Massachusetts
Behavioral Health Policy and Procedure Manual for Providers
Contact information:
Carelon Behavioral Health
500 Unicorn Park Drive
Woburn, MA 01801
Phone: 888-421-8861
Fax: 781-994-7600
TTY: 711
Monday to Friday, 8 a.m. to 6 p.m. Eastern time
Carelon Behavioral Health provides clinical staff coverage 24 hours day, 7 days per week, 365 days per year to respond to all member and provider calls, for emergent and urgent care.
Fallon Health Plan Provider Relations Department
866-275-3247
askfchp@fallonhealth.org
Electronic data interchange (EDI) Coordinators
866-275-3247, option 6
edi.coordinator@fallonhealth.org
Please contact FCHP to get information on the following important topics:
- How to change your primary care doctor.
- How to get a referral to specialty care.
- How to appeal a health plan decision.
- How to issue a complaint.
- What benefits and services are included in, and excluded from your coverage, including pharmacy and how to request changes to these benefits.
- Co-payment information.
- Getting care when you are away from home, or after office hours.
- How to get reimbursed for an out-of-pocket expense for covered services.
- How your health plan evaluates new technology for inclusion as a covered benefit.
Senior Care Options 2023 Model of Care Training
Senior Care Options 2023 Model of Care Attestation
Behavioral Health Policy and Procedure Manual for Providers
Contact information:
Carelon Behavioral Health
500 Unicorn Park Drive
Woburn, MA 01801
Phone: 855-833-8125
Fax: 781-994-7600
TTY: 711
Monday to Thursday, 8:30 a.m. to 6:00 p.m and Friday: 8:30 a.m. to 5:00 p.m. Eastern time
Carelon Behavioral Health provides clinical staff coverage 24 hours per day, 7 days per week, 365 days per year to respond to all member and provider calls, for emergent and urgent care.
Provider referrals, authorization, or clinical matters: 866-444-5155
Provider relations: 781-994-7556 or Provider.relations@carelon.com
Claims: 888-249-0478
Fax: 781-994-7639
Behavioral Health Policy and Procedure Manual for Providers
Contact information:
Carelon Behavioral Health
500 Unicorn Park Drive
Woburn, MA 01801
Phone: 888-217-3501
Toll-Free: 877-957-5600
Fax: 781-994-7600
TTY: 711
Carelon Behavioral Health provides clinical staff coverage 24 hours per day, 7 days per week, 365 days per year to respond to all member and provider calls, for emergent and urgent care.
Today we are Carelon Behavioral Health, but when some of these materials were developed, we were Beacon Health Options.
