GENERAL:
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Who can use eServices?
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All contracted providers are eligible to use eServices through Carelon Behavioral Health’s eServices
website at https://provider.beaconhealthoptions.com
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Do I need special software?
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No special software is required to use eServices.
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What functions can I perform on eServices?
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Carelon Behavioral Health’s eServices offers providers a host of clinical and administrative tools
aimed at allowing providers easier more efficient access to Carelon Behavioral Health:
- Verify member eligibility
- Request authorizations
- Check the status of authorizations
- Submit claims
- Check the status of claims
- Print EOBs and other reports
- Change practice information
- View or print claim performance reports.
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How do I sign up for eServices?
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You may sign up for eServices online at the eServices website at https://provider.beaconhealthoptions.com. Alternatively, the link can
be found on our homepage at
www.carelonbehavioralhealth.com. The process is quick and easy
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What are the benefits of eServices?
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There are many benefits to using eServices. Providers are able to access eServices
24 hours a day/ 7 days a week at a time convenient for you.
Providers using eServices for claim submission have a higher claim approval rate
due to fewer errors in claim submission. There is also a reduction in administrative
costs associated with paper claims and postage. Authorization requests submitted
via eServices will be given preference over those submitted on paper.
See our eServices page on
www.carelonbehavioralhealth.com to find out about all of the benefits to
providers who use eServices.
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Who can I contact for a problem with eServices?
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You may call our eServices Help Line at (866) 206-6120 or email us at
BehavioralHealth_eServices@carelon.com.
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Am I eligible for EDI?
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Carelon Behavioral Health accepts standard HIPAA 837 Professional and Institutional health care claims
transactions as well as provides 835 transactions to providers in return. Download
Carelon Behavioral Health Strategies’s 837 and 835 companion guides from https://www.carelonbehavioralhealth.com/providers/resources/provider-portals
for information regarding testing and setup of EDI transactions with Carelon Behavioral Health Strategies. Technical
and business related questions regarding EDI can be directed to
BH_EDI.Operations@carelon.com.
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Is there a user manual for eServices?
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Yes - you may view or print a copy by clicking here:
eServices Manual
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USER ACCOUNT ADMINISTRATION:
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What if I lost my password?
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As with all secure log in information, you should keep your username and password
in a secure place. Should you forget your password, simply click the “Forgot your
password?” link on the eServices login page. You will be prompted to enter your
username and answer your security question. You will then be allowed to reset your
password.
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Who should serve as the Account Administrator for my organization?
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Each provider organization with eServices user accounts is required to designate
an Account Administrator to manage those eServices user accounts and permissions
assigned to the provider organization. The Account Administrator must be the contract
manager or designated manager at that provider organization. If you feel for some
reason that the Account Administrator status is not assigned to the appropriate
individual, please contact Carelon Behavioral Health at BehavioralHealth_eServices@carelon.com
or at 781-994-7556.
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How can I change the Account Administrator for my organization?
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If the designated eServices Account Administrator at your provider site is not the
contract manager or designated manager, please contact Carelon Behavioral Health at
BehavioralHealth_eServices@carelon.com or at 781-994-7556.
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Am I the contract manager for my organization?
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The Account Administrator for each provider’s eServices users must be the contract
manager at that provider organization or a designated manager. The contract manager
at an organization is the individual responsible for signing the provider contract
with Carelon Behavioral Health Strategies.
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What should I do if my account is locked?
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If your account is locked, you must see the eServices Account Administrator at your
provider organization. Only this individual can unlock your access to eServices
once it is locked.
To prevent being locked out of your account, never share your username or password
with another individual. Sharing of log in information is prohibited and will result
in deactivation of the affected account(s).
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How can I change my password?
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To change your eServices password, simply login to eServices using your username
and current password. Select the “My Account” button at the top of the page to change
your user information and password.
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CLAIMS:
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What if I want to submit a claim for a clinician that is not listed as an option?
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If you need to submit a claim for a clinician that is not listed in the drop down
option on the claims submission page, contact our network department at 781-994-
7556 to have the clinician added.
Facilities may add clinicians online through eServices in the Provider Information
menu option.
Alternatively, claims can be entered for clinicians not on the roster by entering
the clinician NPI on the claim submission page under the service line information.
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How do I resubmit a claim?
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To resubmit a claim, select the “Submit a Claim” option under the claims tab. Enter
the original claim RecID and click the “Resubmission” option. Please note RecID,
found in the EOB, is required for a resubmission.
You can also resubmit a claim from the “Check Claim Status” feature. Enter the information
of the member for which you wish to resubmit the claim. On the following screen,
select “Check Claim Status”. Search for the claim you wish to resubmit on the following
page by month or year. Once you have found the claim, simply choose the “Resubmit”
option. Edit incorrect information and click “Submit eClaim”.
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AUTHORIZATIONS:
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Where do I find a member’s Initial Encounters?
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A member’s initial encounters can be viewed in the Claims tab by selecting the “Claims
Status” option. The Claim Status page for each member will detail the number of
visits the selected has used during the current calendar year. Note that the number
of visits displayed reflects those visits that have been claimed at that time.
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How can I save authorization requests (eORFs) and view them later?
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Providers can save authorizations mid-entry and return to them at any time. Simply
use the “save” button found at the bottom of each authorization request screen.
To go back to the authorization, simply return to the “Manage Pending eORFs” page,
where you will find a list of saved authorizations.
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Who can submit authorizations after they are saved?
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Any user can submit the authorizations that you have created under your user name.
Some users will be given management rights by their Account Administrator, allowing
that person to view and submit all users’ eORFs.
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