Medicare AdvantageApril 11, 2025
Submit preapproval requests for post‑acute care services for Medicare group retiree members to Carelon Post Acute Solutions
As of February 14, 2025, Carelon Post Acute Solutions reviews preapproval requests to admit our Medicare group retiree members for a concurrent stay in a skilled nursing facility, inpatient acute rehab facility, or long‑term acute care hospital. These requests should not be submitted through Availity Essentials.
To submit a preapproval request, upload clinical information, or check the status of a request, go to http://portal.mynexuscare.com. If you cannot access the website, call the Provider Call Center at 844‑411‑9622 from 7 a.m. to 7 p.m. CT, Monday through Friday.
In Missouri (excluding 30 counties in the Kansas City area): Anthem Blue Cross and Blue Shield is the trade name of RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.
MULTI-BCBS-CR-079445-25-CPN78942
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