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Carelon

Our vendor, Carelon Medical Benefits Management, administers prior authorization programs for us in the areas listed below.  Use Carelon’s secure website to submit prior authorization requests for these services that our members may need.

Click the links to access more information about these programs, including services that need prior authorization and members included in the program.

If you don’t see a Go Now button, please contact the Provider Central account administrator in your office to give you access to this eTool. For more information, see our Provider Central Administrators Quick Start Guide.
To use this tool, simply log in, click on this page in the eTools tab, and look for the Go Now button. Not registered for Provider Central? Find out who can register.
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Carelon genetic testing resources
Medical Policy 088: Preimplantation Genetic Testing
Medical Policy 954: Carelon (formerly AIM) Genetic Testing Management Program
Medical Policy 957: Carelon Genetic Testing Management Program CPT and HCPCS Codes
Prior Authorization Overview
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