Anthem

Carelon Post-Acute Care | SDoH Program

Carelon Medical Benefits Management is proud to announce its partnership with Anthem, Inc. for the social drivers of health (SDoH) program. Please find important announcements, documents, and forms listed below.

Program materials

Carelon provider portal: The Carelon SDoH program referrals, assessments, and action plans are managed through the provider portal.

Notice: The notice regarding the SDoH code update that was mailed to providers is available here.

Fax confirmation form: Online Form providers use to confirm their fax numbers for authorization requests.

Please contact the Carelon provider network team with any questions by email.

Agency information form

Please complete the “Agency Information Form” to have your agency’s information added to the Carelon system. The form is found online here.

Electronic funds transfer (EFT) enrollment

Carelon offers EFT payment options for providers. To enroll in the EFT program, please register for EFT payments by completing the online application form:

Online EFT application form

Please contact the Carelon claims team for questions related to the claims process by calling 833-241-0428.

Provider information updates

If you are an existing Carelon Participating Provider and need to update any of your Provider Information (i.e. NPI, address, or phone), please submit the Provider change form found below.

Provider change form: Online form providers use to update information.

Contact us

Please contact the Carelon provider network team with any questions by email or:

Phone: 844-411-9622
Fax: 844-834-2908

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 Post Acute Solutions 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 Privacy Team through email.