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Massachusetts Behavioral Health Partnership

Part of Elevance Health (fka Beacon)

Specialty plandentalmedical
Typical enrollment turnaround
60-120 days

Summary

Massachusetts Behavioral Health Partnership is a specialty plan, part of Elevance Health (fka Beacon), offering dental and medical coverage operating in 14 states. Claims route under payer ID BHOMA, with 3 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 takes several weeks.

At a glance

Payer ID
BHOMAAlso seen as 00816, 43307, CVCIT
Also known as
Carelon Behavioral Health, MBHP, Massachusetts Behavioral Health Partnership (Behavioral Health Organization), ValueOptions Massachusetts Behavioral Health Partnership
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)RequiredSeveral weeks

Common questions

What is the payer ID for Massachusetts Behavioral Health Partnership?
The payer ID for Massachusetts Behavioral Health Partnership is BHOMA. Alternate IDs seen across clearinghouses include 00816, 43307, CVCIT.
How long does Massachusetts Behavioral Health Partnership provider enrollment take?
Massachusetts Behavioral Health Partnership provider enrollment typically takes 60-120 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
Does Massachusetts Behavioral Health Partnership require CAQH?
Yes. Massachusetts Behavioral Health Partnership uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
Does Massachusetts Behavioral Health Partnership require ERA enrollment?
Yes. Massachusetts Behavioral Health Partnership requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Massachusetts Behavioral Health Partnership cover?
Massachusetts Behavioral Health Partnership 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.