Provider handbook

Our provider handbook was created with you in mind. Here, you will find information on our standard policies and procedures, guidelines for clinical utilization management, medical necessity criteria, claim submission guidelines, and more. We strive to make working with us easy so that you can focus on providing excellent patient care.   

Providers are encouraged to carefully review this handbook as well as their state-specific handbook to verify which policies and procedures apply to them. 

If you have questions, comments, and suggestions regarding this handbook, please call our National Provider Services Line at 800-397-1630, Monday to Friday, 8 a.m. to 8 p.m. Eastern time. 

Carelon Behavioral Health provider handbook

This handbook is an extension of the provider agreement and includes everything you need to know about doing business with us.

Carelon Behavioral Health provider handbook

This handbook is an extension of the provider agreement and includes everything you need to know about doing business with us.

Handbook appendices

State-specific resources

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Access important, day-to-day forms, guides, tools, and handbooks.

Find your state

Questions? We're here to help.

Whether you have a question or are interested in learning more about how we can best support you, please call our National Provider Services Line at 800-397-1630, Monday to Friday, 8 a.m. to 8 p.m. Eastern time.

Join the Carelon Behavioral Health provider network

Please submit an application today to get started.