Provider connections

Important news for you and your office staff:

Thank you for visiting our blog site. Here’s what new:

Greetings from our Carelon Medical Benefits Management (MBM) teams. Welcome to Provider Connections, our news blog for prior authorization staff and provider portal users. 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, provide a first look at recent portal enhancements and supply you with program-specific tips you and your office staff can put to everyday use.

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:

• Don’t miss our complimentary program refresher webinars! Visit our Training page to sign up for an upcoming session to stay on top of Carelon MBM program news and updates. You’ll gain new insights and refresher program information all at the same time. Visit the Training page of our blog and sign up today! Our current training schedule can be accessed on the Training page of this blog.
• Visit the Tips and Tricks section of our blog to learn the latest about our MBM solutions including important Resource page updates you may have missed. Be sure to check out upcoming and recently implemented enhancements for all our programs in the Tips section of this blog, including recently implemented enhancements for our Medical Oncology, Musculoskeletal, Post-Acute and other programs, which can also be conveniently located on our Program Tips blog page.
• Our latest MBM provider portal updates
• Post-acute providers / portal users can find our latest program updates and helpful resources here. Learn about our unified post-acute approach with  Post-Acute Complete.
• Read the latest Advancing Health Together Report to learn how our work with care providers has made healthcare work better for our members, and also for the individual clinicians, hospitals, and health systems we work with
• Stay on top of Carelon MBM clinical appropriateness guidelines and cancer treatment pathways updates by visiting our ‘Coming Soon’ page. Q3 2026 guidelines updates are available now.
• Would you like the opportunity to help shape our provider portal features and help influence where potential improvements can be made? Join our Carelon user experience group. Learn more here or sign up today!

We appreciate your partnership and hope you find this information valuable as we continue our work together to ensure health plan members experience a safe, effective, and connected care experience that’s driven by rigorous clinical evidence.

We thank you for all you do! You can direct any questions or topic recommendations by sending us an email at:  WebCustomerService@carelon.com.

Privacy reminder:

Help us protect patient PHI: When submitting a case on the provider portal, be sure to select and verify the correct office demographic information for the ordering provider (office address & fax number) and servicing provider (office address) as letters with patient PHI are sent.