If you are an existing Carelon Participating Provider and need to update any of your Provider Information (i.e. Please contact the Carelon claims team for questions related to the claims process by calling 83. Payment dispute request form out-of-network providersĬlaims waiver of liability form for out of network providers Payment dispute request form in-network providers To enroll in the EFT program, please register for EFT payments by completing the online application form: Please find important forms related to the Carelon Claims Process listed below.Įlectronic funds transfer (EFT) enrollment:Ĭarelon offers EFT payment options for providers. The Carelon payer ID for the Aetna delegation is: 34010. This document explains the IV therapy program in detail. Home infusion (IV) therapy information: Carelon is not delegated for IV Therapy. Re-authorization request form: Fax form to use for re-authorization requests if needed.įax confirmation form: Online form providers use to confirm their fax numbers for authorization requests. Initial authorization request form: Fax form to use for initial authorization requests if needed. The Provider portal can be found online here. Provider portal: Carelon encourages providers to utilize the online Provider portal to submit authorization requests. In-scope plan list: The list of in-scope Aetna plans for the Carelon delegation. Please complete the “Agency information form” to have your agency’s information added to the Carelon system.
#Aetna timely filing limit 2021 registration
Please register for an orientation specific to your state below:įL Orientation Registration Agency information form Orientations: Carelon is hosting orientation sessions designed to orient you and your staff with our program. Notice: The delegation notices mailed to providers can be found by market below. Delegated services include Utilization Management, Network Management, and Claims Reimbursement. Current announcements CT and FL: Jdelegation informationĭelegation: Effective July 1st, 2023, Carelon will manage Aetna Medicare Advantage (MA) plans in the states of Connecticut and Florida. Please find important announcements, documents, and forms listed below. Carelon Post Acute Solutions is proud to announce its partnership with Aetna to provide utilization management for home health services in Connecticut, Florida, Georgia, Kentucky, Missouri, Ohio, Oklahoma, Pennsylvania, Texas, Virginia, and West Virginia.
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