Request changes to your provider profile

To maintain accurate records and keep operations running smoothly, it is crucial that you regularly review your information and notify us as soon as there is a change. Keeping your data up to date ensures that your provider profile and our provider directories are accurate, and that claims, payments, and other requests are processed on time.  

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

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)
  • The Carelon Provider Portal
  • 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.  

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. 

Please call our National Provider Service Line at 800-397-1630, Monday to Friday, 8 a.m. to 8 p.m. Eastern time. 

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.