MagnaCare ICD-10 Compliance


MagnaCare will comply with ICD-10 regulations effective Oct 1, 2015
Regulatory Requirements
  • ICD-10 codes to be used for services performed on or after Oct 1, 2015.
  • ICD-9 codes to be used for services performed before Oct 1, 2015.
MagnaCare systems, policies and procedures will be compliant with federally mandated regulations and deadline for ICD-10.

MagnaCare is currently working towards the following readiness items:

  • Implementation of ICD-10 conversion is in progress with providers, clients and partners.
  • Ensuring entities involved accept and process claims based on HHS defined ICD-10 rules.
  • Training internal staff to ensure continuity of current processes.
  • Processes are being implemented to help ensure claims are being processed accurately.

Effective Oct 1, 2015, MagnaCare will process claims as per following rules:

  • Outpatient & professional claims with Date of Service on or after Oct 1, 2015 must be submitted using ICD-10 code set.
  • Inpatient & Institutional claims with a discharge date of Oct 1, 2015 or later must be submitted using ICD-10 code-set.
  • All claims not conforming with the above rules will be rejected.
  • If you submit claims to MagnaCare through a clearing house and have a question, please contact your service provider.
  • If you submit claims directly to MagnaCare and have a question, please reach out to your contact at MagnaCare.