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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!

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Provider Portals (Claims Submission and More!)

可用性

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信息和资源

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

我们全面 提供者手册 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.

有关特定于网络的有关索赔和计费，提供商注册，质量管理以及提供商和员工可能非常有用的其他材料的信息，请访问 供应商信息中心.

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 或通过电子邮件发送至 pawebmaster@carelon.com 寻求帮助。

Carelon mailing address (PA Medicaid Behavioral Health Only):
Carelon
邮政信箱1840
蔓越莓镇，宾夕法尼亚州16066-1840