Anthem Blue Cross and Blue Shield | CommercialApril 1, 2024
OP rehab reconsiderations moving to Carelon Medical Benefits Management, Inc.
Notice for Virginia local Commercial & Specialty Business Division
Effective May 1, 2024, all outpatient rehab (physical therapy, occupational therapy, speech-language therapy) reconsideration services for Virginia local commercial business, which are currently managed by the Virginia health plan, will be managed by Carelon Medical Benefits Management.
This change does not apply to Virginia national accounts, HealthLink.
Requesting reconsiderations
Reconsiderations should be requested within 10 business days of the denial notification. Reconsiderations can be requested by phone at 866-789-0158 between 7 a.m. and 4 p.m. Central time, Monday to Friday, or via the Carelon Medical Benefits Management website.
Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan.
Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Virginia, Inc. Anthem Blue Cross and Blue Shield, and its affiliate HealthKeepers, Inc., serving all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123, are independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.
VABCBS-CM-052242-24
PUBLICATIONS: April 2024 Provider Newsletter
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