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Use Availity Essentials for Magellan eligibility, benefits and claim transactions

Check eligibility and benefits

To check eligibility and benefits – including accumulated amounts – for Magellan members online, you must use Availity’s portal, Availity Essentials. Log in now.

For some state-sponsored or government-funded programs, eligibility and benefits may not appear in Availity Essentials; to verify eligibility and benefits, go to the state’s website.

Get claims remittance, EOP/EOB data

You can access claims remittance and explanation of payment (EOP)/explanation of benefit (EOB) data on Availity Essentials. Log in now.

View a crosswalk (PDF) of how claims data was previously accessed on the Magellan site vs. how to access now on Availity Essentials.

Additional options for viewing EOP/EOB data: If you receive your payment for Magellan claims through ECHO Health, the ECHO portal also offers access. And, if you use a clearinghouse and are enrolled to receive ERA/835, you may be able to access EOP/EOB data by contacting your clearinghouse or using their portal.

Access Magellan-specific applications

Through the Magellan Healthcare Payer Space in Availity Essentials, you can access Magellan-specific applications and resources via a single-sign on to Magellan’s provider website.

Get started with Availity Essentials

If you’re already using Availity Essentials with another payer, you’re set to work with Magellan on Availity Essentials.

If you don’t already use Availity Essentials, set up your account now. There is no cost for registration or use. Availity has complimentary webinars and resources to help you get started with your registration.

Learn about key features

Note: you must have an Availity Essentials account to access these resources; ensure your pop-up blocker is disabled as well. (To create an account, visit Availity.com).

Getting started using Availity Essentials – Learn about the key tasks in getting started using Availity Essentials.
FAQs for Availity Essentials administrators – Get answers to questions you may have about being an Availity Essentials administrator for your practice.

Availity Essentials users can always access trainings from the Availity Learning Center in Availity Essentials. Click Help & Training > Get Trained.