Contact Us

• Toll-free number: 1-800-888-1965
• Example inquiry reasons:
  • Appeals Receipt Inquiry
  • Appeals Status/Education
  • Claim Receipt Inquiry
  • Claim Processing/Payment Status
  • Request for Claim Reprocessing/Adjustment
  • Claim Escalation/Complex Claim
  • Complaints
  • Authorization Status
  • Participant Eligibility Verification
  • Request for After Hours Admit Reference Number (After Hours)

• TBD
• *Fax is to be used only for compliance documents, escalation and some faxed claims.

• How to contact: 1-800-888-1965
• If your claim was denied for no pre-authorization, please submit supporting documentation, clinical data, etc. via the provider portal or mailed to ATTN: Provider Claim Appeals P.O. Box 1856 Hicksville, NY 11802-1856, or call 1-800-888-1965 if you have any questions. You can also email us at Provider.Relations.MD@carelon.com

• How to contact:
  • 1-800-282-4548
  • Monday – Friday
  • 8 am -8 pm
• Example inquiry reasons for contacting this email address:
  • Issues with uploading 837s into the Availity Portal
  • Technical questions about batch authorizations and/or claims submissions
• When contacting Availity, please have the following information along with your provider issue:
  • Full name
  • Organization name
  • TIN
  • NPI for level of care related to this inquiry
  • Direct phone number (please include extension if applicable)
  • Any batch or file number

• How to contact: EDI phone number: 1-800-888-1965 Press 1 for English, then 3 for Provider, then 7 for EDI / Hours: 8 a.m. – 6 p.m. ET
• Example inquiry reasons for contacting this phone number:
  • Questions related to single authorization and/or claim submissions
  • Questions related to accessing the Provider Connect Portal
  • Provider Connect Portal password resets
• When contacting this phone number please have available the following information:
  • Provider Connect Username
  • Your full name
  • Organization name
  • Direct phone number (please include extension if applicable)
  • Email address
  • NPI for level of care related to this inquiry

• How to contact: Provider.Relations.MD@carelon.com
• Example inquiry reasons for contacting this email address:
  • Provider Council Meeting questions
  • Assistance with MDH’s provider enrollment
  • Assistance navigating the eligibility, pre-authorization process and claims payment process
  • Assistance in determining whether services proposed are eligible for reimbursement under Medicaid/BHA
  • Help resolving claims problems and open issues
  • Questions about the grievance and appeals processes for providers
  • Assistance with completing and understanding authorization requirements
• When contacting this email address, please include the following information in the body of the email alongside your issue:
  • Full name
  • Organization name
  • Email address
  • TIN
  • NPI for level of care related to this inquiry
  • Direct phone number (please include extension if applicable)
  • Claim or authorization number(s)

• If your claim was denied for no pre-authorization, please submit supporting documentation, clinical data, etc. via the Provider Digital Front Door or by mail

• Mail Inquiries
  Carelon Behavioral Health
  ATTN: Provider Claims Appeals
  P.O. Box 1856
  Hicksville, NY 11802-1850

• You can also email us at Provider.Relations.MD@carelon.com

*We recommend providers to only send inquiries to the appropriate designated email address to ensure that Carelon Maryland efficiently serves you. Please note that submitting inquiries to an email address not designated for a specific issue may delay a response.

We look forward to serving you!