Click here to download our Claims Submission Reference Guide to ensure you are ready to file claims on July 1, 2024.

Magellan is committed to reimbursing our providers promptly and accurately in accordance with our contractual agreements. We encourage providers to submit claims electronically using one of the following methods:

Option 1 - Individual claims

You can submit individual claims to Magellan Healthcare of Idaho using 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. How to get started with Availity.

Option 2 - EDI claims

HIPAA-compliant 837 files can be sent directly to Magellan in bulk, without accompanying claim data entry or the involvement of a clearinghouse. Direct Connect is available to all providers regardless of claims submission volume. There is no charge to you for using the service. You can register to submit EDI claims to Magellan by sending an email to EDISupport@MagellanHealth.com.

Option 3 - Clearinghouses

External EDI clearinghouses act as a middleman between the provider and Magellan, and can transform non-HIPAA-compliant formats to compliant 837s. Magellan accepts 837 transactions from a number of clearinghouses.

• Magellan’s Payor ID: 01260
• Electronic Remittance Advice Form for clearinghouses (PDF)

NOTE: There may be charges from the clearinghouses.

We strongly encourage all providers to submit claims to Magellan electronically via one of the methods above; however, if you opt to file on paper, submit claims to: Magellan Healthcare, Inc. P.O. Box 1029 Maryland Heights, MO 63043.

Additional information

Refer to Section 5: Provider Reimbursement in the IBHP Provider Handbook Supplement for additional claims information, including timely filing submission timeframes.