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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

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