Carelon Behavioral Health Provider Requirements

Listing Websites about Carelon Behavioral Health Provider Requirements

Provider Handbook Carelon Behavioral Health

(7 days ago) WEBProviders are encouraged to carefully review this handbook as well as their state-specific handbook to verify which policies and procedures apply to them. If you have questions, comments, and suggestions regarding this handbook, please call our National Provider …

https://www.carelonbehavioralhealth.com/providers/resources/provider-handbook

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New Provider Frequently Asked Questions (FAQ) - Carelon …

(6 days ago) WEBA6: You can access the Provider Portal at providerportal.carelonbehavioralhealth.com To register as a new user: 1. Go to Carelon website at carelonbehavioralhealth.com, hover …

https://www.carelonbehavioralhealth.com/content/dam/digital/carelon/cbh-assets/documents/global/new-provider-faq.pdf

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Behavioral Healthcare Carelon

(4 days ago) WEBBehavioral health services, designed for today’s challenges We're passionate about helping people navigate the healthcare system. Through our deep provider network and …

https://www.carelon.com/capabilities/behavioral-health

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For Providers Carelon Health - CareMore

(3 days ago) WEBFor more than 30 years, we’ve been a leader in providing whole-person care to patients with Original Medicare, Medicare Advantage, Medicaid, or group and private health plans. …

https://www.carelonhealth.com/for-providers

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Providers Carelon Behavioral Health of California

(2 days ago) WEBThe handbook is an extension of the provider agreement and includes requirements for doing business with Carelon Behavioral Health of California, including policies and …

https://www.carelonbehavioralhealthca.com/providers/

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Authorization Requirements - Carelon

(Just Now) WEBOnly requires authorizations for LSW/LPC type provider, requests can be submitted with RFS form via Provider Connect or fax ORF form to 855-439-2444. CME Clozapine …

https://pa.carelon.com/wp-content/uploads/sites/9/Authorization-Requirements.pdf

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Intensive Behavioral Health Services (IBHS) Carelon Health of

(5 days ago) WEBIntensive Behavioral Health Services (IBHS) [email protected] Provider Toll Free Number: 877-615-8503 Eligibility Verification System (EVS): 800-766-5387 E …

https://pa.carelon.com/behavioral-health-services-ibhs/

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Provider Manual Carelon Health of Pennsylvania

(9 days ago) WEBMember’s Right to File a Complaint, Grievance or DHS Fair Hearing. Member’s Rights and Responsibilities. National Provider Identifier (NPI) Notification of Change in Access to …

https://pa.carelon.com/providers/provider-manual/

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BCN Provider Manual - 2024 Chapter 13: Behavioral Health

(5 days ago) WEBrequirements, behavioral health providers should review all chapters of the BCN Provider Manual. Note: Information about behavioral health services for Blue Cross

http://ereferrals.bcbsm.com/docs/bcn/bcn-13b_health.pdf

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Medical Necessity Criteria Carelon Behavioral Health of California

(9 days ago) WEBCarelon Behavioral Health of California provides 24-hour access, including, but not limited to, non-contracting hospitals, to obtain timely authorization for medically necessary care, …

https://www.carelonbehavioralhealthca.com/providers/medical-necessity-criteria/

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Bulletins Carelon Behavioral Health of Connecticut

(2 days ago) WEBSun-setting Provider Bulletins Issued in Response to the COVID 19 Public Health Emergency (PB 2023-31) To: All CT BHP Behavioral Health Providers. Mobile …

https://www.ctbhp.com/providers/bulletins/

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6 – Claim Filing Requirements Carelon Health of Pennsylvania

(7 days ago) WEBCLAIM FILING REQUIREMENTS. All claims must be submitted within ninety (90) days of the discharge date or date of service. However, we encourage providers to submit …

https://pa.carelon.com/providers/provider-manual/6-claim-filing-requirements/

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Provider Resources Gold Coast Health Plan

(9 days ago) WEBOur network of Carelon behavioral health providers is available to link and provide members with follow-up care after a visit to the Emergency Department (ED) due to a …

https://www.goldcoasthealthplan.org/for-providers/provider-resources/

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5 – Credentialing and Recredentialing Carelon Health of …

(5 days ago) WEBAfter completing the online universal credentialing process offered by the Council for Affordable Quality Healthcare (CAQH), give Carelon access to your credentialing …

https://pa.carelon.com/providers/provider-manual/5-credentialing-and-recredentialing/

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4 – Treatment Record Standards Carelon Health of Pennsylvania

(8 days ago) WEBProvider participation in random treatment record audits is an integral part of Carelon’s quality management program and is a condition of network participation. Participating …

https://pa.carelon.com/providers/provider-manual/4-treatment-record-standards/

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6 – Fraud and Abuse Carelon Health of Pennsylvania

(7 days ago) WEBThe Department of Human Services has established a hotline to report suspected fraud, waste, and abuse committed by any entity providing services to Medical Assistance …

https://pa.carelon.com/providers/provider-manual/6-fraud-and-abuse/

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