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 |
| American Specialty Health | Utilization review (acupuncture, chiropractic, therapeutic massage, and alternative care naturopathy Services) |
| CareCore National, LLC d/b/a eviCore Healthcare | Utilization review (physical health) |
| Carelon Behavioral Health (formerly Beacon Health Options, Inc.) | Utilization review (behavioral health) |
| Carelon Medical Benefits (formerly American Imaging Management, Inc. d/b/a AIM Specialty Health) | Utilization review (imaging and cardiology) |
| 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) |