Home
Forms Library
Magellan interested provider information form

Magellan interested provider information form 2025

magellan interested provider information form Preview on Page 1

Show details

4 out of 5

27 votes

The document is an Interested Provider Information Form for Magellan Health Services, outlining the process for providers to join their network. It includes sections for individual and group provider information, a W-9 form for taxpayer identification, and details about the credentialing and contracting process necessary to become an in-network provider. The document emphasizes the need for completed forms, verification of credentials, and notification timelines regarding acceptance into the network.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

The easiest way to modify Magellan interested provider information form in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Working on documents with our extensive and intuitive PDF editor is easy. Adhere to the instructions below to complete Magellan interested provider information form online quickly and easily:

Sign in to your account. Log in with your email and password or register a free account to try the product prior to choosing the subscription.
Upload a form. Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit Magellan interested provider information form. Easily add and highlight text, insert images, checkmarks, and symbols, drop new fillable fields, and rearrange or remove pages from your paperwork.
Get the Magellan interested provider information form completed. Download your adjusted document, export it to the cloud, print it from the editor, or share it with other people using a Shareable link or as an email attachment.

Benefit from DocHub, the most straightforward editor to quickly handle your paperwork online!

be ready to get more

Complete this form in 5 minutes or less

Get form

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.

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.

What is Magellan Behavioral Payer ID?

Payer NamePayer IDERAs MAGELLAN BEHAVIORAL HEALTH 01260 Yes MAGELLAN BEHAVIORAL HEALTH - CASE RATE MBHCR Yes MAGELLAN COMPLETE CARE OF FLORIDA 01260 Yes MAGNA CARTA - CORVEL (AUTO) J2173 26 more rows

What type of company is Magellan?

Magellan Health Inc. (formerly Magellan Health Services Inc.), is an American for-profit managed health care company and subsidiary of Centene thats focused on special populations, complete pharmacy benefits and other specialty areas of healthcare.

Is Magellan Medicare?

Join a Medicare Advantage Plan Magellan Healthcare can help you compare Medicare Advantage plans today. With the help of our talented agents, youll certainly be able to find qualifying coverage that suits your lifestyle and budget. Give us a call now to get started with a free quote.

What are the benefits of Magellan Health Federal?

Magellan Federal offers a comprehensive benefits package, which includes a 401(k) savings plan, medical and dental insurance, professional development, short and long-term disability insurance, life insurance, legal benefits, and much more.

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.

What is Texas Medicaid insurance called?

STAR Medicaid Managed Care Program. Most people who have Medicaid in Texas get their coverage through the STAR managed care program. STAR covers low-income children, pregnant women and families. STAR members get their services through health plans they choose.

Is Magellan a MCO?

A: A managed care organization (MCO) helps you manage your health. Idahos new MCO for mental health is Magellan Healthcare, Inc. Magellan will help you get the services you need by managing care and providing access to mental healthcare and substance use services through a network of providers.

Magellan interested provider information form 2025

Here's how it works