Magellan provider appeal form 2025

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The document outlines the process for health care providers in New Jersey to appeal claims determinations made by Magellan Behavioral Health of NJ, LLC. It specifies the conditions under which appeals can be submitted, including reasons for denial or payment discrepancies. The document also details the necessary information and documentation required for filing an appeal, as well as instructions on where to submit the appeal.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Is Magellan a Medicaid plan?

Magellan partners with the states of Florida, Idaho, Louisiana, Nevada, New Mexico and Wyoming and local governments in Pennsylvania to manage behavioral health services for more than a million Medicaid beneficiaries.

Who took over Magellan Healthcare?

Centene acquired Magellan Specialty Health, also known as NIA, in January 2022 as part of its acquisition of Magellan Health, Inc.

Who bought out Magellan Health?

Today, Centene Corporation announced that it has completed the acquisition of Magellan Health, Inc.

Is Magellan Complete Care now Molina?

Today As a wholly owned subsidiary of Centene Corporation, we have access to a wealth of new resources and deep clinical expertise to improve the lives of millions.

Does Magellan Health still exist?

In 2014, the company moved its headquarters from Connecticut to Arizona. Magellan sold its managed care division to Molina Healthcare in 2018. On January 4, 2021, it was announced Centene Corporation would acquire the company for $2.2 billion. On January 4, 2022, the acquisition was completed.

Who is the parent company of Magellan?

Centene Corporation Magellan Health / Parent organization

What is the timely filing limit for Magellan appeals?

You have 60 calendar days from the date on the Notice of Denial letter to file an Appeal. You can file a Complaint/Grievance and Appeal yourself. You can also ask someone you trust to file one for you.

How do I submit a claim to Magellan?

You simply data enter your claims information into the online Claims Courier application. Note that Magellan must be the designated payer in order to process your submitted claims. On the main Claims Courier (Submit a Claim) page, you can: Create a new, blank claim.

Magellan provider appeal form 2025

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