Carelon Medical Benefits Management Clinical Guidelines

The Carelon Clinical Guidelines are easily accessible online. View Cardiology Clinical Guidelines on the Carelon website.

Effective 8/01/2023, Anthem providers requesting services for Cardiac Resynchronization Therapy, Cardiac Defibrillators and Peripheral Revascularization for Commercial members, please visit Anthem Medical Policies and Clinical Guidelines.

Effective 10/01/2023, Anthem providers requesting services for Commercial members for:

Order request checklists

Wondering what information you’ll need to enter your order request? Download our worksheets to learn more.

Cardiology Order Request Checklist – Detailed: Information you’ll need by procedure*

*Note: procedures reviewed may vary by health plan


The appropriate use of cardiac imaging: what, why, and how webinar

Provided by the American Society of Nuclear Cardiology in Collaboration with Carelon

To increase your competence on the applications of Appropriate Use Criteria, choosing the right cardiac imaging test for the right patient at the right time. Open webinar



Provider webinars

Upcoming Provider Q&A Sessions for the Radiology, Cardiology, and Sleep Management programs:

Tuesday March 5, 2024 @2:00PM CST Click to Register

Tuesday June 4, 2024 @2:00PM CST Click to Register

Wednesday September 4, 2024 @2:00PM CST Click to Register

Tuesday December 3, 2024 @2:00PM CST Click to Register


Need more information on how to enter your order online on the Carelon provider portal? The provider portal support team is here to help.

Send an email
Call: (800) 252-2021