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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 Management (formerly AIM Specialty Health)    Utilization review (imaging)
Carelon Behavioral Health (formerly Beacon Health Options) Utilization review (behavioral health)
CareCore National, LLC d/b/a eviCore Healthcare Utilization review (physical health)
DST Pharmacy Solutions, Inc. d/b/a SS&C Health Claims processing and repricing (Rx)