Update Practice Data FAQ
What's the purpose of the Provider Data Change Form?
The online Provider Data Change Form (PDCF) is designed to enable you, the provider, to update information stored in your provider record in Magellan’s database. Through this application, you can update your demographic information such as:
- mailing address
- billing addresses
- phone number
- service locations
Or you may update your personal or practice information, such as your:
- name
- temporary unavailability to accept new patients
- Medicare, TRICARE and/or Medicaid numbers
- contact information
Who can use the online PDCF?
Practice and demographic data changes may be submitted through the online PDCF for practitioners currently participating in the Magellan networks. Administrators of group practices may also submit changes regarding the group’s practice via a PDCF.
If I'm replacing my old address with a new address, which address tab do I use?
Click on EDIT/REPLACE. Type in the new information and click SAVE. If you change your mind, click CANCEL and no changes will be saved.
If I'm adding a new address, which address tab do I use?
If you would like to add a new service address, click ADD NEW ADDRESS.
You may edit or replace an existing service address by clicking on EDIT. Make the necessary changes and click on SAVE.
What does "Address Type" mean?
Magellan identifies addresses in the following categories or "types."
- Mailing address – This is the address to which your general information, credentialing and contracting correspondence is sent. (NOTE: clinical correspondence, such as certification and authorization documentation is sent to the address where you provide care, unless you have requested otherwise).
- Service addresses –
- Primary address – identifies the service address at which you perform the majority of your services. Clinical correspondence is sent to this address. The primary address is the predominate address typically used for billing by the owner of the Taxpayer Identification Number (TIN). (NOTE: For practitioners who work both in a group/facility practice and have a private practice, this address should be the main address for the private practice.)
- Secondary address(es) – additional or secondary address(es) where you provide care.
- Financial address – the address where you wish to receive claims correspondence and payments
How does "Address Type" apply to my change request?
You must supply the type of address you wish to change (mailing, billing, primary, secondary).
What is the difference between a group practice and a private practice?
A group practice is a group of behavioral health care professionals that practice and bill under one Taxpayer Identification Number. If you are making a change to a group practice record, please provide the name of the group practice that owns the Taxpayer Identification Number submitting claims and receiving payment. A private practice is an individual provider who uses his or her own Social Security Number or a Taxpayer Identification Number for claims purposes.
My Social Security Number is incorrect. Why can’t I change it?
For security and privacy reasons it is not possible to submit a request to update a provider’s Social Security Number online. Please submit a letter that includes your full name, your correct Social Security Number and the incorrect Social Security Number. It is important to include a completed W-9 form as well. Please send the letter and a completed and signed W-9 form to:
Magellan Behavioral Health
Attn: Data Management
14100 Magellan Plaza
Maryland Heights, MO 63043
Fax (314) 387-5584
I would like to use a different TIN for billing. How do I request that you update this information?
For security and privacy reasons it is not possible to submit a request to update a provider’s Taxpayer Identification Number (TIN) online. Please submit a letter that includes your full name, the TIN you are currently using, and the new TIN information. It is important to include a completed W-9 form. To get this form, you may click on PRINT W-9 FORM. This will print a blank W-9 that you must complete, sign and send, along with the letter, to:
Magellan Behavioral Health
Attn: Data Management
14100 Magellan Plaza
Maryland Heights, MO 63043
Fax (314) 387-5584
I would like to receive more referrals. Do I communicate that through the Accepting New Patients tab?
No. This function is to be used to notify us when you are leaving on or returning from a leave of absence such as a short-term vacation.
How will I know that my address changes have been received and updated?
Your changes will be processed within five business days. Please wait five days, after which you will be able review online that the changes have been made.
Can I resign from Magellan networks online?
No. 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 Services
Attention: Contract Administration
6950 Columbia Gateway Dr
Columbia MD 21046
Fax: 314-387-5584