Magnolia Network Providers: Submitting Claims with Correct Member ID Number

Posted February 18th, 2011 by mfoster & filed under Newsroom, Provider News.

As Magnolia continues to work with both providers and our members to ensure a smooth transition into Magnolia Health Plan (Magnolia), we understand some Magnolia network providers have submitted claims with members’ Magnolia identification (ID) numbers which contain additional alpha and/or numeric characters which are not part of the member’s ID number (i.e., 123456789P, C123456789).

For all Magnolia claims submission purposes, additional alpha and/or numeric characters in the member ID field will cause the claim to be unclean. Magnolia Member ID numbers should only contain nine (9) numeric characters and is the same ID number provided by Mississippi Medicaid.  If you submit claims which have more characters than the member’s Magnolia ID number, the claim is not considered to be a “clean” claim and may cause your claim may be rejected or result in slower processing of the claim as we try to identify the member.

Again, we appreciate you and your practice being a part of the Magnolia provider network.  Please feel free to contact our office at 1-866-912-6285 at your convenience should you have any additional concerns or questions.  Our friendly, local staff will be happy to assist you.

Thank you

Magnolia Health Plan, Inc.