Disclosure Statement
While every effort has been made to ensure the accuracy and completeness of this information, Magellan Health Services (Magellan) does not warrant the accuracy or completeness of any of this information. Magellan assumes no legal liability or responsibility whatsoever for the accuracy or completeness of any such information contained in this guide. This guide is intended to facilitate the implementation of HIPAA-required transactions between trading partners. If changes are required in this document, they will be made in a timely manner. The parties using these materials are responsible for ensuring that they obtain and use the most current version of this guide. Magellan will make reasonable efforts to communicate changes to direct trading partners.
Preface
The Health Insurance Portability and Accountability Act (HIPAA) requires that all covered entities as defined by HIPAA must comply with the electronic data interchange standards for health care as established by the Department of Health and Human Services.
The accompanying documents have been prepared as Magellan Health Services specific companion documents to the HIPAA ANSI X12N Implementation Guides. The use of these documents is solely for the purpose of clarification to identify codes and data elements that are required, situational, or that do not apply to Magellan. The information contained in these companion guides do not contradict any requirements in the X12N Implementation Guides.
The Magellan Health Services (Magellan) Companion Guide provides detailed instructions on exchanging ASC X12N transactions with Magellan. Included is information regarding working with Magellan, connectivity, contact information, control segments, Magellan business rules, acknowledgements, and testing.
The intended audience for these documents is the technical area responsible for submitting electronic transactions to Magellan. Additionally, the business rules should be communicated and coordinated with the appropriate trading partner department responsible for the capture or generation of any data required in the HIPAA standard transactions.
Direct trading partners with Magellan should use all sections of the Standard
Companion Guide
(PDF 1M, 2-3 minutes) .
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