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Carelon Behavioral Health

Carelon Behavioral Health

This page contains information you can use to exchange healthcare transactions with Carelon Behavioral Health using Stedi.
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Use any of the following payer IDs to send transactions to Carelon Behavioral Health using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
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EIN
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Carelon Behavioral Health using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Carelon Behavioral Health.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Carelon Behavioral Health to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Not supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to Carelon Behavioral Health in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Carelon Behavioral Health and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Carelon Behavioral Health and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Carelon Behavioral Health to review full payment details.
Enrollment process type
Multi-step
Activation timeframe
Hours
Not supported

Dental claims

(837D)
Submit dental claims to Carelon Behavioral Health and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Carelon Behavioral Health.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Carelon Behavioral Health and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Carelon Behavioral Health today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • Beacon Health Strategies
  • Elevance Health
  • ValueOptions Commercial
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