Coverage profile
Work Magellan Health across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Magellan Health.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Magellan Health.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Magellan Health.
Appeals agent
AI appeals workflowThe Substrate Appeals Agent can submit appeals for RFIs, medical record requests, downcoding reconsiderations, and more via the payer portal for Magellan Health.
Other aliases
Also known as
- 00235
- 01260
- 10649
- 1419
- 5539
- MAGLAN
- MBH11
- Magellan Behavioral Health
- Magellan Healthcare
- MAGELLNHTH
Frequently asked questions
Magellan Health payer FAQs
How do I check claim status with Magellan Health?
Providers check Magellan Health via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Magellan Health portal follow-up?
Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.
What is the payer ID for Magellan Health?
The primary payer ID for Magellan Health is 01260. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What is the provider portal for Magellan Health?
The provider portal for Magellan Health is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Magellan Health?
The 837P and 837I payer ID for Magellan Health is 01260 via Stedi.
What is the 835 payer ID for Magellan Health?
The 835 payer ID for Magellan Health is 01260 via Stedi.
What is the 270 payer ID for Magellan Health?
The 270 payer IDs for Magellan Health are 01260 via Stedi and 01260 via Availity.
What is the 276 payer ID for Magellan Health?
The 276 payer IDs for Magellan Health are 01260 via Stedi and 01260 via Availity.
What states does Magellan Health operate in?
Magellan Health operates in NJ and TX.
Routing reference
Magellan Health payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | Magellan HealthSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | NJ, TXSource: United Clearinghouse payer catalog · matched by payer name |
| 837P professional claims payer IDStedi | 01260Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 01260Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 01260Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 01260Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 01260Source: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 01260Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | 01260Source: Availity payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Magellan Health. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched record: MAGELLAN HEALTHCARE. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Magellan Health. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.