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eServices Terms and Conditions
These Terms and Conditions apply to the process of obtaining User Accounts and Passwords
for accessing “eServices” and for accessing “eServices” on Carelon Behavioral Health Strategies’
( Carelon Behavioral Health’s) website www.carelonbehavioralhealth.com
. “eServices” is a Carelon Behavioral Health Internet application, available to contracted providers
serving enrolled members of our customer health plans. “eServices” is designed to
enable easy and secure access to a host of clinical, administrative and patient
information to perform business transactions with Carelon Behavioral Health. Utilizing “eServices”,
providers will be able to verify Plan member eligibility, submit authorization requests
and see/print authorization status, submit claims, view and print claims status
among other functions.
Carelon Behavioral Health is making the features on the “eServices” portion of its website available
to you as an authorized representative ("User" or "You") of a contracted health
care provider rendering services to Carelon Behavioral Health’s covered members. In using “eServices”,
you will be allowed access to certain confidential and individually identifiable
protected health information (hereinafter "Protected Health Information"). In exchange
for such access, you agree to take certain precautions, comply with certain practices,
and implement certain procedures required by applicable law and Carelon Behavioral Health for the purposes
of guarding data integrity and safeguarding the confidentiality of Protected Health
Information as specifically described below.
User's Responsibilities and Obligations
- By registering herein, you agree that you have the legal authority, right and ability
to agree to these “eServices” terms of use and that you will use www.carelonbehavioralhealth.com
in a manner consistent with the website and “eServices” terms of use. You represent
that you have the right to access information about yourself or the health plan
members as the treating provider or his/her designee. You further agree that you
will comply with all applicable laws and regulations and that you will maintain
the confidentiality of any information you access through this website. You agree
that you will protect the integrity, confidentiality and availability of all electronically
transmitted or electronically maintained Protected Health Information exchanged
through this website as required by any applicable laws or regulations.
- You agree not to use or further disclose Protected Health Information in a manner
that, if undertaken by Carelon Behavioral Health, would violate the requirements of the HIPAA Privacy
Regulations.
- You agree to not use or further disclose Protected Health Information other than
as permitted or required by this Agreement. You agree to use appropriate safeguards
to prevent any use or disclosure of Protected Health Information that is not permitted
under applicable law.
- Your user name and password are intended to protect the Protected Health Information
of the health plan’s members and yourself. You are responsible for keeping your
user name and password confidential and you hereby agree that you will not disclose
your user name or password to others. You agree that you will be solely responsible
for all activity or transactions that are tracked to your user name and password
through this website.
- You acknowledge that you are acting as an independent contractor, and you are not
an agent of Carelon Behavioral Health and have no authority to represent Carelon Behavioral Health as to any matters.
Changes, Updates, Governing Law
These terms of use may change from time to time, and changes will be posted on this
website so that you will always be aware of our terms of use. By using the "eServices"
sections of www.carelonbehavioralhealth.com
or performing any of the activities described above after changes have been made
to these terms of use, you are agreeing to accept these changes. You may not amend
or modify these terms of use without prior written agreement from Carelon Behavioral Health. The laws
of your respective state shall govern these terms of use. You agree to submit to
the exclusive jurisdiction of the courts in your respective state and waive any
jurisdictional venue or inconvenient forum objections to such court.
Termination
Carelon Behavioral Health may terminate these terms of use, any rights granted to you hereunder and
your access to the eServices on www.carelonbehavioralhealth.com at any time, with or without cause, without
notice and without penalty. It is the contracted provider’s responsibility to inform
Carelon Behavioral Health of any changes in employee status of staff members who have eServices usernames
and passwords.
Unauthorized Use/Misuse
Unauthorized entry (commonly referred to as hacking) into any portion of www.carelonbehavioralhealth.com,
or misuse (for fraudulent, malicious and/or deceptive purposes) may constitute crimes
under state and/or federal law. Any such violations will be pursued and prosecuted
to the fullest extent permitted by law. Use of eServices usernames and passwords
belonging to other staff members will result in termination of the eServices account.
In order to protect Personal Health Information of members and maintain the integrity
of eServices, under no circumstances is sharing of usernames and passwords permitted
to access Carelon Behavioral Health’s eServices.
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