Carelon’s Quality Management and Medical Affairs staffs are based at the Pennsylvania Engagement Center and operate under the tenets of the Quality Management Program. The Management Information Systems (MIS) staff is housed here as well and is primarily responsible for all internal and external reporting deliverables. Finally, Carelon’s management, senior management, and financial staff are all located in the Pennsylvania Engagement Center.
Provider Relations Staff | Fax Numbers | Member Toll-Free Numbers
- Address: 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 the process: 877-615-8503
- Eligibility Verification System (EVS): 800-766-5387
- Carelon Behavioral Health Web Site Address: www.carelonbehavioralhealth.com
- E-Support (EDI) Help Line: 888-247-9311 or
eServices@carelon.com - Automated Fax Back Service for Provider Summary Vouchers:
866-409-5958 - PaySpan Health Customer Service Support Phone Number:
877-331-7154 - Availity Client Services:
1-800-282-4548 between the hours of 8:00 a.m. and 8:00 p.m. EST, Monday through Friday.
Member Toll-Free Numbers
Member County Toll-Free Numbers — Members only, please
If you do not speak English, please call your County’s toll-free member line and staff will be able to assist you.
County | Phone number |
---|---|
Armstrong | 877-688-5969 |
Beaver | 877-688-5970 |
Butler | 877-688-5971 |
Crawford | 866-404-4561 |
Fayette | 877-688-5972 |
Indiana | 877-688-5969 |
Lawrence | 877-688-5975 |
Mercer | 866-404-4561 |
Venango | 866-404-4561 |
Washington | 877-688-5976 |
Westmoreland | 877-688-5977 |
PA Relay | 711 |
Fax Numbers
Fax Numbers by Department
Department | Fax Number |
---|---|
Pennsylvania Medicaid – Beaver Office | 855-589-1258 |
Pennsylvania Medicaid – Clinical – SCA | 855-439-2446 |
Pennsylvania Medicaid – Crawford Office | 855-589-1259 |
Pennsylvania Medicaid – Customer Service | 855-439-2443 |
Pennsylvania Medicaid – Family Based | 855-439-2442 |
Pennsylvania Medicaid – Mercer Office | 855-439-2448 |
Pennsylvania Medicaid – Network Operations | 855-541-5211 |
Pennsylvania Medicaid – Outpatient Authorizations | 855-439-2444 |
Pennsylvania Medicaid – Peer Office/Grievances | 855-439-2445 |
Pennsylvania Medicaid – Provider Relations | 855-541-5211 |
Pennsylvania Medicaid – Quality Management | 855-287-8491 |
Pennsylvania Medicaid – Venango Office | 855-589-1260 |