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Upcoming changes to the Provider Automated System

October 3, 2011

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In the coming months we will be updating our interactive Provider Automated System, available through 1-800-275-2583, to make it easier for you to obtain the information you need quickly and efficiently. In addition to speaking with a live customer service representative during regular business hours, you now have the option to "speak" with our automated service 24 hours a day, 7 days a week, through enhanced voice-recognition capability.

Through the enhanced Provider Automated System, the following self-service capabilities will be available:

  • Provider authorization inquiry. The following can be done for authorization inquiries:
  • search for existing authorizations by date or reference number
    search by single date or entire month
    search 60 days in the past and 180 days in the future
    Please note that authorizations may be retrieved only by the provider associated with the authorization. Also, behavioral health inquiries should continue to be directed to Magellan Behavioral Health, Inc.
  • Claims. Search member claims within two years from current date.
  • Member eligibility and benefits. The phone service continues to offer this information.
  • Referral and encounter submissions. Submit referrals and encounters using the member ID number located on the member ID card.
  • Referral inquiry. Search for existing referrals within 90 days from the current date.

Please be sure to have your NPI, corporate ID number, and last four digits of your tax ID number ready before you call to complete the listed transactions.

Look for more information about this change in future editions of Partners in Health Update.

Magellan Behavioral Health, Inc. manages mental health and substance abuse benefits for most AmeriHealth members.

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