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Carelon Behavioral Health of PA: Provider Line 877-615-8503 and Counties

Carelon Health of Pennsylvania, formerly Beacon Health Options of Pennsylvania, manages HealthChoices behavioral health across 11 western Pennsylvania counties. Claims are received, processed, and paid from its Pennsylvania engagement center.

Short answer

Carelon Health of Pennsylvania serves Armstrong, Beaver, Butler, Crawford, Fayette, Indiana, Lawrence, Mercer, Venango, Washington, and Westmoreland counties. Its provider toll-free line is 877-615-8503, the E-Support (EDI) help line is 888-247-9311, and PaySpan payment support is 877-331-7154. Member and provider service staff check claim status and handle adjustment requests.

Where Carelon fits

Pennsylvania carves behavioral health out of HealthChoices. Each county, or group of counties, contracts a Behavioral Health Managed Care Organization, and the member's county of Medicaid eligibility decides which one you bill, regardless of their physical health plan. Confirm the member's county and BH-MCO in the state's Eligibility Verification System before every new episode.

ContactNumber
Provider toll-free line877-615-8503
E-Support (EDI) help line888-247-9311 (eServices@carelon.com)
PaySpan payment support877-331-7154
Fax-back for provider summary vouchers866-409-5958
PA Eligibility Verification System800-766-5387

As listed on Carelon's Pennsylvania county page, October 2026.

Counties
Armstrong, Beaver, Butler, Crawford, Fayette, Indiana, Lawrence, Mercer, Venango, Washington, Westmoreland

Where claims go wrong

  • Old Beacon setup. Payer names, enrollment, or EDI routing still set up under Beacon Health Options.
  • Payments not reconciled. Remittances arrive through PaySpan; unmatched payments hide underpaid claims.
  • Wrong BH-MCO. Members near the edge of the region whose county of eligibility points elsewhere.

The other Pennsylvania BH-MCOs: Community Care, Magellan, PerformCare, Carelon, CBH Philadelphia. Overview: Pennsylvania Medicaid behavioral health billing.

Sources, read October 16, 2026: Carelon Pennsylvania counties and contacts; Carelon Pennsylvania provider manual. Confirm current details on the plan's provider site.

Frequently asked questions

What is Carelon Behavioral Health of Pennsylvania's provider number?

The provider toll-free line is 877-615-8503, as of October 2026.

Is Carelon the same as Beacon Health Options in Pennsylvania?

Yes. Carelon Health of Pennsylvania was formerly Beacon Health Options of Pennsylvania.

Which counties does Carelon serve in Pennsylvania?

Armstrong, Beaver, Butler, Crawford, Fayette, Indiana, Lawrence, Mercer, Venango, Washington, and Westmoreland.

Western PA claims, reconciled.

See Stable submit Carelon claims and match PaySpan remittances to every claim.

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