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Provider News
NPI and Taxonomy Reminder
Providers need to review their claim submission process and their taxonomy on the state PML. When the taxonomy is not present or does not match what is on the state PML, the validation of the claim/encounter stops.
It’s time for some of your patients to renew their Medicaid benefits
As states begin to recommence Medicaid renewals, we want to ensure you have the information needed to help your Medicaid patients renew their healthcare coverage.
Pregnancy Notification Form Reminder
To learn more about the new Pregnancy Notification Form and how to submit, click the link below.
Beacon Name Change to Carelon Behavioral Health
Effective March 1, 2023, Beacon Health Options will become Carelon Behavioral Health.
Member Medicaid Recertification
Medicaid eligibility must be renewed in order for beneficiaries to keep their benefits. If the beneficiary does not complete their renewal, they will no longer have health coverage and must reapply for benefits.
Availity access
The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer.
Learning opportunities
Find learning opportunities to assist with administering your patient’s health plan using Availity Essentials multi-payer features and payer spaces applications. Use the library of self-paced courses and instructor-led training sessions, available 24/7 at no cost. Be prepared with the knowledge to assist our members.
At Availity you can:
Request authorizations.
Submit claims.
Confirm eligibility.
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Receive email from Clear Health Alliance
Clear Health Alliance is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email.
Featured Resources
Pharmacy information
Search for up-to-date drug information, including hundreds of brand-name and generic medications.
Maternal Child Program
When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. We encourage all our moms-to-be to take part in the Taking Care of Baby and Me® program, a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns.
Behavioral health provider
We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts and other resources to successfully meet the needs of members with mental health, substance use, and intellectual and developmental disabilities.