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 |
*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 |
*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 |
*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 |
*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.