Title - Provider
What’s on this page
Contact Us
What’s on this page
Website Support
To reset your password via email, click the Reset Password link in the Sign In section of the Provider Portal login screen. On the next screen, provide your email address and click the "Send Email" button.
To unlock your account via email, click the Unlock Account link in the Sign In section of the Provider Portal login screen. On the next screen, provide your email address and click the "Unlock via Email" button.
- Log into the Okta dashboard, click on the drop-down (containing your name name and organization) in the upper right-hand corner and click the Settings link.
- Locate the Security Methods section.
- From here, you can choose to set up additional security methods.
I'm not sure this question is applicable. Could a user access this, or any other content, if either their MP.com account hasn't been connected or they haven't joined an existing practice? Is there a scenario where providing this information is valid?
To disconnect from your legacy MagellanProvider.com account, go to the Account Settings page and click "Disconnect Account" in the Legacy MagellanProvider.com Details section of the screen.
If you are logged in, but have not interacted with the site for 60 minutes, the system will log you out and you will be required to log back in to begin using the system. This process is required for security reasons.
You can login to Availity by visiting Availity Essentials
Okta is a cloud-based identity and access management (IAM) platform designed to help organizations securely manage and authenticate users, systems, and devices. Okta provides a central hub for handling tasks like user authentication, single sign-on (SSO), multi-factor authentication (MFA), lifecycle management, and secure access to various applications, both cloud-based and on-premises.
How Okta Works:
User Authentication:
When a user tries to access an application or service, Okta handles the authentication process. If SSO is enabled, Okta verifies the user's credentials and, if correct, grants access to the requested resources without needing to log in again.Access Control:
Okta enforces policies that control which users can access which applications or systems, often based on user roles, groups, or specific permissions. It ensures users have access only to the applications and data they need.MFA Verification:
For added security, Okta can prompt users to complete multi-factor authentication (MFA) if needed, based on security policies. This adds an extra layer of protection in case of compromised credentials.User Provisioning & Deprovisioning:
Okta integrates with HR systems or other directories to automate the process of adding new users, updating their roles or permissions as they move within the organization, and deactivating their accounts when they leave the company. This reduces the risk of orphaned accounts or unauthorized access.Federated Identity:
Okta supports federated identity, allowing organizations to establish trust between Okta and external identity providers (e.g., Google, Microsoft, or social logins). This enables users to log in to applications using their existing credentials from other platforms.
Claims Submission
EASI Form
Getting Paid
Participating providers can obtain a secure login and access the Magellan online claims submission application. To request information or an application to become a participating provider, please contact the Provider Services Line at 1-800-788-4005 or by selecting the ''Chat with us'' option on the right of this page.
Electronic claim filing is more efficient and cost effective. You no longer have to keep track of or file paper claims, and you receive confirmation of receipt of your claim within one day of filing the claim. You will also be promptly notified if a claim has not been completed properly for processing and payment. And lastly, filing online claims using the browser-based application is free to providers that have secure access to the Magellan provider website.
Magellan adjudicates all eligible claims that are submitted to a paid or denied status. Should a claim be submitted that duplicates the same expense for the same member as one that has been previously paid, Magellan will deny that claim indicating that the charge for the service was previously submitted and processed. No additional payment will be made.
Duplicate submissions of previously denied claims are reconsidered to determine if the original denial reason is still applicable. If the denial is still applicable, the claim will be denied indicating that the charge for the service was previously submitted and processed. If the original denial reason is no longer applicable then the claim will be reconsidered for benefit payment.
Magellan providers have several options for submitting electronic claims:
- Hard-copy submissions via UB-04 or CMS 1500 forms mailed to Magellan
- A Web-based direct data entry claim submission tool on MagellanHealth.com. Professional claims typically submitted on a CMS Form 1500 can be submitted using this online tool.
- Contracted Clearinghouses. If your claims volume is large enough to make direct data entry cumbersome, or if claims for your services must be submitted on an institutional claim (UB-04), we encourage you to consider working with one of our preferred clearinghouses. If you already work with a clearinghouse, by advising them of the clearinghouses Magellan works with, your clearinghouse will likely be able to have your claims routed to us for payment. These clearinghouses may charge service fees.
Please find your applicable Magellan contact at the following link:
EAP Reimbursement Contact Information
If you are unable to complete a request form online, complete the paper EASI Form and send to the appropriate Magellan office indicated in the EAP reimbursement contacts.
You will not be able to view previous submissions. However, after you complete your current submission, use the "Print" button at the bottom of the "Submission Complete" page to produce a printer-friendly copy of the online request for your records. You also can use your browser to print various other stages of display of the request during your data entry, but these will not be as clean as the printer-friendly copy available after your submission is completed.
Once you submit an online request, it cannot be modified or retrieved. However, if you identify a mistake after submission, call the number on the member's benefit identification card to speak with a Magellan associate. Please do not attempt to correct a mistake by submitting another online request. Duplicate submissions may cause a delay in payment.
No, once you have submitted the request, you cannot edit it. However, prior to submission, in the Review and Submit section you can edit fields by clicking on the Edit button.
Attendees are all individuals who were present for a session. Please be sure to make an entry for everyone who was present.
Time Seen is the total number of minutes spent with a client during the session that is noted in the Session Date field. Please enter the time in minutes.
Start Time is the initial start of session. Please be sure to enter time using the 24-hour clock.
EASI Forms for no-show appointments must be submitted on paper. Indicate no-show next to the date of service. There will be no payment for no-show appointments.
