Providers Home | Carelon Health of Pennsylvania

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.

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ProviderConnect

Login or register with ProviderConnect, an online tool that 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 Information and Resources

In the Spotlight

Order Free At-Home COVID-19 Test Kits
Achieve Solutions^®
Medical Assistance Transportation Program Information (including methadone mileage reimbursement protocols and exception process)
The ASAM Portal, Carelon’s hub for all ASAM-related information for Substance Use Disorders (SUD) providers.

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

Our comprehensive Provider Manual 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.

For network-specific information regarding claims and billing, provider enrollment, quality management and other materials that providers and staff may find very useful, visit the Provider Information Center.

Once again, welcome to Carelon Provider Online Services. If you have any questions, please don’t hesitate to contact Carelon at the Toll-Free Provider Line at 1-877-615-8503 or by email at pawebmaster@carelon.com for assistance.

Carelon mailing address (PA Medicaid Behavioral Health Only):
Carelon
P.O. Box 1840
Cranberry Township, PA 16066-1840