Carelon Health Of Pa Billing Guidelines

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Carelon-Billing-Guide Carelon Health of Pennsylvania

(5 days ago) WEBCarelon. P.O. Box 1840 Cranberry Township, PA 16066-1840 [email protected] Provider Toll Free Number: 877-615-8503 Eligibility Verification System (EVS): 800-766-5387 E-Support (EDI) Help Line: 888-247-9311 or [email protected] Automated …

https://pa.carelon.com/carelon-billing-guide/

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Carelon Health of Pennsylvania

(3 days ago) WEBAbout Us. Since 1999, Carelon has managed behavioral health services as part of the HealthChoices program. Carelon manages behavioral health services for Medical …

https://pa.carelon.com/

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Provider Handbook Carelon Behavioral Health

(7 days ago) WEBProviders 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, …

https://www.carelonbehavioralhealth.com/providers/resources/provider-handbook

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6 – Claim Filing Requirements Carelon Health of Pennsylvania

(7 days ago) WEBCLAIM FILING REQUIREMENTS. All claims must be submitted within ninety (90) days of the discharge date or date of service. However, we encourage providers to submit …

https://pa.carelon.com/providers/provider-manual/6-claim-filing-requirements/

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1 – Welcome Carelon Health of Pennsylvania

(9 days ago) WEBYour adherence to the guidelines presented in this manual will assist Carelon in providing you with timely service authorizations and claims reimbursement. Should you have any …

https://pa.carelon.com/providers/provider-manual/1-welcome/

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6 – Third Party Liability (TPL) Carelon Health of Pennsylvania

(7 days ago) WEBTHIRD PARTY LIABILITY. Providers must exhaust all avenues of other insurance coverage and payment prior to billing for covered services. When a decision regarding …

https://pa.carelon.com/providers/provider-manual/6-third-party-liability-tpl/

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Forms and Guides Carelon Behavioral Health

(6 days ago) WEBWhether 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 …

https://www.carelonbehavioralhealth.com/providers/forms-and-guides

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3 – Special Procedures Carelon Health of Pennsylvania

(Just Now) WEBSPECIAL PROCEDURES. All outpatient psychological and neuropsychological testing services require preauthorization and peer review. Providers must complete and submit …

https://pa.carelon.com/providers/provider-manual/3-special-procedures/

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For Providers Carelon Health - CareMore

(3 days ago) WEBFor more than 30 years, we’ve been a leader in providing whole-person care to patients with Original Medicare, Medicare Advantage, Medicaid, or group and private health plans. …

https://www.carelonhealth.com/for-providers

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Carelon Clinical Guidelines and Pathways

(6 days ago) WEBThe Guidelines and Pathways are designed to evaluate and direct the appropriate utilization of certain health care services. They are based on data from peer-reviewed …

https://guidelines.carelonmedicalbenefitsmanagement.com/

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Carelon Behavioral Health

(7 days ago) WEBAbout Carelon Behavioral Health . While Carelon Behavioral Health, Inc. is licensed in numerous states as a third-party administrator and/or utilization review agent …

https://www.carelonbehavioralhealth.com/content/dam/digital/carelon/pdf/Carelon%20Behavioral%20Health%20Provider%20Handbook.pdf

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Clinical Practice Guidelines Carelon Behavioral Health

(8 days ago) WEBResources that promote people-first practices and outcomes. In recent years, developing clinical practice guidelines has undergone significant re-evaluation by national …

https://www.carelonbehavioralhealth.com/providers/resources/clinical-practice-guidelines

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Contact Us Carelon Health of Pennsylvania

(4 days ago) WEBAddress: P.O. Box 1840, Cranberry Township, PA 16066-1840. Provider Toll Free Number: 877-615-8503. Out of Network Providers, please call the Provider Service Line to initiate …

https://pa.carelon.com/contact-us/

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Carelon Guidelines MSK Level-of-Care

(5 days ago) WEBThe Guidelines do not address coverage, benefit or other plan specific issues. Applicable federal and state coverage mandates take precedence over these clinical guidelines. If …

https://providers.carelonmedicalbenefitsmanagement.com/160/wp-content/uploads/sites/37/2020/09/Carelon_Guidelines_MSK_Level-of-Care.pdf

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Telehealth Carelon Behavioral Health

(Just Now) WEBWe'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 …

https://www.carelonbehavioralhealth.com/providers/resources/telehealth

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Current Sleep Guidelines Carelon Clinical Guidelines and Pathways

(1 days ago) WEBThe guidelines do not address coverage, benefit or other plan specific issues. Applicable federal and state coverage mandates take precedence over these …

https://guidelines.carelonmedicalbenefitsmanagement.com/current-sleep-guidelines/

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Log In or Register Carelon

(3 days ago) WEBOffered through Carelon Medical Benefits Management. (Formerly AIM Specialty Health) Provider portal. Submit a new case for prior authorization, or check on an existing one. …

https://www.carelon.com/sign-in-or-register

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Modifiers - Carelon Behavioral Health

(7 days ago) WEB*Carelon Behavioral Health follows the rates as outlined on the TMHP website AH Clinical Psychologist 100% U6 Psychiatrist 100% U7 PA's 92% SA Nurse Practitioner …

https://www.carelonbehavioralhealth.com/content/dam/digital/carelon/cbh-assets/documents/tx/provider-billing-faqs.pdf

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