Providers.carelonmedicalbenefitsmanagement.com

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About Carelon Medical Benefits Management

WebCarelon is a leading specialty benefits management company with more than 30 years of experience. Our mission is to help ensure delivery of health care services are more …

Actived: 9 days ago

URL: https://providers.carelonmedicalbenefitsmanagement.com/providerconnections/about-carelon/

Aetna provider resources

WebA synopsis of the criteria is available to Providers and Members on request and free of charge by calling Carelon at 833-585-6262 or by email. Please contact the Carelon …

Category:  Health Go Health

Carelon Post Acute Solutions

WebCarelon provides delegated benefit management services for post-acute care, including utilization management (UM) and claims payment services. Carelon has dedicated staff …

Category:  Health Go Health

Anthem Cancer Care Quality Program Frequently Asked …

WebThe goal of the Cancer Care Quality Program is to promote access to quality and affordable cancer care for health plan members. A key component of the Cancer Care Quality …

Category:  Cancer Go Health

Anthem’s Genetic Testing Program FAQs

WebA: Carelon Medical Benefits Management will perform the medical necessity review of all genetic testing services as pre-authorization requests against health plan clinical criteria …

Category:  Medical Go Health

HOME HEALTH CARE AUTHORIZATION REQUEST FORM

WebCONFIDENTIALITY NOTICE: This fax message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information …

Category:  Health Go Health

HOME HEALTH CARE AUTHORIZATION REQUEST FORM

WebDate of Request: Urgent Request: Note: Expedited organization determinations (urgent requests), can only be requested by the Member, Member Representative, or a

Category:  Health Go Health

Carelon ProviderPortal

WebCarelon ProviderPortal SM User Guide Optima Health is the trade name of Optima Health Plan, Optima Health Insurance Company, and Sentara Health Plans, Inc. v0121 1 What …

Category:  Health Go Health

Carelon Guidelines MSK Level-of-Care

WebDescription and Application of the Guidelines. The Carelon Clinical Appropriateness Guidelines (hereinafter “the Carelon Clinical Appropriateness Guidelines” or the …

Category:  Health Go Health

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