Medical benefits management: Specialty care
Medical benefits management: Specialty care
AIM Specialty Health is now Carelon Medical Benefits Management.
Providers: Find important information for you here.
The foundation for quality, affordable specialty care
We help ensure health plan members receive quality, affordable specialty care, like chemotherapy and orthopedic surgery, that’s driven by rigorous clinical evidence.
With more than 35 years of experience, we help make it easier for health plans to improve and connect member and provider journeys. We do this by aligning complex care with evidence-based pathways, streamlining providers’ clinical workflows, and powering consumerism with member engagement and cost transparency.
50
states covered
35+
years' experience
90%+
provider satisfaction
We approach specialty care with integrity
We think differently about specialty care.
To us, exceptional value and outcomes in specialty care are possible only by connecting partners across the system and optimizing the healthcare experience for everyone — for your providers, your members, and your business. And that’s what we do, tirelessly.
Clinically sound
Our multispecialty team of physicians helps assure your health plan’s clinical credibility, easing your providers’ adoption of our solutions.
Collaborative
We work with your providers like colleagues, enhancing their experience with your health plan and enabling them to focus on care.
Customizable
As a strategic partner to your health plan, we work with you to help tailor your solution’s design based on your exact market needs.
Solutions that bring clarity to clinical complexity
Led by physicians and scaled by an automated platform providers prefer, our specialty care solutions help address today’s most complex clinical specialties.
Core suite
Fundamentals that minimize variation in care and create long-term value
Musculoskeletal suite
A balanced approach to the management of musculoskeletal conditions
Oncology suite
Continuity and quality across the oncology care continuum
Explore related solutions
Get to know our perspectives
Improving the quality and costs of healthcare requires new perspectives on how to bring clinical and financial clarity to complex decision-making. Get to know ours.
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Discover how our genetic testing solution helped Harvard-Pilgrim control spending in this case study.
The exceptional provider experience
Leading providers across the country prefer our medical benefits management solution for specialty care. Here’s why.
The five non-negotiable traits of a medical benefits management partner
Safeguarding your members’ health and supporting your providers’ complex decision-making require a certain type of strategic partner.
Ask us about medical benefits management
Health plan leaders, contact us to learn more about the possibilities and impact of medical benefits management for specialty care.
Are you a health plan member?
If you’re a health plan member and have a question about your health plan, please call the member services number on the back of your health plan ID card.
Provider inquiries
For questions about a request or the Provider Portal: Call 1-800-252-2021 or contact our support team
Business hours: 8:00 am – 5:00 pm CST.
