Healthy Joint and Spine Guide Program

Carelon Medical Benefits Management recognizes the key role that you and other medical practices play in the delivery of care for patients with chronic back pain. Developed in collaboration with your patients’ health plans, our Healthy Joint and Spine Guide Program helps support quality care that is consistent with evidence-based medicine. And that’s good news for your practice and the patients you serve.

Our Process

Our solution navigates patients to the right place, right treatment and right path. Our use of medical evidence for back and joint pain management drives savings, prevents unnecessary treatment and empowers health plans and their members.

We offer a consumer-centric, condition-based program that enhances outcomes through targeted prevention, provider and member education, and digital intervention.

Core capabilities include:

  • Early member identification
  • Member outreach
  • Digital health platform
  • Chronicity risk stratification
  • Customized treatment pathways
  • Behavioral health integration

Note: Program specifics may vary by health plan. Please verify or check with the patient’s health plan if you have any questions.

Carelon provider portal

The provider portal is your access point for submitting order requests online. Although the Healthy Joint and Spine Guide Program does not require submission of UM requests, you can use the provider portal to submit a request for another program and get a response in real time 24/7.

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