Get Magellan Healthcare Authorization Agreement For Accounts Payable Eft For Eap Payment 2014-2025
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How to fill out the Magellan Healthcare Authorization Agreement for Accounts Payable EFT for EAP Payment online
The Magellan Healthcare Authorization Agreement for Accounts Payable EFT for EAP Payment is essential for individuals or organizations wanting to receive payments electronically from Magellan Health, Inc. This guide will provide clear, step-by-step instructions to help you complete the form efficiently online.
Follow the steps to complete the form correctly and ensure timely payments.
- Click the ‘Get Form’ button to access the form and open it in the online editor.
- Begin by entering your company or partnership information. Fill in the 'Company/Partnership Name', 'Address Line 1', 'Address Line 2', 'City', 'State', and 'ZIP Code'.
- Provide the billing contact details by filling in the 'Billing Contact Name', 'Contact Telephone #', and the 'E-Mail Address for Remittance Information'.
- Enter your Taxpayer Identification Number (TIN) and select the type of TIN from the options provided: 'Employer Identification Number' or 'Social Security Number'.
- Proceed to fill out the bank information. Include the 'Bank Name', 'Address Line 1', 'Address Line 2', 'City', 'State', and 'ZIP Code' of your bank.
- Complete the 'Bank Contact' details by filling in the 'Contact Telephone #' and don't forget to specify the 'Type of Account' as either 'Checking' or 'Savings'.
- Fill in the 'Account Name', 'Account Number', and '9-Digit Bank Routing Number'. Ensure to verify the routing number with your bank for accuracy.
- In the EFT Election Information section, authorize Magellan Health, Inc. to initiate credit entries by checking the decision box provided. Ensure to acknowledge that this authority remains until a cancellation notice is submitted.
- Sign and date the form in the 'Authorized Signature' and 'Date' fields.
- Finally, store your changes and options to download, print, or share the completed form securely.
Start filling out your Magellan Healthcare Authorization Agreement online to ensure quick and efficient payment processing.
Magellan behavioral health claims typically have a timely filing limit of 180 days. Adhering to this deadline is critical to comply with the Magellan Healthcare Authorization Agreement for Accounts Payable EFT for EAP Payment. By submitting your claims promptly, you can avoid unnecessary delays and ensure faster reimbursements.
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