Carelon Reviews Ending June 30, 2023

Effective June 30, 2023, Select Health will assume responsibility for reviewing and approving preauthorization requests for radiation oncology, medical oncology, and genetic testing to improve turn-around times as well as provider and member communication.

Use these tools for preauthorization requests:

  • CareAffiliate® (for radiation oncology and genetic testing preauthorization requests)
  • PromptPA (for medical and oral oncology medications)

Key dates for this transition are: 

  • June 30, 2023: Effective date of preauthorization change
  • July 10, 2023: Last date of reconsideration for claims submitted prior to June 30, 2023
  • July 31, 2023: Last date of post-claim requests

Questions? Contact your Provider Relations representative.