Magellan Health

For Providers

Check Eligibility

Eligibility

By signing in to the Magellan provider Web site with your secure username and password, you can check member eligibility, view aithorizations, and much more. 

Providers are responsible for verifying the members eligibility for HealthChoices coverage through the PA Medical Assistance (MA) PROMISe Eligibility Verification System:  

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

For information regarding the different options for checking EVS, Click Here to go to the DPW website or call # 1-800-766-5387 for interactive (real-time) eligibility verification (24/7).

When applicable, hard copies of the EVS printout are to be maintained in the member's medical record.

You may also check eligibility on http://www.magellanprovider.com/ (please be advised that this is not real-time eligibility) or by calling Magellan's customer service department.

Providers should also be advised that 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 Information

Member Services:
Bucks County: 877-769-9784
Cambria County: 800-424-0485
Delaware County: 888-207-2911
Lehigh County: 866-238-2311
Montgomery County: 877-769-9782
Northampton County: 866-238-2312

Provider Services:
Bucks/Montgomery: 877-769-9779
Cambria County: 800-424-3711
Delaware County: 800-686-1356
Lehigh/Northampton: 866-780-3368

Hearing Impaired Lines (TTY):
Bucks County TTY: 877-769-9785
Cambria County TTY: 877-769-9785
Delaware County TTY: 888-207-2910
Montgomery County TTY: 877-769-9783
Lehigh County TTY: 866-238-2313
Northampton County TTY: 866-780-3367
AfterHours TTY (6:00p - 8:00a): 800-787-1730

Fraud & Abuse: 800-755-0850

For emergency situations always call 911

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