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Magellan applies CMS NCCI edits to claims

To assure proper coding, Magellan applies Centers for Medicare and Medicaid Services’ (CMS) National Correct Coding Initiative (NCCI) claim edits to claim submissions.

Note that we continually assess better solutions in applying consistent reimbursement using industry-standard guidelines. Be sure to review CMS’ NCCI webpage regularly to keep up-to-date on the specific edits that may affect your practice and payment for care to Magellan members.

Thank you for your focus on helping members achieve their goals and work toward better lives! We all know that administrative tasks can be a hassle; however, taking just an extra moment to ensure the accuracy of your claims submission will help reduce errors and expedite payment.

As always, Magellan remains fully committed to reimbursing you accurately and promptly.

You can find policies relating to claims in the Magellan provider handbook, Provider Reimbursement section.