VERSION 004010X098A1 - Magellan Provider's Home Page
VERSION 004010X098A1 - Magellan Provider's Home Page
VERSION 004010X098A1 - Magellan Provider's Home Page
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<strong>Magellan</strong> Behavioral Health 837 Professional Companion GuideN3Element Summary:Payer AddressPos: 025 Max: 1Detail - OptionalLoop:Elements: 12010BBRef Id Element Name Req Type Min/Max UsageN301 166 Address InformationM AN 1/55 RequiredDescription: Address information<strong>Magellan</strong> Specific Note: PO Box number can besent in this segment. Send only claimsubmission PO Box number in this field. Forexample send '1000' not 'PO Box 1000'. This isthe same PO Box as used for paper claims.Radiology NIA claims go to ‘1428’.If PO Box number is not sent here, it must besent in 2010BB REF segment with a qualifier"FY". The 2010BB REF segment is preferred andHIPAA compliant._________________________________________________________________________________________________________________________Revised: February 14, 2008 HIPAA X12 837p (<strong>004010X098A1</strong>) Version 7 16
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