Oncology Management Program for
Blue Cross® Blue Shield® of Michigan* and Blue Care Network
*Program applicable to members of select employer-funded health plans
How to participate
The first step in participating is to register as a user of the Carelon Medical Benefits Management provider portal. The provider portal allows you to initiate the review of cancer treatment regimens for your patients. We call this the “order request” process.
- Initiate, update, and submit new order requests
- Identify Carelon Cancer Treatment Pathways
- Retrieve your order summaries
When your practice initiates an order request using the provider portal, the order is evaluated for alignment with Carelon Cancer Treatment Pathways and plan medical policy. A regimen that meets clinical criteria is approved in real time, and when your practice selects a designated Carelon Cancer Treatment Pathways, you may be eligible for enhanced reimbursement.
How to register for provider portal
Each member of your staff who enters cancer care order requests will need to register in the provider portal. Here’s how to do it:
Step 1: Go to providerportal.com and select “Register Now” to launch the registration wizard
Step 2: Enter User Details and select “Ordering Provider” as User Role.
Step 3: Create user name and password
Step 4: Enter the Tax ID numbers for your providers
Step 5: Check your inbox for an email from Carelon. Click on the link to confirm.
Program resources
Visit the resources page to access Pathways details, FAQs, and other resources to support your participation.
Carelon Cancer Treatment Pathways Worksheets
Our worksheets can help you gather the patient clinical information you’ll need to enter your order request in the provider portal.
Carelon Cancer Treatment Pathways Clinical Details