MagnaCare ICD-10 Compliance

MagnaCare will comply with ICD-10 regulations effective Oct 1, 2015
Regulatory Requirements
  • ICD-10 codes to be used for services performed on or after Oct 1, 2015.
  • ICD-9 codes to be used for services performed before Oct 1, 2015.
MagnaCare systems, policies and procedures will be compliant with federally mandated regulations and deadline for ICD-10.

MagnaCare is currently working towards the following readiness items:

  • Implementation of ICD-10 conversion is in progress with providers, clients and partners.
  • Ensuring entities involved accept and process claims based on HHS defined ICD-10 rules.
  • Training internal staff to ensure continuity of current processes.
  • Processes are being implemented to help ensure claims are being processed accurately.

Effective Oct 1, 2015, MagnaCare will process claims as per following rules:

  • Outpatient & professional claims with Date of Service on or after Oct 1, 2015 must be submitted using ICD-10 code set.
  • Inpatient & Institutional claims with a discharge date of Oct 1, 2015 or later must be submitted using ICD-10 code-set.
  • All claims not conforming with the above rules will be rejected.
  • If you submit claims to MagnaCare through a clearing house and have a question, please contact your service provider.
  • If you submit claims directly to MagnaCare and have a question, please reach out to your contact at MagnaCare.
Important Notice

Your new, enhanced service portal is now live! Log into to view all claims for services received in 2017 and later.

You’ll enjoy the experience on, where you can:

  • Find a provider
  • View your ID card
  • Track your deductibles and out-of-pocket costs
  • Check your eligibility
  • Review your plan details, including medical, dental, vision, etc.
  • Change your account settings
  • and more

To view older claims (from 2016 and earlier), log into the service portal at