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BLUE SHIELD OF CALIFORNIA INTENSIVE OUTPATIENT TREATMENT (IOP) SUBSTANCE USE DISORDERS CONCURRENT REVIEW (CCR) SEND COMPLETED FORM TO SECURE FAX 18886560818 Patient name: DOB: Subscriber ID#: Case
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01
To fill out Magellan Behavioral Health MH form, follow these steps:
02
Start by obtaining the form from the Magellan Behavioral Health website or your healthcare provider.
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Read the instructions provided with the form carefully to understand the required information.
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Gather the necessary personal information, such as your full name, date of birth, address, and contact details.
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Provide accurate and complete information about your medical history, including any previous behavioral health treatments or diagnoses.
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If applicable, provide information about your current healthcare provider and any medications you are currently taking.
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Fill in the form using legible handwriting or by typing the information electronically.
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Double-check your entries and ensure all sections are completed accurately.
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Sign and date the form where indicated.
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Make a copy of the completed form for your records, if desired.
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Submit the form to the designated recipient as instructed, which may be your healthcare provider or Magellan Behavioral Health. You may need to mail or fax the form.
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Keep track of the submission to ensure it has been received and processed.

Who needs magellan behavioral health mh?

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Magellan Behavioral Health MH is beneficial for individuals who require behavioral health services and support. This may include individuals experiencing mental health disorders such as depression, anxiety, bipolar disorder, or substance abuse problems.
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Anyone who wants to access behavioral health treatments, counseling, or therapy can benefit from Magellan Behavioral Health MH.
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This service is often recommended for individuals who have been diagnosed with behavioral health conditions and need professional assistance.
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Magellan Behavioral Health MH is available for people of all ages, including children, adolescents, adults, and seniors.
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Family members and caregivers of individuals with behavioral health needs can also benefit from Magellan Behavioral Health MH to seek guidance and support.
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Magellan Behavioral Health is a managed care company that provides behavioral health services.
Healthcare providers and facilities that are contracted with Magellan Behavioral Health are required to file claims and reports.
Providers can fill out Magellan Behavioral Health claims and reports electronically through the online portal or by submitting paper forms.
The purpose of Magellan Behavioral Health is to ensure that individuals receive appropriate and timely access to behavioral health services.
Providers must report patient information, treatment provided, diagnosis, and billing details on Magellan Behavioral Health forms.
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