Resources

Order request checklists:

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

 

Surgical Clinical Review

*Note: Procedures reviewed may vary by health plan

Questions?

For questions related to an order request for a specific patient, contact Carelon Medical Benefits Management at 866-789-1456 for further assistance.

Call the Carelon provider portal support team at 800-252-2021 for help using provider portal.




Clinical Guidelines:

View the clinical criteria that guides our review process


Upper Gastrointestinal Endoscopy

Clinical Guidelines:

View the clinical criteria that guides our review process


Monitored Anesthesia Care for Gastrointestinal Endoscopic Procedures

Clinical Guidelines:

View the clinical criteria that guides our review process


Monitored Anesthesia Care for Gastrointestinal Endoscopic Procedures

Upper Gastrointestinal Endoscopy