Here's the answer to your question: How can I submit claims to Magellan?
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.