Beacon Health Options at a glance
| Legal name | Beacon Health Options (now Carelon Behavioral Health) |
|---|---|
| Also known as | Beacon, Carelon Behavioral Health |
| Category | Third-party administrator (TPA) |
| Parent organization | Elevance Health (Carelon) |
| Claims payer ID | The April 2026 handbook directs providers to client/state guidelines and the configured clearinghouse payer list for claims routing. The stored universal 43324 is not established by this current handbook; historical plan-specific IDs must not be applied nationally. |
| Eligibility (270/271) payer ID | Claims routing does not independently certify eligibility or ERA identifiers. Confirm the member plan and transaction-specific enrollment. |
| ERA (835) payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: No universal 43324 ERA identifier was established; use the applicable client/state and clearinghouse enrollment instructions. This does not mean ERA is unavailable. |
| NAIC company code | Not established in this registry |
| States covered | Nationwide (50 states) |
| Members covered | ~34 million members |
| Provider resource entry point | https://www.carelonbehavioralhealth.com/providers/resources/provider-handbook |
| Provider phone | 1-800-888-3944The April 2026 handbook lists 800-888-3944 for general claim inquiries. 888-247-9311 is ProviderConnect technical E-support, and 800-397-1630 is the National Provider Service Line. Follow member-plan and state-specific routing. |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for Beacon Health Options
The April 2026 Carelon Behavioral Health handbook gives participating providers 90 calendar days from service, inpatient discharge or applicable primary-payer determination unless the provider agreement differs. Member-plan, agreement and state-specific provisions must be checked. Its separate adjustment/review default is 60 calendar days from the EOB, not a new initial-claim clock.
| Submission type | Window |
|---|---|
| Initial claim reference | Participating-provider default: 90 calendar days; plan/agreement exceptions |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for Beacon Health Options. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Source: Beacon Health Options provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with Beacon Health Options
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
CMS-0057-F decision-timeframe requirements and exclusions
Verify Beacon Health Options electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable. Authorization requirements and submission channels depend on the product, service and delegated reviewer. Verify the applicable policy before scheduling; a portal listing is not proof of X12 278 connectivity.
This registry does not provide a current prior-authorization code list for Beacon Health Options. Start with the provider resources or the policy documents below, then confirm the applicable product, service and effective date. A resource link does not establish that a live code-lookup tool is available.
Top denial reasons for Beacon Health Options
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient Beacon Health Options volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| 837P / 837I claims | Listed in registry; verify current scope | The April 2026 handbook directs providers to client/state guidelines and the configured clearinghouse payer list for claims routing. The stored universal 43324 is not established by this current handbook; historical plan-specific IDs must not be applied nationally. |
| 270 / 271 eligibility | Listed in registry; verify current scope | Claims routing does not independently certify eligibility or ERA identifiers. Confirm the member plan and transaction-specific enrollment. |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: No universal 43324 ERA identifier was established; use the applicable client/state and clearinghouse enrollment instructions. This does not mean ERA is unavailable. |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
What revenue cycle teams should verify before submitting claims
- Beacon’s canonical reference now points to current Carelon Behavioral Health guidance without declaring the organization inactive.
- Member-plan and agreement terms take precedence as specified in the handbook; public source reading is not clinical authorization or X12 certification.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
era_payer_id, field_status, filing_rule, payer_ids, payer_ids.claims, payer_ids.eligibility, payer_ids.era, provider_phone, timely_filing_days, timely_filing_source_url, transaction_scope — Carelon Behavioral Health Provider Handbook
Source comparison: 2026-09-18
Source scope: 800-888-3944 is general claims;888-247-9311 is Provider Connect technical support. Initial 90 calendar days use service/inpatient discharge/primary determination unless agreement. IDs are client/state-specific;60-day EOB review is separate. Locator: Physical PDF 1 cover; PDF 8 contacts; PDF 41–42§9.04; PDF 6 precedence read as text only Version: Cover 102_0426; actual April 2026 metadata; supersedes previous handbooks subject to plan/agreement/state provisions. Retrieval: content_read; actual_public_pdf_download_text_and_scoped_visual_review. These pages actually rendered and inspected with view_image; other pages text-only or not reviewed. Not a whole-document review. This is a partial source comparison, not whole-field or whole-record approval.
