Quick Start Guide Provider Portal - Magellan Provider

Quick Start Guide ? Provider Portal

This Quick Start Guide is a tool to assist you and your staff in obtaining prior authorizations for Magellan Rx managed drugs. IH. Open your internet browser and navigate to IH. (Please do not enter www). Click on the "Providers and Physicians" icon in the bottom left hand corner of the home page:

Login On the Physicians tab, enter Username and Password in the upper right hand corner, then click "Sign In":

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Prior Authorization To begin the process of obtaining a prior authorization, click "Get an Authorization" on the "My Account" page:

Enter (and confirm) the submitter's phone number and fax number, then click "Continue":

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The therapy request intro screen provides the user with a summary of the steps they will take to submit a prior authorization request. Click "Continue (Step 1)" to proceed. (Please note the disclaimer at the bottom indicating that the online portal is to be used for routine/prior authorization requests only.)

Enter member's last name, first name, date of birth, then select the appropriate health plan from the drop down box. Then click "Search."

You will be asked at this point if the health plan is the member's primary health insurance. Please respond accordingly and click "Next." (Typically, the prior authorization process is only applicable when the health plan is the member's primary health insurance.) You may also be asked if the member is participating in a drug trial for the requested drug. Please respond accordingly and click "Next."

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The system will ask the user to confirm the member information and select the ordering provider information. There is also an option to identify an alternative rendering provider if different from the ordering provider:

The user may now search for the drug using the Brand Name, Generic Name or Procedure Code field. Input one of the three options and click the Search button under the corresponding input field. When the records that are found are displayed, select the appropriate Brand Name record.

The portal will inquire at this point if you have any additional medications you need to search. Select the appropriate response and click "Continue." The portal will now request specifics about the member including diagnosis code (ICD10), member height and weight, the reason for the request, the anticipated start date and if there is a secondary health plan. Input the appropriate responses and click "Continue." The portal will now confirm the medication being requested and ask for responses to questions specific to the medication being requested. Select the appropriate response to each and click "Next." (You will

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note that the portal tracks the responses at the bottom of each page under a section called "Q/A History.")

Once all of the questions are answered, the portal will display a summary screen to allow the user to confirm the information one last time. The submitter may return to any section of the process at any time by selection one of the navigation tabs at the top of the request screen.

After confirming that all of the information is accurate, click the Submit button. If all of the necessary clinical information is provided in order to make a decision, the portal will display a confirmation screen that includes the authorization number and case details. If not, the portal will display an information screen advising that a Magellan Rx team member will be reaching out to the submitter for additional detail.

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