Loading
Get Pa Magellan Behavioral Health Initial Referral For Family-based Services 2018-2025
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
Related links form
Send to Magellan Health, Attn: Claims Dept. (VA DMAS) P.O. Box 1099, Maryland Heights, MO 63043. Please note: Only claims that were originally paid and have changes should be sent as corrected.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.