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May 2024

Register now for Prior Authorization Programs with Carelon webinar

Provider office personnel responsible for obtaining prior authorizations are encouraged to register now for a webinar about Blue Cross Blue Shield of Michigan’s utilization management program with Carelon Medical Benefits Management (formerly AIM Specialty Health).

Carelon performs medical appropriateness reviews on for the following services: high-tech radiology, cardiology, radiation oncology, medical oncology and in-lab sleep studies. Prior authorization programs vary based on the member group contract and benefits.

This live session will present an educational overview of all the programs, as well as a demonstration of how to navigate the Carelon portal to submit, view and manage a prior authorization request. The presentation is followed by a question and answer period. You can register for this webinar on our provider training website.

Session

Date

Time

Prior Authorization Programs with Carelon

June 13

10 to 11 a.m. Eastern time

Provider training website access

Provider portal users with an Availity Essentials account can access the provider training website on the Applications tab in the BCBSM/BCN Payer Space. Log in through availity.com.**

You can also directly access the training website if you don’t have a provider portal account: Provider training website.

After logging in to the provider training website, look in Event Calendar to sign up for your desired session. Or quickly search for the session with the keyword “Carelon” and then look under the results for Events.

Questions?

Carelon Medical Benefits Management is an independent company that contracts with Blue Cross Blue Shield of Michigan and Blue Care Network to manage prior authorizations for select services.

Availity® is an independent company that contracts with Blue Cross Blue Shield of Michigan and Blue Care Network to offer provider portal and electronic data interchange services.

**Blue Cross Blue Shield of Michigan and Blue Care Network don’t own or control this website.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2023 American Medical Association. All rights reserved.