Claims for services provided to HealthChoices Members who have another primary insurance carrier must be submitted to the primary insurer first in order to obtain an EOB. HealthChoices will not make payments if the full obligations of the primary insurer(s) are not met. As a Magellan provider, you are required to hold HealthChoices members harmless and cannot bill them for the difference between your contracted rate with Magellan and your standard rate. This practice is called balance billing and is not permitted.
Member Services Contact Information:Bucks: (877) 769-9784
Cambria: (800) 424-0485
Lehigh: (866) 238-2311
Montgomery: (877) 769-9782
Northampton: (866) 238-2312
Provider Services Contact Information:Bucks/Montgomery: (877) 769-9779
Cambria: (800) 424-3711
Lehigh/Northampton: (866) 780-3368
Information For Members & Providers:TTY (All counties): PA Relay 7-1-1
Fraud & Abuse: (800) 755-0850
For Emergency Situations, Always Call 911
Suicide & Crisis Lifeline: Call 988