Magellan-Specific NPI Information

Q: Does Magellan require NPIs on all HIPAA standard electronic transactions? A: Yes. Magellan requires the NPI on HIPAA standard electronic transactions. All electronic claims submitted without an NPI are rejected. Q: Should I include my Magellan MIS number on HIPAA standard electronic transactions? A: No. Any HIPAA standard electronic transaction sent with a Magellan MIS number will be rejected. The Magellan MIS number continues to be used (in most cases) as a provider’s username when signing in to the Magellan website. If you do not know your Magellan MIS number, contact the Provider Services Line at 1-800-788-4005 to obtain it. Q: I only provide EAP services and file for reimbursement using the EASI form. Do I need to obtain or use an NPI? A: EAP services do not require an NPI. Q: Does Magellan require NPIs on paper claim forms (CMS-1500 and UB-04)? A: Magellan accepts – and strongly encourages you to submit – NPIs on both the CMS-1500 and the UB-04 forms. Several of our customer plans require NPIs on paper claims.

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