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.
From the provider portal you can:
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.
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:
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