Our credentialing process fully complies with national accreditation standards and applicable state and federal laws, rules, and regulations. Our credentialing process ensures you’re part of a quality network where in-network referrals can be trusted.
You must be credentialed and approved before being added to the network. To remain in the network, you must follow a re-credentialing approval process every three years or the period required by state laws or regulations.
Council for Affordable Quality Healthcare (CAQH) participating providers:
To eliminate the need to submit multiple credentialing applications, we participate in the CAQH.
If you’re registered with CAQH, please add Carelon Behavioral Health as one of the organizations authorized to access your information and also ensure your attestation is current. If you’re not registered with CAQH, visit CAQH.org to set up an account and complete an application.
For answers to your questions regarding the CAQH application or website, call the CAQH Support Desk at 888-599-1771, Monday to Friday, 8 a.m. to 8 p.m., Eastern time.
Non-CAQH participating providers:
If you're not a CAQH-participating provider, we encourage you to contact our National Provider Services Line at 800-397-1630 for further instruction.
Contact our National Provider Services Line at 800-397-1630 for further instruction or to check the status of your credentialing request.
Please note that you must be approved through the credentialing process and obtain a countersigned contract before seeing patients as an approved network provider.
To check your status, please use the secure link provided in the email you received during enrollment.