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Credentialing by payer

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Providers
Commercial plans

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  • Flat PricesNo percentage of collections
  • Half Now, Half at SubmissionFor every enrollment application
  • Closed Network?Your choice of a refund or a credit
  • Live Status TrackingCheck any application by reference number

Magellan Health at a Glance

Parent companyCentene Corporation (acquisition completed January 4, 2022)
How to request to joinRequest an application from your Magellan Network Contact. Start here
CAQH ProView (DataSpring)Yes. Magellan uses CAQH (DataSpring) for credentialing and recredentialing data.

How Magellan Health Takes Applications

Magellan does not publish an open online application; acceptance depends on your credentials, your specialties and Magellan's business needs, and credentialing must be completed before you receive referrals. Providers are credentialed against Magellan's criteria and any criteria required by regulators or client plans.

What to Watch With Magellan Health

Magellan's networks follow its client contracts, which change. Independence Blue Cross, for example, built its own behavioral health network effective January 1, 2023, so a clinician credentialed by Magellan needs a separate Independence credentialing to be in both. Under Centene, Magellan operates independently within Centene's Health Care Enterprises unit.

Whatever the plan, the file moves only when your CAQH (DataSpring) profile, license record and application agree. See how long credentialing takes and our CAQH profile setup service.

Questions About Magellan Health

How do I apply to Magellan Health?

Request an application from your Magellan Network Contact.

How long does Magellan Health credentialing take?

Magellan Health does not publish a turnaround on the provider pages we checked; most commercial plans land between 90 and 120 days from a complete file.

Does Magellan Health use CAQH (DataSpring)?

Yes. Magellan uses CAQH (DataSpring) for credentialing and recredentialing data.

What does PECS charge for a Magellan Health application?

$200 per application per provider, half at engagement and half at submission, including follow-up with Magellan Health until the effective date is set.

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Question About Magellan Health Credentialing?

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Answers cover PECS services, prices and process. For legal, tax or clinical questions please consult a professional.

Sources

Facts checked against the sources above in October 2026; plan procedures change.

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