What we handle
- Identify whether Carelon administers the behavioral benefit for the plans your clients carry
- Provider application, CAQH alignment, and practice-location details
- Group roster adds for new clinicians
- Follow-up until the clinician is approved, denied, or waitlisted
- Correct payer IDs passed to billing so the first claim is not sent to the medical plan by mistake
How this differs from UnitedHealthcare and Optum
Optum is a separate network with its own application. Carelon shows up on employer and Medicaid plans that never mention Optum. If the card says the medical plan but behavioral claims route to Carelon, enrolling only the medical payer will not get therapy visits paid.