Carelon Behavioral Health prior authorization fax numbers (2026)

Carelon Behavioral Health's prior authorization fax numbers follow the form: 855-439-2444 on the Forensic Diversion Recovery Program form for Fayette County, Pennsylvania, 800-370-1116 on its Florida behavior analysis and outpatient review forms, and 866-878-4250 or 212-560-7771 on its New York rTMS forms. Carelon's Psychological/Neuropsychological Testing Update strongly encourages its provider portal over fax.

What is the Carelon Behavioral Health prior authorization fax number?

Carelon Behavioral Health prints its prior authorization fax numbers form by form, so the number follows the form for the request. Its Florida Behavior Analysis (BA) Authorization Request Form, Florida Outpatient Review Form and enterprise rTMS Request Form all print 800-370-1116. The Forensic Diversion Recovery Program (FDRP) Auth Request Form for Fayette County, Pennsylvania prints 855-439-2444.

Which Carelon fax number goes with which plan or level of care?

Carelon prints 800-370-1116 on its Florida forms, 855-439-2444 on one Pennsylvania county program's form and 866-878-4250 or 212-560-7771 on its New York rTMS forms, each tied to the form named beside it:

The Florida Outpatient Review Form carries boxes for Medicaid, Medicare, Healthy Kids and Commercial and prints 800-370-1116 as its fax number for initial and concurrent outpatient treatment review. Carelon's rTMS Request Form carries a different number by version, and the New York versions leave the plan blank, so check the file name of the copy you downloaded against the table.

In the table, 855-439-2444 goes only with the Fayette County program's form. A request for another Pennsylvania county program or a higher level of care takes the number printed on its own Carelon form.

Does Carelon want requests by portal or by fax?

Carelon strongly encourages its provider portal for psychological testing requests and takes Florida behavior analysis, outpatient review, rTMS and Fayette County program requests by fax. Its Psychological/Neuropsychological Testing Update keeps a paper version of the testing request on its Clinical Forms page under Psychological Evaluation Forms. For Florida behavior analysis, the 2026 BA Authorization Process Updates webinar tells providers to submit all BA prior authorization requests by fax to 800-370-1116.

Plan-by-plan routes for testing requests, portal and fax side by side, are in prior authorization for psychological testing.

What do you send with a Carelon authorization request?

A Carelon authorization request is the Carelon form for the service, faxed to the number that form prints. Each service has its own Carelon form:

• Outpatient Review Form: initial and concurrent outpatient treatment review in Florida
• Behavior Analysis (BA) Authorization Request Form: Florida behavior analysis
• rTMS Request Form: rTMS requests, in the enterprise and New York versions
• Auth Request Form: Fayette County's Forensic Diversion Recovery Program

A cover sheet, where one is used, names Carelon Behavioral Health as the recipient and carries the sender's name, phone and return fax, the date and the page count. Diagnoses and names stay on the form behind it: HIPAA counts preauthorization as a payment activity (45 CFR 164.501) and asks for the minimum necessary (45 CFR 164.502(b)). Download the current copy of the form for each request: the Florida BA form in the table is dated March 2025 and the rTMS forms November 2024 and April 2025, and a saved copy can lag a revision.

How do you fax Carelon from a HIPAA fax account?

From a HIPAA fax account, a therapist or billing office sends the completed Carelon form to the number printed on it, in a browser or by email. Fax Pigeon takes the form as a phone photo of the signed page, a PDF or a Word file, and the cover sheet is optional. Each fax that arrives gets delivery proof, the record to keep with the authorization request.

The whole practice works from one fax number and one inbox, and adding a colleague costs nothing. Basic costs $59.88 a year with 200 pages each month, and a signed BAA is part of signup on every plan.

On a paid plan, Carelon's authorization letters can come back to the practice's own fax number, and Carelon's Site Information Form asks whether they should, a point covered in whether a therapist in private practice still needs a fax number. The steps from cover sheet to delivery proof are in how to fax a prior authorization and prove delivery.

What if the Carelon fax fails or the number changes?

When a Carelon fax shows no delivery proof, compare the number dialed with the one on the current version of the form before sending again, because Carelon's rTMS Request Form prints 800-370-1116, 866-878-4250 or 212-560-7771 depending on the version. Carelon's forms and guides page, named in the footer, is where to confirm a number before protected health information goes to it, since a misdial sends that information to a stranger. The dated forms in the table run from November 2024 to April 2025 and the webinar from May 2026, so a saved copy may predate a newer one.

When another network manages a plan's behavioral health benefits, requests go to that network's numbers, such as the Evernorth Behavioral Health appeals fax number.

* Fax numbers verified October 23, 2026, on Carelon Behavioral Health's own Carelon forms and guides (national) (https://www.carelonbehavioralhealth.com/providers/forms-and-guides) and Carelon Psychological/Neuropsychological Testing Update (https://www.carelonbehavioralhealth.com/content/dam/digital/carelon/cbh-assets/documents/global/clinical/psychological-neuropsychological-testing-update.pdf).