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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 Medical Benefits Management
(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.
