Contact Us

Carelon’s Quality Management and Medical Affairs staffs are based at the Pennsylvania Engagement Center and operate under the tenets of the Quality Management Program. The Management Information Systems (MIS) staff is housed here as well and is primarily responsible for all internal and external reporting deliverables. Finally, Carelon’s management, senior management, and financial staff are all located in the Pennsylvania Engagement Center.

Provider Field Coordinators | Fax Numbers | Member Toll-Free Numbers

  • Address: P.O. Box 1840, Cranberry Township, PA 16066-1840
  • Email: pawebmaster@carelon.com
    * PROVIDERS PLEASE NOTE: this email in-box is not monitored or checked by our Clinical Department. Please do not send clinical information to this email address. Information regarding authorizations or clinical issues are to be directed to our Clinical Department by calling our Carelon Provider Line at 1-877-615-8503.
  • Provider Toll Free Number: 877-615-8503
  • Out of Network Providers, please call the Provider Service Line to initiate the process: 877-615-8503
  • Eligibility Verification System (EVS): 800-766-5387
  • Carelon Web Site Address: pa.beaconhealthoptions.com
  • Carelon Behavioral Health Web Site Address: www.carelonbehavioralhealth.com
  • E-Support (EDI) Help Line: 888-247-9311 or
    eServices@carelon.com
  • Automated Fax Back Service for Provider Summary Vouchers:
    866-409-5958
  • PaySpan Health Customer Service Support Phone Number:
    877-331-7154
  • Availity Client Services:
    1-800-282-4548 between the hours of 8:00 a.m. and 8:00 p.m. EST, Monday through Friday. 

Member Toll-Free Numbers

Member County Toll-Free Numbers — Members only, please

If you do not speak English, please call your County’s toll-free member line and staff will be able to assist you.

County Phone number
Armstrong 877-688-5969
Beaver 877-688-5970
Butler 877-688-5971
Crawford 866-404-4561
Fayette 877-688-5972
Indiana 877-688-5969
Lawrence 877-688-5975
Mercer 866-404-4561
Venango 866-404-4561
Washington 877-688-5976
Westmoreland 877-688-5977
PA Relay 711

Fax Numbers

Fax Numbers by Department

Department Fax Number
Beaver Office 855-589-1258
Clinical – SCA 855-439-2446
Crawford Office 855-589-1259
Customer Service 855-439-2443
Family Based 855-439-2442
Mercer Office 855-439-2448
Network Operations 855-541-5211
Outpatient Authorizations 855-439-2444
Peer Advisor’s Office 855-439-2445
Provider Relations 855-541-5211
Quality Management 855-287-8491
Venango Office 855-589-1260

Provider Field Coordinators

Provider Field Coordinators

Contact your Provider Field Coordinator (PFC) according to the county or state in which your main location resides.

Provider Relations Management
Lisa Ciccarelli, Provider Relations Director
lisa.ciccarelli@carelon.com
412-463-1651 Phone
1-855-541-5211 Fax		 Andrea Poole, Provider Relations Manager
andrea.poole@carelon.com
781-710-2620 Phone
1-855-541-5211 Fax

 

Provider Field Coordinators

Jill Piasecki
jill.piasecki@carelon.com
412-713-0448 Phone
1-855-541-5211 Fax

All Fayette, Westmoreland and Washington providers.

*Special Assignments: Allegheny Health Network (AHN) Individual Providers and Hospitals (Alle-Kiski, West Penn, Forbes and Jefferson), Alepix Behavioral Health, Angels Light, Axiom Family Counseling Services, Centerville Clinics, Chestnut Ridge, Clear Day, Community Psychiatric Centers, Connellsville Counseling and Psychological, CPP Behavioral Health Inc., Excela Latrobe, Excela Westmoreland, Fayette County Drug and Alcohol, Fayette Treatment/Greene Treatment Center, Highlands Hospital, Monongahela Valley, PAHrtners, Pressley Ridge, Psychiatric Care Systems Inc. Southwest Behavioral Care Inc., The Care Center, The Stern Center, Washington Communities Human Services, Washington County Drug & Alcohol, Washington Health System and Wellness Recovery.

David Pino
david.pino@carelon.com
724-744-6536 Phone
1-855-541-5211 Fax


All Crawford, Mercer and Venango providers Also El k, Cameron, Clinton, Lycoming, Sullivan, Columbia, Luzerne, Carbon, Northampton, Clarion, Cambria, Northumberland, Bucks and Clearfield.

*Special Assignments: Achievement Center, Alpine Springs, Associates in Counseling and Child Guidance, CCC of Mercer, Center for Behavioral Health Family Services of NW PA, Children’s Aid Society, Crawford County Drug & Alcohol, Discovery House, Family Services & Children’s Aid, Gaudenzia, Meadville Medical, Millcreek, Oil Region, Paoletta Counseling Services, People in Need, Regional Counseling Center, Sharon Regional, and UPMC Northwest.

Ryan Hildebrand
ryan.hildebrand@carelon.com
724-744-6509 Phone
1-855-541-5211 Fax


All Armstrong and Indiana providers. Also, Ohio, Erie, Warren, Forest, McKean, Potter, Tioga, Wyoming, Lackawanna, Wayne, Pike, Fulton, York, Jefferson, Centre, West Virginia, Huntingdon, Juniata, Perry, Cumberland, Dauphin, Lebanon, Berks, Montgomery, Lancaster, Mifflin, Montour, Lehigh and Greene.

*Special Assignments: Alliance Medical Services, ARC Manor, Armstrong County Memorial Hospital, Clarion Psych, Community Guidance Center, Family Counseling Center of Armstrong, Family Psychological Associates, Firetree, Meadows Psychiatric, Pyramid, Spritlife, Twin Lakes and Unity Family Services.

Kristine Matesic
Kristine.Matesic@carelon.com
412-660-5350 Phone
1-855-541-5211 Fax


All Beaver, Butler and Lawrence providers. Also, Blair, Somerset, Franklin, Bedford, Monroe, Adams, Snyder, Schuylkill, Bradford, Susquehanna, Philadelphia, Union and Delaware.

*Special Assignments: Belmont Pines, Butler Hospital/Family Services, Community Alternative Inc., Davis Archway, Ellen Obrien, Family Pathways, Foundations, Gateway, Glade Run, Glenbeigh, Greenbriar, Heritage Valley Beaver, Heritage Valley Sewickley, Human Services Center, Merakey, Pinnacle Treatment Centers, Western Pennsylvania Psych Care and White Deer Run

Monica Olivera
Monica.Olivera@carelon.com
412-952-7192 Phone
1-855-541-5211 Fax


All Allegheny County

*Special Assignments: Jade Wellness Center, Lifecare 2.0, Pathways/Family Behavioral Resources, Southwood, Wesley Family Services, UPMC McKeesport, UPMC Western Psychiatric Hospital.

 

* Special Assignments: These are large providers or offices where our providers are employed that cross many counties. In order to promote consistency in communication and alleviate confusion, the assigned Provider Field Coordinator will be the point of contact for all Provider Relations activities regardless of county, i.e. contract/procedure code questions, program expansion and notifications of provider changes in licensure, capacity and location. Pro-active outreach is delivered to providers at the time of their re-credentialing should our local office find that the provider is not responding to our national credentialing office. In general, the Provider Field Coordinators are in the field, visiting provider offices related to these activities and other ad-hoc educational outreach. In the event that you must leave a message, please allow 48 hours for a return call for any non-emergent issue.