Providers

Join a leading provider network in New York, New Jersey and Connecticut

MagnaCare’s leading PPO network in the New York tri-state area serves not only our members, but also TPAs, carriers, and auto insurers who lease MagnaCare’s broad network for their member health plans, workers’ compensation, and casualty coverage.

We value our providers

We’ll give you the support you need. MagnaCare makes the claims process as simple as possible, and offers online tools and a dedicated provider support team of network specialists who are on hand to answer your questions.

Log on to our provider portal to research fee schedules, check your participation status, check member eligibility, and more.

Need to update your information? Contact [email protected] for assistance.
Need help with verification? Submit your inquiry to [email protected].

You can also purchase discounted malpractice insurance through our agreement with MLMIC Insurance Company.

A TPA, not an insurance company

MagnaCare is a third-party administrator (TPA) for self-insured clients, helping them manage their health plans. We are not an insurance company. We intake bills on behalf of the employer, review them for accuracy, and confirm the amount to be paid. For some clients, we also arrange payments.

Since our health plan designs are customized for each client, they decide which services to cover, and how much to cover. Therefore, it is important you check eligibility for each patient on the provider portal before performing a service. If you need clarification on a patient’s coverage, contact Provider Services at 800.352.6465.

Joining the MagnaCare network is as easy as 1, 2, 3

Know a great provider? Nominate a colleague (or even yourself) for participation in the MagnaCare provider network.

Send your request to [email protected] or call 888.624.6202. Include your office name, specialty, location, and contact information.

Within 48 hours, our team will email you our contracting packet that includes the standard individual contract, application, and sample fee schedule.

Return the application by email or by post. The credentialing process takes between 6-8 weeks, at which time you will be notified of the determination.

COVID-19 Information for Participating Providers

Provider Resource Center

Provider Services:

800.352.6465

Claim Submissions:

Mail:
MagnaCare
P.O. Box 1001
Garden City, NY 11530

Electronic Claims:
To set up electronic claims submission for your office, contact Change Healthcare (formerly EMDEON) at 800.845.6592.

Learn More


Correspondence:

MagnaCare
1600 Stewart Avenue
Suite 700
Westbury, NY 11590

Appeals:

MagnaCare
P.O. Box 8085
Garden City, NY 11530