Billing & Reimbursement

Beacon Health Options Provider Portal:

Use Beacon Health Options

Why this matters

Beacon Health Options portal work is easier to manage when eligibility findings, authorization status, claim follow-up, denial notes, and documentation ownership stay connected to the admission.

For treatment centers

Payer portals answer part of the workflow

The Beacon Health Options portal may show eligibility, authorization status, claims, or messages from the payer. helps your team keep those findings connected to the admission, documentation, follow-up, and billing work around them.

Where helps

If your facility uses, VOB details, authorization status, payer routing, claim follow-up, denial notes, and documentation ownership can travel with the record instead of living across screenshots, spreadsheets, and inboxes.

What stays with the payer

Beacon Health Options still controls portal access, coverage rules, authorization decisions, and payment decisions.

Portal at a glance

Beacon Health Options merged into Carelon Behavioral Health in 2023. Active providers must now use Carelon. Legacy reference page for Beacon searches.

Provider portal: https://www.carelonbehavioralhealth.com/providers
Insurance profile: View Beacon Health Options profile →
Also known as: Beacon Health Options (legacy — now Carelon Behavioral Health) · Elevance Health (via Carelon Behavioral Health) · Now operating as Carelon Behavioral Health
Parent company: Elevance Health (via Carelon Behavioral Health)
Behavioral health division: Now operating as Carelon Behavioral Health
Credentialing context: CAQH ProView · 60-120 days
Operating states: ALL

Daily portal workflows for treatment centers

Eligibility and VOB

Start with active eligibility, network status, cost-share, and whether the levels of care listed on the Beacon Health Options profile are covered for the member: Detoxification (Medically Managed and Monitored) · Residential Treatment · Partial Hospitalization (PHP) · Intensive Outpatient (IOP) · Outpatient Treatment · Crisis Stabilization.

Prior authorization

Use the profile criteria as the intake checklist before submitting an authorization request: ASAM Criteria (for substance use disorders) · InterQual Behavioral Health Criteria · Carelon Proprietary Clinical Guidelines (current). Keep the clinical packet aligned with the portal's required fields.

Claim status and follow-up

After claim submission, use the portal to tie each follow-up back to the member eligibility response, authorization record, rendering or facility identifiers, and the payer routing confirmed during VOB.

Credentialing updates

Keep portal access aligned with credentialing context from the profile: CAQH ProView · 60-120 days. New locations, tax IDs, and roster changes should not wait until a claim denies.

What to verify before admission

Confirm active coverage, network status, plan type, member responsibility, and the specific payer route attached to the member's plan.
Match the requested level of care against the profile's covered levels of care: Detoxification (Medically Managed and Monitored) · Residential Treatment · Partial Hospitalization (PHP) · Intensive Outpatient (IOP) · Outpatient Treatment · Crisis Stabilization.
Prepare clinical documentation against the listed medical necessity criteria: ASAM Criteria (for substance use disorders) · InterQual Behavioral Health Criteria · Carelon Proprietary Clinical Guidelines (current).
Check whether the member's state, product, or network arrangement changes portal access, payer routing, or authorization requirements.
Use the Beacon Health Options insurance profile as the source page for credentialing, coverage, and payer-specific operating context.

Authorization and documentation notes

Treat the portal workflow as an admission-control checkpoint: the eligibility response, authorization request, clinical packet, and claim setup should all tell the same story before the first billed date of service.

For Beacon Health Options, the profile lists medical necessity criteria that should shape the clinical packet: ASAM Criteria (for substance use disorders) · InterQual Behavioral Health Criteria · Carelon Proprietary Clinical Guidelines (current). Build the request around those criteria instead of relying on a generic treatment summary.

Credentialing context from the profile is also operational context for the portal: CAQH ProView · 60-120 days. Keep provider, facility, location, and tax ID records synchronized before claims go out.

Profile FAQs to keep nearby

Is Beacon Health Options still a separate company from Carelon Behavioral Health?

No. Beacon Health Options was fully rebranded as Carelon Behavioral Health in 2023 following its acquisition by Anthem Inc. (now Elevance Health) in 2020. The organization is no longer operating under the Beacon Health Options name for provider transactions, authorizations, or claims. If you have a legacy Beacon provider agreement or you are searching for Beacon's provider portal, you should now use the [Carelon Behavioral Health provider portal](https://www.carelonbehavioralhealth.com/providers). Existing provider contracts and network participation generally carried over through the transition, but provider portal logins, contact numbers, and payer IDs may have changed. Contact Carelon provider services to verify your current network status.

Do I need to re-credential with Carelon if I was credentialed with Beacon Health Options?

Providers who were credentialed with Beacon Health Options generally had their credentials transferred to Carelon Behavioral Health as part of the rebranding process. However, you should not assume your status transferred without confirmation, particularly if your original Beacon credentialing was some time ago. Contact [Carelon Behavioral Health provider relations](https://www.carelonbehavioralhealth.com/providers) to verify your current credentialing status, active contracts, and network participation under the Carelon name. If your credentials lapsed or your CAQH ProView profile is outdated, you may need to submit a new credentialing application. The standard Carelon credentialing timeline is approximately 60 to 120 days.

What happened to my existing Beacon Health Options provider contract?

Provider contracts with Beacon Health Options were assumed by Carelon Behavioral Health following the rebranding. In most cases, the terms of existing agreements carried over, though some operational details — including portal access, payer IDs, and claims mailing addresses — changed. Review any correspondence you received from Beacon or Carelon during the 2020–2023 transition period for specific contract information. If you did not receive updated contract information or are unsure of your current agreement terms, contact [Carelon provider relations](https://www.carelonbehavioralhealth.com/providers) directly. Do not use old Beacon payer IDs for current claims submissions, as these may route incorrectly.

Claims, denials, and follow-up

Claims and status workflows vary by plan, state, and network arrangement. Start with the Beacon Health Options provider portal or the payer instructions listed on the insurance profile, then confirm member-specific payer routing, authorization requirements, and claim format before billing.

Before claim submission, confirm the payer route, authorization number, billed level of care, rendering and facility identifiers, date range, and whether another payer is primary. When a claim stalls, work backward from the portal record to the VOB, authorization, and documentation packet.

Where fits after the portal

The Beacon Health Options portal may answer one part of the case. helps treatment centers keep portal findings connected to admissions, clinical documentation, authorization status, claim follow-up, and denial work.