User Registration

Register for a username and password to access the Magellan EDI Testing Tool. Your request will be reviewed by Magellan and your organization.

Minimum of 8 characters and maximum of 30 characters.

Must contain at least 1 uppercase character.

Must contain at least 1 lowercase character.

Must contain at least 1 number.

Must contain at least 1 of these special characters -,$,#,&,_,%

Cannot be same as user name

Username

Password

Confirm Password

Primary Contact Information

Phone

First Name

Last Name

Secondary Contact Information

Phone

First Name

Last Name

Organization Information

Company / Organization Name

State you are billing from

Federal Tax Identification Number

National Provider Identifier (NPI)

Interchange Sender Qualifier

Interchange Sender Identifier (ISA06)

Application Sender Code (GS02)

Transactions you would like to send

What practice management system do you use?

Can your practice management system generate EDI?

Do you currently submit claims to Magellan?

Do you intent to send production ready EDI files to Magellan after testing is completed?

Are you a clearinghouse?