Carelon Behavioral Health Provider Last Name Change Guide™

A simple, step-by-step guide for submitting and following up on a provider legal last name change with Carelon Behavioral Health.

This payer-specific guide walks through preparing the request, gathering supporting documentation, submitting the update to Carelon, following up, and verifying that the provider's new legal name has been updated.

Includes:

• Step-by-step Carelon name-change workflow

• Information to include in the request

• Supporting documentation guidance

• Submission email instructions & sample email

• Carelon follow-up contact information

• Verification & recordkeeping reminders  

Designed for ABA, behavioral health, and therapy practices looking for a quick, organized process for managing provider name changes with Carelon Behavioral Health.

Please note: This guide is specific to Carelon Behavioral Health. The general Provider Last Name Change Guide™ and guides for other insurance payers are sold separately.

Last Reviewed: August 2026