Primary source for era_payer_id, field_status, filing_rule, payer_ids, payer_ids.claims, payer_ids.eligibility, payer_ids.era, provider_phone, timely_filing_days, timely_filing_source_url, transaction_scope — carelon behavioral health provider handbookSource version and inspection boundary — Carelon provider handbook index
Source comparison: 2026-09-18
Source scope: The current owner index supplies the 84-page handbook and separate state/plan resources; the older 2023 copy is not final authority. Locator: General handbook and state-specific resources Version: No publication/effective date established on checked HTML. Retrieval: content_read; public_web_read. This is a partial source comparison, not whole-field or whole-record approval.
Primary source for source version and inspection boundary — carelon provider handbook index
Not checked in this pass: Unresolved fields from immutable field inventory: aka, appeal_levels, category, common_denial_risks, display_name, electronic_claims_supported, legal_name, lives_covered_millions, naic, parent_org, payer_ids, prior_auth_required_codes_sample, quickintell_workflow_fit, record_scope, source_review, states_covered, supports_278, supports_279_271; Whole-record approval, current legal entity/ownership, enrollment and complete insured geography; Every agreement, product, claim type, jurisdiction, filing/appeal exception and clinical authorization policy; Current transaction-specific enrollment/capabilities and authenticated portal behavior; unknown does not mean unavailable; QuickIntell integrations/outcomes, accountable approval and historical April2026 DataForSEO demand; last_reviewed/reviewed_by and prior field-level comparison dates remain unchanged.
Sources used for this guide
Evaluate QuickIntell workflow fit for Beacon Health Options
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for Beacon Health Options; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for Beacon Health Options; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for Beacon Health Options before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about Beacon Health Options
Where is the Beacon Health Options provider portal?
Use https://www.carelonbehavioralhealth.com/providers/resources/provider-handbook as a starting point for Beacon Health Options provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for Beacon Health Options?
The April 2026 Carelon Behavioral Health handbook gives participating providers 90 calendar days from service, inpatient discharge or applicable primary-payer determination unless the provider agreement differs. Member-plan, agreement and state-specific provisions must be checked. Its separate adjustment/review default is 60 calendar days from the EOB, not a new initial-claim clock.
Does Beacon Health Options publish a single claims payer ID?
This registry has not established one all-product claims payer ID for Beacon Health Options. Claims: The April 2026 handbook directs providers to client/state guidelines and the configured clearinghouse payer list for claims routing. The stored universal 43324 is not established by this current handbook; historical plan-specific IDs must not be applied nationally.. Eligibility (270/271): Claims routing does not independently certify eligibility or ERA identifiers. Confirm the member plan and transaction-specific enrollment.. ERA (835): No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: No universal 43324 ERA identifier was established; use the applicable client/state and clearinghouse enrollment instructions. This does not mean ERA is unavailable.. Do not substitute a claims ID for an unverified transaction ID. Look up the correct ID for the member's plan and transaction in your clearinghouse directory and verify against the member ID card before submission.
Does Beacon Health Options accept electronic claims?
Verify Beacon Health Options electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable.
How do I appeal a Beacon Health Options denial?
This registry has not established a payer-specific appeal ladder for Beacon Health Options. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
How long do Beacon Health Options prior authorization approvals take?
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
What is the Beacon Health Options provider phone number?
This registry lists 1-800-888-3944 as a contact reference for Beacon Health Options. The April 2026 handbook lists 800-888-3944 for general claim inquiries. 888-247-9311 is ProviderConnect technical E-support, and 800-397-1630 is the National Provider Service Line. Follow member-plan and state-specific routing.
Automate workflows around Beacon Health Options requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against Beacon Health Options's current published documents before submission. CPT® is a registered trademark of the American Medical Association.