Magellan Health

Summary

Magellan Health is a specialty plan, part of Centene subsidiary, offering dental and medical coverage across all 50 states. Claims route under payer ID 01260, with 6 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-120 days, with applications through Magellan Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

01260Also seen as 00235, 10649, 1419, 5539, MAGLAN, MBH11

Also known as

Magellan Behavioral Health, Magellan Healthcare

Uses CAQH

YesApplication route: CAQH application only

Service area

Multiple states (Medicaid + federal)

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for Magellan Health?

The payer ID for Magellan Health is 01260. Alternate IDs seen across clearinghouses include 00235, 10649, 1419, 5539.

How long does Magellan Health provider enrollment take?

Magellan Health provider enrollment typically takes 60-120 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Magellan Health require CAQH?

Yes. Magellan Health uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does Magellan Health require ERA enrollment?

Yes. Magellan Health requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Magellan Health cover?

Magellan Health operates in Multiple states (Medicaid + federal). Coverage can differ by plan and product line, so confirm the specific plan before you file.