Process for Carelon Post Acute Solutions, LLC redirection and Availity Essentials clinical denial/approval outcome notifications

Carelon Post Acute Solutions, LLC redirection

Effective immediately, Carelon Post Acute Solutions requests (Skilled Nursing Facilities, Acute Inpatient Rehab, and Long-Term Acute Care) that are sent to Anthem Blue Cross and Blue Shield in error will be canceled.

Providers will then be notified either verbally or through Availity of the cancellation and redirected to use Carelon Post Acute Solutions using NexLync, the Carelon Post Acute Solutions provider website at https://portal.mynexuscare.com.

Providers can also upload clinical information and check requests 24/7 via NexLync, or they can call the Carelon Post Acute Solutions provider call center at 833-431-0780.

Note: Certain members may not be included on Availity. Please contact customer service for additional information if you are unable get a decision on Availity.

Availity Essentials clinical denial/approval outcome notification process

Effective immediately, providers will receive clinical denial/approval notifications for cases received via Availity through the Availity Essentials notification in lieu of verbal communication. Providers will continue to receive notification letters via fax and conventional mail as applicable.

We are focused on reducing administrative burdens, so you can do what you do best — care for our members.