April 1, 2024 brand update
Carelon Post Acute Solutions will begin operating as Carelon Medical Benefits Management on April 1, 2024
On April 1, 2024, Carelon Post Acute Solutions (formerly known as myNexus) will begin operating as Carelon Medical Benefits Management. While documents that use the Carelon Post Acute Solutions name today, such as determination letters and provider forms, will adopt the new name, there will be no changes in the way you submit a case or to the contact information you use for checking case status.
Please see below for a list of frequently asked questions (FAQs). Additional questions can be directed to our provider relations team using the contact information below:
Home Health Providers: HHprovider_relations@carelon.com
PAC-IM (Post-Acute Institutional Management) Providers: PACprovider_relations@carelon.com
DMEPOS Providers: DMEprovider_relations@carelon.com
Thank you for your continued partnership.
Frequently asked questions |
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| 1. Will there be any changes to the Carelon Post Acute Solutions provider portal? | 1. The name of our portal will be updated to reflect Carelon Medical Benefits Management branding. Additionally, the web address (URL) you use today will automatically redirect to a new Carelon site. There will be no changes to the case submission process. |
| 2. Are any phone number changes planned as part of this transition? | 2. No. Our inbound phone numbers will not change. The reference to Carelon Post Acute Solutions in recorded scripting will use the Carelon Medical Benefits Management name. |
| 3. How will third party portals, such as Availity, be impacted? | 3. There will be no change to the way you access these portals. Within the portals, any reference to Carelon Post Acute Solutions will be replaced with the new name. This may take some time to fully complete. |
| 4. Will references to Carelon Post Acute Solutions on health plan websites and other materials be changed? | 4. Yes. While you may continue to see the Carelon Post Acute Solutions company name on health plan websites for some time, these references will be updated over time through scheduled content update cycles.
If your office includes the Carelon Post Acute Solutions name in any materials or web properties, we encourage you to update them to Carelon Medical Benefits Management during your next update cycle. |
| 5. Will information about Carelon Post Acute Solutions continue to be found on the corporate website? | 5. Yes. Post-acute care remains a Carelon solution and will be part of the Carelon Medical Benefits Management portfolio of solutions. You can learn more at www.careloninsights.com |
| 6. Will provider resources, such as key documents and the provider finder, be impacted? | 6. Yes. Our provider resources will continue to be available through our corporate website, and our Provider Resources site. You can access the Provider Resources site here: https://providers.carelonmedicalbenefitsmanagement.com/postacute/. |
| 7. Does this impact provider agreements with Carelon PAS? Will I need to sign a new agreement? | 7. No. There is no impact to provider agreements, and you do not need to sign a new agreement regardless of whether your current contract is with myNexus or Carelon Post Acute Solutions. |
| 8. Do I need to complete credentialing again through Carelon MBM? | 8. No. Providers will not need to re-credential until their normal credentialing cycle. |
| 9. Will my claims be impacted? | 9. No. Claims are not impacted. Payer IDs will remain the same. |
| 10. Will I need to update my W-9? | 10. Providers may need to update their W-9. If you need an updated Carelon MBM W-9, please contact the Carelon Provider Relations department at HHprovider_relations@carelon.com |
Carelon Post Acute Solutions
105 Westwood Place | Suite 400 | Brentwood, Tennessee 37027
Provider call center phone: 844-411-9622
Contact us | Privacy policy | Terms of use
An individual shall not be excluded from participation in, be denied the benefits of, or be subjected to discrimination on the grounds prohibited under Title VI of the Civil Rights Act of 1964, 42 USC § 2000d et seq. – PDF (race, color, national origin, sex, age, sexual orientation, gender identity, and disability), Title IX of the Education Amendments of 1972, 20 USC § 1681 et seq. – PDF (sex), the Age Discrimination Act of 1975, 42 USC § 6101 et seq. (age), or Section 504 of the Rehabilitation Act of 1973, 29 USC § 794 – PDF (disability), under any health program or activity, any part of which is receiving Federal financial assistance, or under any program or activity that is administered by an Executive Agency or any entity established under Title I of the Affordable Care Act or its amendments. OCR has enforcement authority with respect to health programs and activities that receive Federal financial assistance from the Department of Health and Human Services (HHS) or are administered by HHS or any entity established under Title I of the Affordable Care Act or its amendments. Carelon Medical Benefits Management employs industry standard information security systems including, but not limited to: Unified Threat Management (UTM), Vulnerability Threat Management (VTM), Data Loss Prevention (DLP), and Security Information and Event Management (SIEM), Email Encryption, and Secure Sockets Layer (SSL) certificates. Inquiries regarding Carelon’ information security and privacy policies, procedures or activities may be directed to the following individuals at 866-828-0337 or by email: Joe Thomas, Chief Information Security Officer, or Pamela Hursh, Privacy Officer.