Behavioral Health Prior Authorizations
Parkland Community Health Plan has contracted with Carelon Behavioral Health (Carelon) to administer the behavioral health benefits for our PCHP Texas STAR Medicaid & CHIP members.
The information below is provided as resource material to assist you in learning about Carelon.
Provider Network Resources
- Learn more about provider contracting with Carelon at carelonbehavioralhealth.com/providers/join-our-network
- Carelon Provider Portal Information
- Key Functions:
- Submit Claims and/or Pre-authorizations
- Check Claim or Pre-authorization status
- Correct Claims
- Submit Grievances and Appeals
- View provider related documents
- Review remittance advice - EOP
- View Member eligibility /plan benefits and grids
- Access fee schedules
- Note: The fee schedule indicates if Prior Authorization is required for a procedure.
- Key Functions:
- Provider Services Contact information
- 1-800-945-4644; available Monday through Friday from 8:00 a.m. - 5:00 p.m. (CST), excluding observed holidays
- TexasProviderRelations@carelon.com
Prior Authorization
- Phone 1-800-945-4644
- Fax 1-781-994-7111
Claims Information
- Electronic Payer ID: BHOVO
- Carelon Forms and Guides
- For general claim inquiries, please call 1-800-888-3944
- For providers who are unable to submit a claim electronically, paper claims should be mailed to:
Carelon Behavioral Health
PO Box 1866
Hicksville, NY 11802 - Submit claims via the portal: https://www.carelonbehavioralhealth.com/providers/resources/provider-portals
Member Services
- To learn about PCHP’s member behavioral health benefits, get assistance finding a behavioral health provider or learn about other important behavioral health supports and resources available through Carelon, please call 800-945-4644 or visit carelonbehavioralhealth.com
- Find a provider: https://plan.carelonbehavioralhealth.com/find-a-provider/
