Claims Today
Claims Tips
Reducing Denials for No Authorization
TIP: Review the authorization letter before submitting the claim.
In a non-emergent situation, you should contact Magellan before rendering care. If the benefit plan requires authorization, you can request an initial authorization at that time.
Upon receipt of the authorization letter, review it to ensure that it covers the services to be rendered. Pay special attention to the following items:
- Patient name
- Date span of authorization
- Type of service covered by the authorization
- Number of visits authorized.
If additional visits are needed, contact us to request additional visits prior to the expiration of the current authorization.
Electronic Claim Submission
TIP: Take advantage of the electronic submission options Magellan offers.
If you are a provider who submits claims on paper and are interested in learning more about how to submit claims electronically, check out the electronic options we offer.
What’s in it for you?
- Improved efficiency
- No paper claims; no envelopes; no stamps
- Prompt confirmation of receipt or incomplete claim
- Faster reimbursement
- Improved quality
- Up-front electronic review ensures higher percentage of clean claims
- No data entry from paper claims
- Secure process
- HIPAA compliant.
Online Demos Available to Help Explain Magellan’s Web-Based Applications
TIP: Demos are self-paced for your convenience and available on a variety of topics.
Take a moment to review the variety of online demos that are available 24-hours-a-day, seven-days-a-week on this provider website. The demos are designed to help you navigate our Web-based applications in the area of claims, electronic transactions and more. You have the ability to start, stop, pause or rewind the demos at any time as needed.
Claims topics are covered in the demos are:
- Check Claims Status
- Corrected Claims
- Create a New Claim from a Copy
- View Rejected Claims
- Submit a Claim Online
- View Submitted Claims.