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- If you are a provider contracted with Fallon Total Care (FTC) , please
click
HERE to register.
- If you already have an e-Services account for another health plan managed by
Carelon Behavioral Health, you will need to create another e-Services account, with a new username,
specific to the Fallon Total Care membership. (We are not able to link the accounts
at this time, as the network is contracted by Fallon Total Care).
- Using e-Services you will be able to submit requests for authorization for Psychological
Testing, Methadone Maintenance, Day Treatment, and Detox.
- The Outpatient Review form is not available here because authorization is not required
for Fallon Total Care members for Outpatient services provided by in network providers.
- Please note that Carelon Behavioral Health does not pay claims on behalf of Fallon Total Care members.
All claims for Fallon Total Care members should be directed to:
Fallon Health, 10 Chestnut Street, 1 Chestnut Place, Worcester, MA 01608-2898
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Register
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- If you are a provider contracted with Blue Cross Blue Shield of Rhode Island (BCBSRI)
and would like to use eServices for performing, please click HERE to register.
- Using the Provider eServices, you will be able to perform Notice of Admissions (NOA)
as well as submit and print discharges summaries.
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Register
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- If you are a provider participating in the New York Care Coordination Program (NYCCP),
the New York Western Region - Regional Behavioral Health Organization, please click
HERE
to register.
- Using the Provider eServices, you will be able to perform Notice of Admissions (NOA),
submit and print discharges summaries, get member profile data and submit SED data.
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Register
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- If you are a provider contracted with Virginia Premier, please
click
HERE to register.
- If you already have an e-Services account for another health plan managed by
Carelon Behavioral Health, you will need to create another e-Services account, with a new username,
specific to the Virginia Premier membership. (We are not able to link the accounts
at this time, as the network is contracted by Virginia Premier).
- Using e-Services you will be able to submit requests for authorization for Psychological
Testing, Methadone Maintenance, Day Treatment, and Detox.
- The Outpatient Review form is not available here because authorization is not required
for Virginia Premier members for Outpatient services provided by in network providers.
- Please note that Carelon Behavioral Health does not pay claims on behalf of Virginia Premier members.
All claims for Virginia Premier members should be directed to: Virginia Premier
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Register
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