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Offered through Carelon Post Acute Solutions (Formerly myNEXUS) Provider portal Submit a new case for prior authorization, or check on an existing one. … See more

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Official Carelon Healthcare Services Carelon

WebAt Carelon, we use our unmatched expertise, data, and advanced technology to remove whole-health barriers by connecting the healthcare system in powerful ways …

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Medical Benefits Management Carelon

WebThat’s why we’ve spent over 35 years assembling the expertise of more than 370 board-certified physicians and over 1,000 clinicians — spanning more than 50 specialties — to …

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Behavioral Healthcare Carelon

WebBehavioral health services, designed for today’s challenges We're passionate about helping people navigate the healthcare system. Through our deep provider network and …

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Digital Healthcare Platforms Carelon

WebThe limitless possibilities of Carelon Digital Platforms. The digital tools and data-driven insights enabled by our healthcare platform make a better healthcare system possible. …

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How Economic Stability Affects Access to Care Carelon

WebSDOH: How economic stability affects access to care. Economic stability is one of the primary social determinants of health (SDOH). Carelon Insights explores the four facets …

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Mercer County Carelon Health of Pennsylvania

WebCarelonToll-Free Member Telephone Numbers. Mercer 1-866-404-4561 PA TTY Relay Operator at 711. NW BHP Resources (Crawford, Mercer and Venango Counties) NW …

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Connected Care Solutions for Healthcare Challenges Carelon

WebPeople struggle with the U.S. healthcare system, and there is opportunity to improve the member experience nearly every step of the way. From choosing a health plan and …

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About Carelon Healthcare Services Carelon

WebCarelon was formed in 2022, but our portfolio of businesses has collectively delivered high-impact results for over 150 years. With capabilities spanning pharmacy, behavioral …

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Healthcare Capabilities and Solutions Carelon

WebWith perspective gained from serving more than one in three people in the U.S., we know that this is challenging work. It’s what we do. Through our flexible approach and industry …

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A digital approach to behavioral health Carelon

WebThe program’s digital delivery system is an app for concierge-like care that puts the member at the center and allows the care manager to address our member’s health as a whole. …

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The importance of a patient-first mindset in specialty pharmacy

WebWe can improve the health of our communities and support patients who rely on specialty medications by adapting a patient-first mindset in our daily roles. At the end of the day, …

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Health Clinics Carelon

WebWe are committed to supporting your whole health — medical and emotional — from basic needs to the most complex. Our expertise, compassion, and technology enhances the …

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Explore Our Healthcare Solutions Carelon

WebAcross the healthcare system, leading organizations rely on our solutions to make whole health possible. Find your Carelon solution now. I am a/an. Health Plan 45. Government …

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Pharmacy Benefit Management Carelon

WebCarelonRx offers: Comprehensive medication management, including digital tools for refilling, renewing, and pricing medications, and convenient home delivery. 24/7 phone, …

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Palliative Care Services Carelon

WebOur palliative care is provided by an interdisciplinary team, including physicians who specialize in palliative care, nurses, social workers, care coordinators, and specialists. …

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Healthcare Operations and Technology Services Carelon

WebAbsolutely. Carelon has over 25,000 global associates dedicated to technical, clinical, administrative, and operational support services. Our toolbox includes claims processing, …

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Perspectives on Healthcare Trends and Topics Carelon

WebExplore our perspectives below on how to make a better healthcare system. Learn how family and peer engagement in healthcare can lead to greater satisfaction, …

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