Feedback
Magellan Healthcare is committed to providing our website users, through our secure messaging system, the opportunity to ask questions, provide comments or express concerns. Your concern will be investigated and a response will be provided within 30 calendar days or as required by applicable state and federal law or the requirements of your health plan.
Thank you for taking the time to submit a comment. Please Contact Us by secure message to submit your message.
Thank you for taking the time to submit a comment. Please Contact Us by secure message to submit your message.
General Information
Miscellaneous
Practice Updates
To submit a facility or group name change, click Display/Edit Practice Information in the left-hand menu on the MyPractice Web page and complete and submit a W-9 form.
To resign from one or more of Magellan's provider networks, you must submit a letter of resignation. The letter of resignation must include the networks from which you are resigning, the effective date of the resignation and the provider's signature. Resignations are subject to the terms of your provider participation agreement with Magellan or any of its affiliate companies. Letters of resignation are to be sent to:
Magellan Health, Inc.
Attn: Network Imaging - MO14
14100 Magellan Plaza
Maryland Heights, MO 63043
Fax: 888-656-0429
The Financial Address section of the Provider Data Change Form application enables you to update the address to which you want Magellan to send claims and other financial information. To view group and facility Financial Addresses for which you are also associated, select Related Financial Addresses.
The Display/Edit Practice application, also known as Provider Data Change Form (PDCF) enables you to change, replace or add any of the following practice information:
- General Information
- Office Contacts
- Access/Availability
- Practice Information
- Mailing Address
- Financial Address
- Service Address(es)
- Home Address
- EFT Registration
- Submit W-9 Form Online
To access the Display/Edit Practice application, click on the link in the left-hand menu on your MyPractice Web page.
Roster changes can be submitted online by accessing Display/Edit Practice Information from the MyPractice menu and select the Roster Maintenance tab. Any updates you make to your roster will be updated in our systems immediately.
To submit a name change, click Display/Edit Practice Information in the left-hand menu on the MyPractice Web page and select the General Information tab. On this tab changes to Last Name and SSN require review by Magellan staff. Last Name and SSN changes will not be reflected for up to 10 days. All other data is saved in real time.
Groups/Facilities can add providers to a practice online by accessing Display/Edit Practice Information from the MyPractice menu and select the Roster Maintenance tab. Any updates you make to your roster will be updated in our systems immediately.
Groups/Facilities can remove providers from a practice online by accessing Display/Edit Practice Information from the MyPractice menu and select the Roster Maintenance tab. Any updates you make to your roster will be updated in our systems immediately.
To edit information about a roster member online, access Display/Edit Practice Information from the MyPractice menu and select the Roster Maintenance tab. Select the individual roster member that that requires information to be updated. Any updates you make to your roster will be updated in our systems immediately.
To submit a change to your TIN information, click Display/Edit Practice Information in the left-hand menu on the MyPractice Web page and complete and submit a W-9 form.
Authorizations
Request Member Care is an online tool used to request authorizations for all services offered to Magellan members.
All authorizations are dependent on the provisions of each member's plan. Currently, online initial authorizations are available only for certain benefit plans and to providers who participate in Magellan's network. Some Magellan plans do not require authorizations for routine outpatient care at all. For a complete list of benefit plans that have authorization requirements, please refer to the listing on the Begin page after searching for a member within the application.
If the member's benefit plan requires outpatient preauthorization, you will need to complete and submit an authorization prior to seeing the member. Some benefit plans and state laws require authorization only if you will continue treatment after a specific number of sessions. For specific contract requirements, or where such laws exist, you will need to contact a Magellan associate or the member's health plan at the phone number on the member's benefit identification card.
Yes. Transmission of authorization data is protected by Secure Socket Layer (SSL) encryption, the same technology that protects credit card transactions over the Web.
Yes. When you successfully submit your authorization request online, you will receive either a summary of the authorization or a message indicating the reason why the authorization could not be provided at that time and what subsequent steps are required.
After you submit your authorization request online, you will receive immediate confirmation that your request has been received and, in some instances, we'll be able to tell you right away that your request is authorized. In other instances, you will be directed to contact Magellan by phone at the number on the member's benefit card or in writing in order to obtain authorization.
If your online request for authorization is immediately authorized, you will receive confirmation on the website. You also can view and print the letter online using the View Authorizations application.
In some instances, you may be able to request a start date that begins up to 14 days prior to the current date or up to 365 days into the future.
Requests for some service types can be saved and returned to later. If you are not presented with a Save and Continue button within the Request Member Care application, you will not be able to "save" a partially completed online authorization request and return to it at a later time. All the information that is entered into the application but not submitted will be lost when you close the browser. Once you submit an online authorization request, you will not be able to retrieve the information. We recommend that you print a hard copy of the authorization request you've completed. An option to "print copy" is available after you successfully submit your online authorization request.
We have incorporated a number of validity and error checks into the Request Member Care application that are helpful in identifying potential errors. However, once you submit an online authorization request for inpatient or traditional outpatient services, it cannot be modified or retrieved. Requests for alternative levels of care can only be modified while in "Incomplete" status. If you realize after submission that you made an error, call the number on the member's benefit identification card or on the authorization-of-care letter to speak with a Magellan associate. Please do not attempt to correct a mistake by submitting another online authorization request. Duplicate submissions may cause a delay in resolving the authorization.
Please call the number on the member's benefit identification card to speak with a Magellan associate.
Our Network
You can call our national Provider Services Line at (800) 788-4005 or by selecting the ''Chat with us'' option on the right of this page, send a fax to (888) 656-1049, or contact us by secure message and we will respond to your message promptly.
To access this information online select Provider Network.