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Electronic Claims Submission

MagnaCare is pleased to announce that we have partnered with EMDEON for electronic claims submission. Plan sponsors, as well as our providers can submit claims electronically through the EMDEON clearing house.

As you already know, HIPAA guidelines require payors to be able to accept claims electronically from providers. This partnership is helping you fulfill that obligation by obtaining a EMDEON Payor ID and letting providers use it to send us claims.

Please be aware that once the providers set us up in their systems as a EMDEON payor, we expect all claims will come to us regardless of the address on the cards. We may also receive your non par claims due to this. While we understand that this may represent a change, it is clearly the way the provider community has been moving.

Below are the benefits of electronic claims submission:

Speed
  • Claims sent electronically are exceptionally faster to process than paper claims
Accuracy
  • Increased office productivity for plan sponsors because of reduced manual work
  • Fewer errors
  • Compliance with HIPAA regulations (837)
Cost Effective
  • Lower administrative costs for plan sponsors
  • Reduced billing and postage costs
MagnaCare will provide:
  • Faster turn-around time
  • Better tracking of claims submitted
  • Elimination of the need to handle paper claims
  • Reporting that can be sent electronically for tracking purposes
  • The service that will make you, our client HIPAA compliant at a significantly reduced cost
We ask that you help us to help you by:
  1. 1. Providing MagnaCare with up-to-date eligibility or membership on a regular basis so we can route your claims back to you.
  2. 2. Accepting claims back from MagnaCare electronically (in 837 or MagnaCare format) so we can eliminate manual paper processes.

This is a significant step related to a more efficient exchange between you and MagnaCare. Please contact your Account Manager to discuss further.

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Important Notice

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

You’ll enjoy the experience on MyCreateHealth.com, 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 magnacare.com.