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Professional Provider Selection Criteria
Professional Provider Selection Criteria Criteria Pertaining to All Professionals . 1. All professionals must hold a current license in their specialty at the highest level
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Using Correct License-level Modifiers on Your Claims
www.magellanprovider.com©2005-2018 Magellan Health, Inc. Last reviewed 2/2018 Using Correct License-level Modifiers on Your Claims Magellan organizational providers and individual providers submitting professional (CPT) claims as part of an organization (using the organization’s Taxpayer Identification Number) must submit claims with the license-level modifier that …
Coordination of Benefits - Magellan Provider
www.magellanprovider.comCoordination of Benefits Coordination of Benefits Magellan coordinates benefits with other payers when a member is covered by two or more group health benefit plans.
2018 Handbook for the National Provider Network
www.magellanprovider.comNational Provider Network Handbook 4—© 2000-2018 Magellan Health, Inc. 11/17 Case Management Member Rights and Responsibilities Magellan Clinical Practice Guidelines
Policy and Standards - Magellan Provider
www.magellanprovider.comFALSE CLAIMS LAWS AND WHISTLEBLOWER PROTECTIONS Page 1 of 23 —PROPRIETARY Magellan Health policies apply to all subsidiaries and affiliates, including but not limited to Magellan Healthcare, …
Treatment Record Review Tool - Magellan Provider
www.magellanprovider.comTreatment Record Review Tool This is the standard review tool used for all behavioral health records. Additional indicators may be included based on regulatory and/or customer requirements.
Authorization to Use or Disclose Protected Health ...
www.magellanprovider.comLast Updated: 03/10/07 Authorization to Disclose Protected Health Information to Primary Care Physician Communication between your behavioral health provider(s) and your primary care physician (PCP) is important to make sure all care is complete,
Magellan’s Update of its Introduction to the …
www.magellanprovider.com© 2005-2017 Magellan Health, Inc. This document is the proprietary information of Magellan Health, Inc. and its affiliates. 6/17 Magellan’s Update of its Introduction to the American Psychiatric Association’s Clinical Practice Guideline
Organization & Facility Handbook Supplement
www.magellanprovider.comOrganizational and Facility Provider Handbook Supplement 2—© 2004-2018 Magellan Health, Inc. 11/17 Table of Contents SECTION 1: INTRODUCTION ..... 4
1. HOSPITALIZATION - Hospitalization is the highest …
www.magellanprovider.comMAGELLAN UNIVERSAL SERVICES LIST - Includes Preferred HIPAA Compliant Codes 3.1 Partial Hospitalization, Psychiatric. Assists individuals who …
2018 Handbook for the National Provider Network
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