How do I file a complaint or appeal?
In-network providers

• When you use an in-network provider, they will submit the claim directly to Magellan on your behalf.
• If you receive a Magellan referral, your provider will complete and submit the appropriate claim form to be reimbursed for your care.
• You do not need to submit a claim or call for outpatient authorization.

Out-of-network providers

• Out-of-network providers are not required to process and submit your claims.
  

How do I file a complaint or appeal?

Complaint

If you have a complaint about the care or services you received, please call Magellan directly.

Magellan uses First Call Resolution to resolve concerns at the time of each member’s call; however, if you are not satisfied with the outcome you may submit complaints verbally or in writing.

Complaints are acknowledged within 24 business hours and resolved within 30 calendar days.

Call 1-800-424-4138 (press 1, then press 2)

Write

Magellan Health Services
Attention:  Complaints/MO41
14100 Magellan Plaza
Maryland Heights, MO 63043

Appeal

You have the right to request a review of the denial or payment of any claim.

Appeals are managed by AmeriBen. You can call 602-231-8855
or write:

AmeriBen
Attention Appeals Coordinator
P. O. Box 7186
Boise, ID 83707
602.231.8855

Get started today!

Call @@CLIENT_PHONE_NUMBER@@.

Need help?
Use the chat feature on the right side of your screen for assistance.