Some Magellan Care Management Centers listed above may manage services for health plan, employer and public sector customers not located in the same geographic area as the service center. Check the state listings in parentheses to be sure you’re reading all the information pertinent to you in serving your Magellan members.
Be Ready for HIPAA 5010 by April 1
Complete testing as soon as possible to ensure claims are accepted! In an effort to avoid unnecessary delays in claims payment, Magellan decided to continue to accept claims submitted in ANSI 837-Version 4010 format after the Health Insurance Portability and Accountabilit . . . Read more
ICD-10 Code Transition
In order to maintain HIPAA compliance on claim submissions, providers are required to transition from using ICD-9-CM (International Classification of Diseases, 9th Edition, Clinical Modifications) diagnosis codes to ICD-10-CM diagnosis codes as of Oct. 1, 2013. The transi . . . Read more
Claims Tips
CMS Delays HIPAA 5010 Enforcement TIP: Verify your compliance with HIPAA 5010 immediately to avoid disruptions in electronic transactions. HIPAA 5010 represents the code set components of the Health Insurance Portability and Accountability Act (HIPAA). Beginning Jan. 1, . . . Read more