Powered by technology
Carelon Behavioral Health provides an administrative services organization (ASO) product nationwide. We combine cutting-edge technology with industry best practices and strong provider partnerships to offer fast and reliable data, claims processing, and infrastructure solutions.
CONNECTS, our powerful claims processing system, is built to handle complex Medicaid and grant-funded programs. Updates happen in real time, reducing burdensome administrative paperwork.
Proprietary advancements in claims processing, adjudication logic, and encounter management ensure prompt payment. Process automation and machine learning reduce the need for manual intervention and improve claim turnaround time.
Guided by expertise
When you partner with Carelon Behavioral Health, you benefit from decades of claims experience. We’ll handle time-intensive administrative services so providers can focus on delivering quality care to their patients. Our comprehensive services include:
- First level appeals.
- Processing and payment of claims.
- Regulatory and client reporting.
- Actuarial services and pricing.
- Data management.
- Provider capacity development, communication, and training.
- Service authorizations, access, and utilization.
- Quality and outcomes management.
Fast and accurate claims processing
99%
claims accuracy
86%
claims turned around within 14 days
98%
claims turned around within 30 days
