…Each Blue Cross Blue Shield company is responsible for the information that it provides. South Dakota Residents: GeoBlue is the trade name of Worldwide Insurance Services, LLC (Worldwide Services Insurance Agency, LLC in California and New York), an independent licensee of the Blue Cross and Blue Shield Association and is made available in cooperation with Blue Cross and Blue Shield companies in select service areas. 2:13-cv-20000-RDP (the “Settlement”), was reached on behalf of individuals and companies that purchased or received health insurance provided or administered by a Blue Cross Blue Shield. This settlement, arising from a class action antitrust lawsuit called In re: Blue Cross Blue Shield Antitrust Litigation MDL 2406, N.D. You can find a doctor, review coverage, and set your preferences for how we communicate with you. Blue Access for Members SM is a powerful tool for managing your Blue Cross and Blue Shield of Oklahoma (BCBSOK) health plan benefits. The provider portal is your access point for submitting order requests online.Blue cross blue shield oklahoma login Manage Your Health Plan All in One Place. Processing requests for Blue Cross and Blue Shield New Mexico:Įffective 1/1/21 Blue Cross Centennial Community NM Anthem:Įffective 11/1/19: CT, ME, NH, NY, GA, IN, KY, MO, OH, and WIĮffective 4/1/20: CA, CO, CT, GA, IN, KY, ME, MO, NH, NM, NY, OH, TN, TX, VA, WA, and WIĮffective 6/1/20: TX MMP Autism Spectrum Disorder:Īnthem and Carelon are working together to make improvements to the clinical review of PT/OT/ST Services when used to treat Autism Spectrum Disorder or Pervasive Developmental Disorder as defined by the Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association. ![]() ![]() Also, please check your market website often for the latest Anthem COVID-19 information. Information regarding COVID-19 and TelehealthĬertain CPT codes will be appropriate to be considered for Telehealth (audio and video) for physical, occupational, and speech therapies. Learn to enter your rehabilitation services order request online. ![]() The Rehabilitation Carelon provider portal experience Please verify or check with the patient’s health plan if you have any questions. Note: Review requirements and modalities may vary by health plan. Our program reviews outpatient rehabilitative services including, but not limited to: This decision can be made immediately if all relevant clinical information is provided. ![]() Therapy providers and physicians benefit by having a central location to obtain authorizations required by your patients’ health plans. The clinical information you submit is reviewed against Carelon clinical guidelines and health plan specific guidelines to ensure alignment with current best practices. The program includes review of rehabilitative and habilitative outpatient physical, occupational and speech therapy services for medical necessity.Ĭarelon is here to assist in your efforts to deliver the best quality and affordable care for your patients. Carelon Medical Benefits Management recognizes the key role that you and other providers play in the delivery of care for patients needing rehabilitative services to improve, adapt or restore functions, which have been impaired or permanently lost.ĭeveloped in collaboration with your patients’ health plans, our Rehabilitation Program provides a clinical appropriateness review process that encompasses the appropriate duration of rehabilitation services.
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