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.
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).
Partial list of secure website functions include verify member eligibility, check/submit claims and submit/confirm authorizations.
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. 25525.
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 Partner||Payer ID|
|Claim Remedi||Medical 68069|
|First Health Care||Medical 68069|
|MD On-Line||Medical 68069|
|Physicians CC||Medical 68069|
|Practice Insight||Medical 68069|
|Relay/McKesson||Medical 1611/Payer 5286|
|Smart Data Solutions||Medical 68069|
|Trizetto Provider Solutions, LLC||Medical 68062|
Direct Submission Instructions: http://www.centene.com/edifecs