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EAP Services

To request payment for EAP services, click Submit EASI Form. 

Submit EASI Form

Online EASI Form exceptions:

You must submit the EASI Form (PDF) by fax or mail only for the following EAPs.
 
  • Federal Aviation Administration Management Substance Abuse Evaluation referred case
    • Fax: 1-800-858-2771  
    • Address: Magellan Healthcare, Inc. PO Box 1899 Maryland Heights, MO 63043
  • Department of Transportation Substance Abuse Professional case
    • Fax: 1-888-656-5032
    •  Address: Magellan Healthcare, Inc. FOH Team MO22 PO Box 1899 Maryland Heights, MO 63043
  • Department of Energy or Nuclear Regulatory Commission Substance Abuse Expert case 
    • Fax: 1-888-656-5032  
    • Address: Magellan Healthcare, Inc. FOH Team MO22 PO Box 1899 Maryland Heights, MO 63043
  • Magellan employee EAP case
    • ​​​​​​​Contact 1-866-266-2376 for the custom EASI Form. Submission is by mail only.
If you need assistance, return to MagellanProvider.com and use the Chat with us button to reach a representative.

Online EASI Form exceptions:

You must submit the EASI Form (PDF) by fax or mail only for the following EAPs.