Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Carelon Behavioral Health before sending sensitive documents. FaxFlow is not affiliated with this organization.
Carelon Behavioral Health fax number
(866) 612-7795
Practitioner Maintenance
Used for: Submitting documentation for provider credentialing/maintenance (e.g., malpractice insurance cover sheets, W-9 forms) to Carelon Behavioral Health via the 866-612-7795 fax; organization also handles related forms such as outpatient review documents.
Fax destination details
- Department
- Practitioner Maintenance
- Purpose
- Submitting documentation for provider credentialing/maintenance (e.g., malpractice insurance cover sheets, W-9 forms) to Carelon Behavioral Health via the 866-612-7795 fax; organization also handles related forms such as outpatient review documents.
- Address
- Carelon Behavioral Health c/o Practitioner Maintenance, P.O. Box 989, Latham, NY 12110
- Voice phone
- 800-397-1630
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Sources and verification
FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.
No public source link was saved with this record. Confirm the number directly with the organization before using it.