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For Providers

Claims for Services Provided After November 30, 2015

Magellan attempts to make the claims process as easy and timely as possible by offering instructional material, online resources and up-to-date contact information.

Please note that the information on this webpage refers to claims for services provided after November 30, 2015. For information regarding claims for services provided prior to December 1, 2015, click here. 

Electronic Claims

Please take advantage of one of the electronic methods available for submitting your claims quickly and easily.

Find out about Magellan's electronic submission process in the Getting Paid section of our provider website. 

Paper Claims

Because it enhances our ability to pay you timely and accurately, we strongly encourage you to submit claims electronically. If you are not able to submit electronically, we will accept paper claims via a CMS-1500 form.

Paper claims must be submitted to:

Magellan Health Services
PO Box 1286
Maryland Heights, MO 63043

Organizational Providers -- License-Level Modifiers

Organizations should reference our license-level modifier sheet when submitting outpatient therapy services claims.

Do you have a claims dispute?

Magellan is committed to ensuring that providers have an avenue with us to dispute denied claims or payment matters.

Claims Disputes for Services provided under CSoC after November 30, 2015 should be submitted in writing within the required timeframe. Magellan requires providers to submit appeals within 180 calendar days of the date of the Explanation of Benefits. All provider appeals regarding claims for services provided after November 30, 2015 should be mailed to: 

Magellan Health, Inc.
Appeals and Grievances
P.O. Box 83680
Baton Rouge, LA 70884-3680
Or

1-888-656-4102 (fax)

Or

LACSoCAppeals@magellanhealth.com (email)

 

Read more about submitting a claims dispute.

 

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Contact Info

Regular Business Hours: 8 a.m. - 5 p.m. CT
After Hours: 5 p.m. - 8 a.m. CT and weekends for crisis and inpatient pre-certification

For Magellan Members
Toll-free:  1-800-424-4489 

TTY: 1-800-424-4416

Email: LouisianaInfo@MagellanHealth.com

For Magellan Providers
Email Us or Call 1-800-424-4489