Magellan Health

For Providers

Check Eligibility

By signing in to the Magellan provider website with your secure username and password, you can check member eligibility. 

Providers are responsible for verifying the member’s eligibility:  

  • Prior to the first appointment
  • Throughout the course of treatment
  • Prior to submitting claims

You may check eligibility on www.MagellanHealth.com/provider or by calling Magellan of Virginia's customer service department at 1-800-424-4046.

Note: the use of Magellan's tool for review of eligibility and benefits does not guarantee claims payment. Payment of benefits is subject to the member's eligibility on the date service is rendered and any other contractual provisions of the plan. Payment is also subject to pre-authorization guidelines.

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Contact Us

Magellan Members
Toll-free:1-800-424-4046
TDD: 1-800-424-4048
TTY: 711
Email

Magellan Providers
For questions about credentialing, contracting, provider website issues or general provider concerns, please contact us or call 1-800-424-4536.

For claim, authorization, discharges or clinical questions: email or call 1-800-424-4046.

Fraud and Abuse
1-800-755-0850
Special Investigations Unit Email: SIU@magellanhealth.com.

For quality of care concerns, general questions or comments, please call:
Toll-free: 1-800-424-4046