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ATTENTION PROVIDERS: The contact information below is for Pennsylvania Medicaid Behavioral health only. Please refer to the information on the back of the member’s insurance card for contact information if outside of Pennsylvania Medicaid Behavioral Health.

Provider Orientation

Carelon of PA is committed to helping providers succeed in serving our members. As part of this commitment, orientation sessions are offered to help educate providers and staff on the resources and information available on our PA website. Knowing what resources are accessible to you is important to us, and we understand that this can be difficult to navigate without a guiding hand.

Orientation sessions are open to all providers, whether newly credentialed or already established in our network. Participation is encouraged for anyone who feels they would benefit from this knowledge. Sessions offer a good opportunity for new staff to orient themselves to Carelon and our processes. If you are interested in attending a provider orientation session, please contact your Provider Relations Representative.

Welcome to Carelon Provider Online Services!

메일링 리스트에 가입하세요. 전자 제공자 알림 및 공지 사항을 수신하도록 등록하십시오.
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Provider Portals (Claims Submission and More!)

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Availity Essentials is Carelon’s new preferred provider portal! Through Availity, providers are able to submit claims, check member eligibility, access the authorization dashboard and more, all through a single sign-on linked to our legacy provider portal called ProviderConnect. As the capabilities are expanding through Availity Essentials, ProviderConnect remains available.


ProviderConnect

ProviderConnect is our legacy portal, it also allows you to submit and check claims status, check member eligibility, update your provider profile, request inpatient and outpatient authorizations and more. ProviderConnect is easy to use, secure and available 24/7.

ProviderConnect 정보 및 리소스

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To better serve HealthChoices members, Carelon remains committed to providing education, information, and resources for providers.

우리의 포괄적 인 제공자 매뉴얼 provides a quick reference for most questions including a detailed program overview, claim and billing information, and important forms providers use on a daily basis. Here you will be able to find details on each departmental area managed by within the Carelon engagement center.

청구 및 청구, 공급자 등록, 품질 관리 및 공급자와 직원이 매우 유용하다고 생각할 수있는 기타 자료에 대한 네트워크 별 정보를 보려면 다음을 방문하십시오. 제공자 정보 센터.

Once again, welcome to Carelon Health of Pennsylvania (A Behavioral HealthChoices MCO) Provider Online Services. If you have any questions, please don’t hesitate to contact our team at 1-877-615-8503 또는 이메일로 pawebmaster@carelon.com 도움을 위해.

Carelon mailing address (PA Medicaid Behavioral Health Only):
Carelon
사서함 1840
크랜베리 타운십, PA 16066-1840