Claim Rejections

Magellan 01260 - Member Not Found

Rejection: Member Not Found.

What happened: Patient ID in box 1a (HCFA) or box 60 (UB) is invalid.

Resolution: Most of the prefixes will either be BSCJ or BSLJ. If there are any questions on eligibility, please visit this website: www.magellanprovider.com. An account would need to be created if one has not already been made and from there, eligibility and ID numbers can be verified.