Coverage profile
Work Magnolia Health Plan 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 Magnolia Health Plan.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Magnolia Health Plan.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Magnolia Health Plan.
Other aliases
Also known as
- 10704
- 68062
2027 maternity billing research
When does Magnolia Health Plan change OB/GYN billing?
CC.PP.016 describes global maternity bundling and prepayment code review. It applies to adopting health plans on their own effective dates and contains no 2027 code-deletion implementation instructions.
- Transition start
- No 2027 transition date stated in cited policy
- Billing start
- No 2027 billing date stated in cited policy
- Published
- Not stated in source
- Current As Of
- August 2026
Scope: Corporate template for medical maternity services; adoption and effective date for the exact Magnolia Mississippi product are unverified. No dental billing application is established.
CC.PP.016 Reporting the Global Maternity Package. Verify the payer source before claim submission.
Frequently asked questions
Magnolia Health Plan payer FAQs
How do I check claim status with Magnolia Health Plan?
Providers check Magnolia Health Plan via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Magnolia Health Plan 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 Magnolia Health Plan?
The primary payer ID for Magnolia Health Plan is 68062. 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 Magnolia Health Plan?
The provider portal for Magnolia Health Plan is https://apps.availity.com/. Available features depend on the payer and your account.
What state does Magnolia Health Plan operate in?
Magnolia Health Plan operates in MS.
Routing reference
Magnolia Health Plan 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 | Magnolia Health PlanSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | MSSource: Substrate payer directory · data last changed |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Magnolia Health Plan. 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.
