Massachusetts
Behavioral Health Policy and Procedure Manual for Providers
Contact information:
500 Unicorn Park Drive
Woburn, MA 01801
Phone: 888-421-8861
Fax: 781-994-7600
TTY: 711
Monday - Friday, 8 a.m. to 6 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.
Fallon Health Plan Provider Relations Department
1-866-275-3247
askfchp@fallonhealth.org
EDI Coordinators
(Electronic data submission and Provider Tools inquiries)
1-866-275-3247, 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.
Behavioral Health Policy and Procedure Manual for Providers
Contact information:
500 Unicorn Park Drive
Woburn, MA 01801
Phone: 1-855-833-8125
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.
Monday to Thursday, 8:30 a.m. to 6:00 p.m.
Friday: 8:30 a.m. to 5:00 p.m.
For BMCHP SCO members: 1-855-833-8125
For provider referrals, authorization or clinical matters: 1-866-444-5155
For provider relations: 781-994-7556 or Provider.relations@carelon.com
For claims: 1-888-249-0478
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: MassHealth: 888-217-3501
Toll-Free: QHP: 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.
