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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 materials
Find program information, contracting / credentialing documents, provider finder, and more
Subrogation
Offered through Carelon Subrogation
(Formerly Meridian Resource Company)
Access your subrogation reports
Access information about an existing subrogation case.
Claim Anomaly Detection - Data mining
Offered through Carelon Payment Integrity
Access our solution suite
Client login.
