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 PARTNER MEDICAL PAYER ID BEHAVIORAL HEALTH PAYER ID
Allscripts/Payerpath 68069 68068
Availity 421406317 68068
Capario 68069 68068
Claimsource 68069 68068
Claim Remedi 68069 68068
CPSI 68069 68068
DeKalb 68069 68068
First Health Care 68069 68068
GHNonline 68069 68068
IGI 68069 68068
MD On-Line 68069 68068
Medassets/exactimed 68069 68068
Physicians CC 68069 68068
Practice Insight 68069 68068
Relay/McKesson 1611/Payer 5286 68068
Smart Data Solutions 68069 68068
SSI 68062 68068
Trizetto Provider Solutions, LLC 68062 68068
Viatrack 68069 68068