Coverage profile
How Substrate can help you with Carelon Behavioral Health
Substrate can help practices and billers with the following claims tasks for Carelon Behavioral Health.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Carelon Behavioral Health.
Enhanced claim status
Availity ECSPortal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Carelon Behavioral Health.
Frequently asked questions
Carelon Behavioral Health payer FAQs
Can I automate Carelon Behavioral Health portal follow-up?
Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.
What is the payer ID for Carelon Behavioral Health?
The primary payer ID for Carelon Behavioral Health is BHOVO. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What is the provider portal for Carelon Behavioral Health?
The provider portal for Carelon Behavioral Health is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Carelon Behavioral Health?
The 837P and 837I payer ID for Carelon Behavioral Health is BHOVO via Stedi.
What is the 835 payer ID for Carelon Behavioral Health?
The 835 payer ID for Carelon Behavioral Health is BHOVO via Stedi.
What is the 270 payer ID for Carelon Behavioral Health?
The 270 payer IDs for Carelon Behavioral Health are BHOVO via Stedi and BHOVO via Availity.
What states does Carelon Behavioral Health operate in?
Carelon Behavioral Health operates in NJ and NY.
Routing reference
Carelon Behavioral Health payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | Carelon Behavioral HealthSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | NJ, NYSource: United Clearinghouse payer catalog · matched by payer name |
| 837P professional claims payer IDStedi | BHOVOSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | BHOVOSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | BHOVOEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | BHOVOSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | BHOVOSource: Availity payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Carelon Behavioral Health. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched record: CARELON BEHAVIORAL HEALTH. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Carelon Behavioral Health. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Other aliases
Also known as
- 00813
- 11058
- 43324
- 4743
- 5909
- BHOVO
- CHCBH
- CHIPA
- EJEYL
- VALOP
- Z1226
- ZP4032
- ZP4170
- Beacon Health Strategies
- Elevance Health
- ValueOptions Commercial
- BEACONHTH
- BEACONHO