Provider resources
Supporting your success with informational resources, trainings, policies, and procedures
The strength and depth of our provider network is key to our mutual success. We support providers by offering a handbook, a primary care provider (PCP) toolkit, and web-based trainings, along other resources and materials.
Our provider resources are grouped into three categories: provider support, quality control and compliance, and forms.
Provider Support
Provider portal
The provider portal offers access to information pertinent to your profile, including claims, eligibility, benefits, and much more. A unique login is required to access this tool.
Provider handbook
The provider handbook outlines our standard policies and procedures for individual providers, affiliates, group practices, programs, and facilities.
Provider toolkit
Access the provider toolkit for guidelines, screening tools, medication information, and member materials needed for behavioral health treatments.
Provider newsletter
Our provider newsletter includes timely articles, training opportunities, regulatory updates, clinical highlights, and more.
Trainings
Trainings cover a variety of topics ranging from claim submission guidelines and provider portal support to behavioral health in youth and motivational interviewing.
Achieve Solutions
This trusted behavioral health and wellness website provides a multitude of educational materials you can share with your patients.
Quality Control and Compliance
Quality improvement
These quality improvement resources will help you comply with our requirements as well as state and federal regulations.
Telehealth
The provider handbook outlines our standard policies and procedures for individual providers, affiliates, group practices, programs, and facilities.
Compliance information
Refer to the many resources that will help you remain compliant with all local, state, and federal regulations.
Medical necessity criteria
Reviewed and updated annually, our medical necessity criteria reflect the latest developments in serving individuals with behavioral health diagnoses.
Clinical practice guidelines
Browse clinical practice guidelines and resources regarding patient-first practices and outcomes.
Forms
Forms, guides, and resources
Find all the forms, guides, tools, and other resources you need to support the day-to-day needs of your patients and office.
Request a change
Keep your data up to date to ensure your profile and our directories are accurate, and that claims, payments, and other requests are processed on time.
Payspan
Payspan offers healthcare reimbursement and payment systems that are secure, efficient, and cost-effective choices for providers and payers.
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.
