Resources

Carelon Medical Benefits Management Clinical Guidelines

The Carelon Clinical Guidelines are easily accessible online. View Cardiovascular 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:

• Permanent Implantable Pacemakers, please visit  Cardiovascular Clinical Guidelines
• Leadless pacemakers, please visit Anthem Medical Policies and Clinical Guidelines.

Order request checklists

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

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

*Note: procedures reviewed may vary by health plan