Magellan Health

Blue Shield of California uses Magellan Assist for processing behavioral health service claims. In turn, Magellan Assist makes it as difficult as possible for consumers to actually access benefits.

The Magellan Assist website contains no reasonable claim form. There is only a cut-paste link to a CMS 1500 form that has the word "SAMPLE" across the center of the page. The requirements for submitting a provider's bill are equally ridiculous. The site indicates the out of network provider must list the patient's insurance membership and group numbers on the provider's bills.

Magellan Assist knows that out of network providers do not do this. There is no process for submitting claims through the website. One must actually print and mail a hard copy. The website does not even list the address to which the hard copy claims should be mailed!

It is clear they are making it as difficult as possible, so that the average consumer will not be able to access benefits for out of network services. In short, Magellan Assist is a garbage company that exemplifies everything wrong with the medical insurance industry in the US.

I reported abuse al 9 York Willow Grove, because Tom Costello refused to. State Senator Nancy Guensts had an investigation done proving Systemic Abuse among other things and filed a report now in review by the Attorney Generals offices!

Currently 2 lower level staff have been fired in upper management, who knew and allowed it are running it worse in a word they do not want RHAs staff to be aware off this mess!! Both they ln Bethlehem Pa as well as Tom Costello and his boss Pam Howard are sanctioned this abuse!! Resident are being Hospitalized and becoming suicidal because of both RHA IN BETHLEHEM and thu County namely Tom Costello and Yam Howard who let go on for 6 MONTHS. In the end the end Insurance costs will skyrocket!!

Nc one is doing anything!

The State Attorney General will soon!!! Im

my insurance company uses them and their company nia for prior authorizations of services. first off I don't like the fact that there's another company that's looking at my medical information and secondly, that they are employed to second-guess the decisions that are between my doctors and me.

once the authorization request is submitted they always have to have chart notes alternative treatments that have been done and diagnosis i. I was scheduled to have a interlaminarial corticosteroids injection done was not approved for the data service which made me have to sign a liability statement and the only reason it was not approved was because of a pain score number that was given repeatedly by me that they did not take my word for and from my doctor's office which they their word for they've caused me so much stress and they are horrible company