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Magellan HealthCare

Magellan HealthCare

This page contains information you can use to exchange healthcare transactions with Magellan HealthCare using Stedi.
Use any of the following payer IDs to send transactions to Magellan HealthCare using Stedi APIs or SFTP. Read the docs
Primary Payer ID
01260
Stedi Payer ID
XJWMR
Payer ID aliases
00235, 01260, 10649, 1419, 5539, MAGLAN, MBH11
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Magellan HealthCare using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Magellan HealthCare.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Magellan HealthCare to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to Magellan HealthCare in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Magellan HealthCare and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Magellan HealthCare and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Magellan HealthCare to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Magellan HealthCare and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Magellan HealthCare.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Magellan HealthCare and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Magellan HealthCare today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • Magellan Behavioral Health
  • Magellan Healthcare
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