Magellan Rx Management is providing this website to satisfy the CAQH Committee Operating Rules for Information Exchange (CORE) mandate requiring online capability for both Electronic Fund Transfer (EFT) and Electronic Remittance Advice (ERA) enrollment. Enrollment is defined as a new enrollment, request to terminate enrollment EFT/ERA participation, or request for change to existing EFT/ERA information.
The website will only allow users to submit EFT or ERA applications, not allow them to view or update existing EFT/ERA information.
Providers will use the existing customer service number for questions and/or to verify the status of submitted applications.
Magellan Rx Management will continue to accept paper applications as we do today.
Select the appropriate button below (or menu item above) to enroll or update your existing enrollment information.
Instructions: Enter your information below. Move your mouse over the field name for additional information about that field. All fields are required. When finished, click the Submit button.
By entering my name into this field, I am certifying that I have legal authority to make these changes.
Please check all data for accuracy prior to clicking the Submit button.
Thank you for your request. Please allow minimum of 16 days for request processing. For future reference please note down reference number . You can verify your status by calling 1-800-441-6001 with your reference number.
Do you really want to Submit?
Terms and Conditions
©1999-2015 Magellan Health, Inc.
All Rights Reserved.