Start the application process to join our network.

If you are a participating Council for Affordable Quality Healthcare (CAQH) provider, please update your information with CAQH.  If you do not participate with CAQH, please log into ProviderConnect and select the “Update Demographic Information” option. 

Please note: Updating a Tax ID requires an accompanying W-9 form, which can be accessed and attached through ProviderConnect.

You can also update your information by fax or mail:

If you have general questions about claims, call 800-888-3944. For questions regarding claims submission addresses, please reference the member’s identification card, as the address may vary based on payment location.  

Availity Essentials is the preferred multi-payer portal of choice for submitting the following transactions: 

• Claim submissions (Direct Data Entry Professional and Facility Claims) applications or EDI using the Availity EDI Gateway 
• Eligibility and benefits 
• Claim status

For Availity-related questions, please visit the Availity Essentials website  or contact Availity Essentials client service at 800-282-4548, Monday to Friday, 8 a.m. to 8 p.m. Eastern time. 

To obtain information pertaining to your network status, contact our National Provider Services Line at 800-397-1630, Monday to Friday, 8 a.m. to 8 p.m. Eastern time. 

To reach member customer service, call the 800 number on the back of the member’s identification card. You can also call this number for questions about authorization or benefits. 

Register for Payspan to receive direct deposit of provider payments and access remittance data 24/7 by calling 877-331-7154 Monday to Friday, 8 a.m. to 8 p.m. Eastern time, or by visiting the Payspan website. 

Please fax supporting documentation, such as malpractice or insurance cover sheets, to 866-612-7795.

Reports of fraud and abuse, or suspicions thereof, can be made in writing to the following address: 

Carelon Behavioral Health
ATTN:  Special Investigations Unit 
1400 Crossways Blvd, Suite 101 
Chesapeake, VA 23320 

To file a complaint or grievance, call the 800 number on the back of the member’s identification card to speak to a customer service representative. 

Report all adverse incidents to the clinical care manager with whom you conduct reviews. 

Report all potential situations to the clinical care manager with whom you conduct reviews.