New provider:
To start the application process, complete our online form. Be sure to choose option #1 if you are a solo practitioner or #2 if you are applying for a group practice under provider type.

New facility: 
Start the application process as a new facility by completing our Request for Application Facility Form.

Please return the completed form, including the Terms and Conditions, via fax to 888-643-4396

Currently participating providers:
If you are a participating practice and would like to add a new provider, complete our online form. Be sure to choose option #3 if you’d like to join an in-network group or #4 if you are a participating practitioner that has relocated to a new state.

For all applications:
Incomplete, incorrect, or illegible forms may delay or prevent proper processing. If you have any questions, call our National Provider Services Line at 800-397-1630 Monday to Friday, 8 a.m. to 8 p.m. Eastern time. 

New provider: 
Once you've completed and submitted your request for participation, and we've confirmed that you meet eligibility requirements, we will send the contract through our secure application to the email you used to register.  

Please review and sign your contract. Once we've received your signed contract, you’ll need to get credentialed.  

New facility: 
Once you've completed and submitted your request for participation, and we've confirmed that you meet eligibility requirements, one of our contract associates will reach out to you.  

Currently participating providers: 
If you are a provider joining a group with a participation agreement, you will not receive a contract directly. Instead, you'll be added to the existing agreement once you've been approved for credentialing.  

Our credentialing process fully complies with national accreditation standards and applicable state and federal laws, rules, and regulations. Our credentialing process ensures you are 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 are registered with CAQH, please add Carelon Behavioral Health as one of the organizations authorized to access your information and ensure your attestation is current. If you are not registered with CAQH, visit CAQH.com to set up an account and complete an application.   

Call the CAQH help desk at 888-599-1771, Monday to Friday, 8:30 a.m. to 6:30 p.m., Eastern time for answers to your questions regarding the CAQH application or website.

Non-CAQH participating providers: 
If you are not a CAQH-participating provider, we encourage you to contact our National Provider Services Line at 800-397-1630 for further instruction. 

Facility:
Contact our National Provider Services Line at 800-397-1630 for further instruction.  

Please note that you must be approved through the credentialing process and have 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. You can also check by calling our National Provider Services Line at 800-397-1630.  

After we receive your signed contract and you've completed the credentialing process, we’ll let you know if you meet the eligibility requirements to join our network.

You'll receive a welcome letter with your network effective date if accepted. 

Once you are part of the Carelon Behavioral Health family of providers, it's time to get connected with us. We strongly encourage you to use all available electronic options to help ensure the timeliness, accuracy, and security of claims-related information. You'll also find ways to stay connected by subscribing to our Provider Newsletter.