Mga tagabigay

Welcome to Carelon Behavioral Health’s Provider Online Services!

Member Registration Update – Coming this fall

Beginning this fall, providers will be able to complete member registration online via Availity. Providers will no longer need to email or fax forms. All available funds can be requested at the time of the registration in Availity.

To get started, log into Availity > select Kansas from the drop-down menu on the Availity homepage > select the Carelon Behavioral Health Payer Space.

Our Provider Digital Front Door is your one-stop access point for essential provider tools and resources.

Through the Provider Digital Front Door, you can access key platforms like Availity and ProviderConnect – all designed to support your day-to-day administrative and clinical needs.

With the Provider Digital Front Door, you can:

  • ***Coming fall 2025: Complete member registration via Availity
  • Check participant eligibility and benefits
  • Submit authorization requests
  • Track claim status
  • Submit appeal requests
  • Access Carelon portals through single sign-on feature
  • Submit a request to join the Carelon network

To access our Provider Digital Front Door, providers must be registered with Availity Essentials. 

Availity

Providers who are not yet registered with Availity, can learn more, and sign up today, at no charge by visiting Availity.com.

If you are an existing user, an administrator or non-administrator, you already have an Availity user account, there is no need to create a new user account.

Each office staff member who needs access to the portal should have their own unique login credentials.

If you need further assistance, contact Availity Client Services at 1-800-282-4548. Assistance is available Monday through Friday 8 a.m. – 8 p.m. ET.

ProviderConnect resources: Availity resources:

Provider User Registration Update

Good news! Providers no longer need to fax or email the ProviderConnect Online Services Account Request Form to request login credentials for ProviderConnect.

This form is currently used to:

  • Request primary user login credentials
  • Request secondary user login credentials
  • Authorize Carelon to receive and process claims electronically

You can now submit login requests using the online registration form  – no more paperwork or faxing!

This change is part of our ongoing efforts to make registration quicker and easier for you and your team.

Proseso ng Kahilingan na Alternatibong Fax - Ito ay isang demo kung paano maaaring magsumite ang isang gumagamit ng mga fax na kahilingan nang direkta sa isang klinika. Ang prosesong ito ay mas mahusay mula sa aming pananaw (mas kaunting mga tao ang kailangang hawakan ang kahilingan). Nagreresulta ang prosesong ito sa isang mas mabilis na oras ng pag-ikot para sa mga tagabigay muli sapagkat ang kahilingan ay dumadaan sa mas kaunting mga kamay at walang tanong tungkol sa kung nakuha namin ang kahilingan o hindi dahil nakakuha ka ng isang numero ng pagtatanong kapag naabot mo ang isumite. 

Here you will find a wealth of information developed specifically for you, which include ProviderConnect and links to behavioral health resources.

Kung mayroon kang anumang mga katanungan, mangyaring huwag mag-atubiling makipag-ugnay sa amin para sa tulong.

Serbisyo sa Customer ng Kansas: 1-866-645-8216