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Carelon Insights

Medical benefits management: Specialty care

Offered through Carelon Medical Benefits Management
(Formerly AIM Specialty Health)

Provider portal

 

Submit a new case for prior authorization, or check on an existing one.

Clinical guidelines and pathways

 

Access the evidence-based criteria used in our review process.

Medical benefits management: Post-Acute Care

Offered through Carelon Post Acute Solutions
(Formerly myNEXUS)

Provider portal

 

Submit a new case for prior authorization, or check on an existing one.

Provider resources

 

Access provider resources and forms.

Payment integrity: Subrogation

Offered through Carelon Subrogation
(Formerly Meridian Resource Company)

Access your subrogation reports

 

Access information about an existing subrogation case.

Payment integrity: Claim Anomaly Detection - Data mining

Offered through Carelon Payment Integrity

Access our solution suite

 

Client login.

CarelonRx

CarelonRx

 

Our digital tools can help you manage your prescriptions. Log in to request a refill, price a medication, or find a pharmacy.

Carelon Health

Patient portal

 

Securely view your health records, schedule appointments, request prescription refills, and contact your Advanced Primary Care doctor or nurse.

Provider portal

 

Get answers to questions, access real-time patient information, check claims status, enter and view authorizations, and more.