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Magellan Health

The provider portal for Magellan Health is https://apps.availity.com/

Primary payer ID
01260Compare transaction IDs ↓
Last successful claim statusWithin the past monthObserved across Substrate's claim-status network.
Currently not answeringEDI 276/277EDI 270/271Browser automation

Is your practice experiencing high volumes of no response claims or denials from Magellan Health? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with Magellan Health

Substrate can help practices and billers with the following claims tasks for Magellan Health.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Magellan Health.

Available

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Magellan Health.

Available

Portal claim status

Browser automation

The Substrate Claim Status Agent can check claim status via the payer portal for Magellan Health.

Available

Appeals agent

AI appeals workflow

The Substrate Appeals Agent can submit appeals for RFIs, medical record requests, downcoding reconsiderations, and more via the payer portal for Magellan Health.

Available

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.

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.

Resource library

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.

Magellan Health payer name, operating states, and transaction-specific payer IDs
Payer nameMagellan Health
Operating statesNJ, TX
837P professional claims payer IDStedi01260
837I institutional claims payer IDStedi01260
835 ERA payer IDStedi01260Enrollment required
270 eligibility payer IDStedi01260
270 eligibility payer IDAvaility01260
276 claim status payer IDStedi01260
276 claim status payer IDAvaility01260

Other aliases

Also known as

  • 00235
  • 01260
  • 10649
  • 1419
  • 5539
  • MAGLAN
  • MBH11
  • Magellan Behavioral Health
  • Magellan Healthcare
  • MAGELLNHTH