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.
Medicare services provided by Anthem Blue Cross and Blue Shield, trade name of Anthem HealthChoice HMO, Inc. and Anthem HealthChoice Assurance, Inc., Anthem Blue Cross and Blue Shield HP, trade name of Anthem HP, LLC., or Anthem Blue Cross and Blue Shield Retiree Solutions, trade name of Anthem Insurance Companies, Inc.
Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.
NYBCBS-CR-079447-25-CPN78942
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