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Electronic Transactions

Magnolia Health is committed to providing our participating providers with the best tools possible to support their administrative needs.  Our electronic transactions capabilities will speed up the processing and payment of your claims.

PaySpan

Magnolia Health and PaySpan are in partnership to provide an innovative web based solution for Electronic Funds Transfers (EFT’s) and Electronic Remittance Advices (ERA’s).

Secure Web Portal

Partial list of secure website functions include verify member eligibility, check/submit claims and submit/confirm authorizations.

EDI

Electronic Transactions (EDI) support for HIPAA transactions is provided for the health plan by Centene Corporation. Centene is currently receiving professional, institutional, and encounter transactions electronically, as well as generating an electronic remittance advice/explanation of payment (ERA/EOP). To conduct other HIPAA transactions not listed, please contact our EDI department at 1-800-225-2573, ext. 6075525 or ediba@centene.com.

The following list contains contact information for the trading partners currently active with our health plan. All providers are encouraged to contact one of these trading partners to utilize our electronic transaction options.

Magnolia encourages its providers to file claims electronically using our Provider Secure Web Portal or by using one of our EDI trading partners listed below:

TRADING PARTNERMEDICAL PAYER IDBEHAVIORAL HEALTH PAYER ID
Allscripts/Payerpath6806968068
Availity42140631768068
Capario6806968068
Claimsource6806968068
Claim Remedi6806968068
CPSI6806968068
DeKalb6806968068
First Health Care6806968068
GHNonline6806968068
IGI6806968068
MD On-Line6806968068
Medassets/exactimed6806968068
Physicians CC6806968068
Practice Insight6806968068
Relay/McKesson1611/Payer 528668068
Smart Data Solutions6806968068
SSI6806268068
Trizetto Provider Solutions, LLC6806268068
Viatrack6806968068