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Behavioral Health

Care providers must obtain a user ID  before using our online services. 

Carelon Behavioral Health Provider Portal

 

Our provider portal provides convenient tools and resources for processing claims, obtaining claims information, verifying eligibility status, and more.

 

ProviderConnect

 

Our secure online portal is available 24/7, saving time and resources while reducing errors. It minimizes phone inquiries, speeds up payments through efficient processing, and integrates seamlessly with practice management software.

 

eServices

 

Our eServices portal offers care providers clinical and administrative tools aimed at allowing providers easier, more efficient access 24 hours a day, 7 days a week.

 

Member Login

 

Enter the first three letters of the name of your health plan or employer. Then select from the list that will appear.

 

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 Palliative Care

Palliative Care: MyChart Login

 

With MyChart, palliative care patients can have all their health information in one place.

EpicCare

 

Quickly and easily refer a patient or securely access information and updates about your patients’ treatment.

Primary Care

As of January 2025, Carelon's Primary Care services have transitioned to Mosaic Health, a separate company.

By clicking the following Carelon Health Primary Care link, you will be leaving the Carelon website and redirected to a site managed by Mosaic Health.

 

Visit: Carelon Health Primary Care