Radiology providers: Have you registered on OptiNet? Click here for the article and scroll to the radiology program.
Happy new year from our Carelon teams!! Welcome to Provider Connections, our news blog for prior authorization staff. Visit our site frequently to learn about the best ways to use the Carelon Medical Benefits Management (MBM) provider portal, and how to reduce unnecessary calls by using all available features. Our goal is to provide tips and tricks to make your day easier and more efficient.
This site includes educational resources that will help enhance your knowledge of the portal, along with tips specific to our solutions, such as rehabilitation, medical oncology, and radiology, for example.
We appreciate your partnership and hope you find this information valuable as we continue our work together to ensure health plan members receive quality, affordable specialty care that’s driven by rigorous clinical evidence.
To submit a new case for prior authorization, or check on an existing one, sign in to our Carelon Medical Benefits Management provider portal: providerportal.com. Not registered yet? Sign up here: register.providerportal.com. External submission scenarios: If you currently use a dedicated health plan/payer portal to submit prior authorization requests, please continue to use that portal to submit requests to Carelon Medical Benefits Management.
Don’t miss our latest blog updates:
You can direct any questions or topic recommendations by sending an email to: WebCustomerService@carelon.com.