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. 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.

Please submit paper claims to the below address:

Magnolia Health Plan
Attn: Claims Department
P.O. Box 3090
Farmington, MO 63640

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