This is the Magellan website for behavioral health providers
Magellan Health

Use Availity Essentials for Magellan eligibility, benefits and claim transactions

Check Member Eligibility and Check Claims Status applications no longer on Magellan's site

 

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 Magellan’s 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 missed previous trainings, listen to a webinar recording (Availity Essentials sign-in required).

  • 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.

How to get started with Availity

 

Learn about key features in our recorded webinars 

If you were unable to attend one of the live webinars hosted by Magellan and Availity, be sure to listen to the recordings to learn more. 

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

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

 

Continue to watch your inbox and our website as we introduce new Availity Essentials capabilities and discontinue those on MagellanProvider.com.