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Carelon Behavioral Health

Part of Elevance Health (fka Beacon)

Specialty plandentalmedical
Typical enrollment turnaround
60-120 days

Summary

Carelon Behavioral Health is a specialty plan, part of Elevance Health (fka Beacon), offering dental and medical coverage operating in 14 states. Claims route under payer ID BHOVO, with 10 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-120 days, with applications through Carelon Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.

At a glance

Payer ID
BHOVOAlso seen as 00813, 11058, 43324, 4743, 5909, CHCBH and 4 more
Also known as
Beacon Health Strategies, Elevance Health, ValueOptions Commercial
Uses CAQH
YesApplication route: CAQH application only
Service area
Multiple states (Anthem BH + Medicaid carve-outs)

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSame day

Common questions

What is the payer ID for Carelon Behavioral Health?
The payer ID for Carelon Behavioral Health is BHOVO. Alternate IDs seen across clearinghouses include 00813, 11058, 43324, 4743.
How long does Carelon Behavioral Health provider enrollment take?
Carelon Behavioral Health provider enrollment typically takes 60-120 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
Does Carelon Behavioral Health require CAQH?
Yes. Carelon Behavioral Health uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
Does Carelon Behavioral Health require ERA enrollment?
Yes. Carelon Behavioral Health requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
What states does Carelon Behavioral Health cover?
Carelon Behavioral Health operates in Multiple states (Anthem BH + Medicaid carve-outs). Coverage can differ by plan and product line, so confirm the specific plan before you file.

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.