Entering a Request
Participating in the Carelon Medical Benefits Management medical oncology program can be a straightforward process and is most easily managed using the Carelon provider portal an online application.
The first step in participating is to register as a user in the provider portal. The provider portal allows you to initiate a review of cancer treatment regimens for your patients who are covered by participating health plans. We call this the “order request” process. Login to the provider portal to access on-demand training tutorials which show you exactly how to enter a request and other helpful tips.
The Carelon provider portal allows you to open a new order, update an existing order and retrieve your order summary. As an online application, provider portal is available 24/7.
Your first step is to register your practice in provider portal, if you are not already registered. Each member of your staff who enters medical oncology order requests will need to register in the provider portal.
How to register:
- Go to www.providerportal.com and select “Register Now” to launch the registration wizard
- Enter User Details and select User Role as “Ordering Provider“
- Create user name and password
- Enter the Tax ID numbers for your providers
- Check your inbox for an email from Carelon. Click on the link to confirm.
Entering an order request can be a convenient, online process using the provider portal.
Get to know the order request process
View on-demand training tutorials, available under the Help Desk in the provider portal, which show you exactly how to complete the clinical order request process and other helpful tips.
Prepare to enter an order request
Knowing what information you’ll need for each order saves time. Our individual Pathway worksheets can help you identify and collect the information you need to have available when entering an order request. We recommend that you print a copy and keep it handy when you’re preparing to submit a cancer treatment order.
Carelon invites you to take advantage of on-demand recorded training on how to:
- Create and submit prior authorization and post service medical necessity review requests, update an existing request, and retrieve your order summary
- Check the status of your requests
- Get tips and shortcuts to navigate the system
View on-demand Training Tutorials:
- Log into www.providerportal.com
- Click on Help Desk icon
- Click on the Tutorials icon to access trainings about the Medical Oncology program