, and then Medicare will send those to Magellan for secondary payments.

If claims are submitted to both Magellan and Medicare, claim issues can occur including denials and duplicate payments.

Please share this message internally with your colleagues.

Questions? Concerns? Contact us at MBHofPA@MagellanHealth.com.

*Magellan previously communicated the information in this article via email and on the MagellanofPA.com website in January 2022, in follow-up to our notice from February 2021.