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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’s) website www.carelonbehavioralhealth.com . “eServices” is a Carelon Behavioral Health Strategies 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 Strategies. 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 Strategies 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 Strategies’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 Strategies 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 Strategies, 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 Strategies and have no authority to represent Carelon Behavioral Health Strategies 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 Strategies. 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 Strategies 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 Strategies 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 Strategies’s eServices.
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