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Washington Health Care Benefit Managers


Providence Health Plan contracts with the following health care benefit managers (HCBM):


HCBM Services Provided
AllMed Health Management, Inc. Dispute resolution, grievances or appeals relating to determinations or utilization of benefits
Carelon Medical Benefits (formerly American Imaging Management, Inc. d/b/a AIM Specialty Health) Utilization review (Imaging and Outpatient Cardiovascular Services)
Carelon Behavioral Health (formerly Beacon Health Options, Inc.) Utilization review (behavioral health)
CareCore National, LLC d/b/a eviCore Healthcare Utilization review (physical health)
Delta Dental of Oregon Dental claims processing and utilization review
DST Pharmacy Solutions, Inc. d/b/a SS&C Health Claims processing and repricing (Rx)