Request changes to your provider profile

To change your business name or update your contact information use one of the following methods:

• CAQH (our preferred method)
  • Participating CAQH providers: Log in to your CAQH ProView  
  • New users: Register for CAQH ProView 
     
• The Carelon Provider Portal
  • Log in to our Provider Portal 
  • Select “Update Demographic Information”
     
• National Provider Service Line
  • Call the Carelon National Provider Service Line at 800-397-1630, Monday to Friday, 8 a.m. to 8 p.m. Eastern time.
     

Note: Updating a Tax ID requires an accompanying W-9 form.  The W-9 can be submitted via the provider portal as an attachment.  Providers without access to the provider portal can contact the National Provider Service Line for assistance in submitting a W-9.

To correct an error in our provider directory, use one of the following methods:

• CAQH (our preferred method)
  • Update your information using CAQH ProView 
     
• The Carelon Provider Portal
  • Log in to our Provider Portal 
  • Select “Update Demographic Information”
     
• National Provider Service Line
  • Call the Carelon National Provider Service Line at 800-397-1630, Monday to Friday, 8 a.m. to 8 p.m. Eastern time.

If you are not accepting new patients, complete the Practice is Full Form Statement and fax it to 866-612-7795.

Our provider services representatives will assist you with this request. Please call our National Provider Service Line at 800-397-1630, Monday to Friday, 8 a.m. to 8 p.m. Eastern time.  

Complete the Leave of Absence form and fax it to 866-612-7795.

Our provider services representatives will assist you with this request. Please call our National Provider Service Line at 800-397-1630, Monday to Friday, 8 a.m. to 8 p.m. Eastern time.