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VERSION 004010X098A1 - Magellan Provider's Home Page

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<strong>Magellan</strong> Behavioral Health 837 Professional Companion GuideREFRendering Provider SecondaryIdentificationPos: 525 Max: 5Detail - OptionalLoop: 2420A Elements: 0<strong>Magellan</strong> Specific Note:If more than one Rendering Provider (based on Primary ID match) is submitted on a claim, the claim will not load to thehost adjudication system and a negative response will be returned.Rendering Provider is required on TennCare Caserate claims._________________________________________________________________________________________________________________________Revised: February 14, 2008 HIPAA X12 837p (<strong>004010X098A1</strong>) Version 7 32

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