Provider connections

Radiology providers: Have you registered on OptiNet? Click here for the article and scroll to the radiology program.

Happy Fall 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 care that is appropriate, safe, and affordable.

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:

• Gain new insights and refresher program information: Find upcoming webinar opportunities here!
• Visit the Tips and Tricks section of our blog to learn the latest about our Carelon MBM solutions.
• Do you know how to access out Carelon MBM website with links to our Carelon MBM provider portal, Carelon MBM clinical appropriateness guidelines and pathways page and more? Read the article here.
• How you can join the User Experience Feedback group: Get involved in making the pre-authorization process easier! Complete the survey today!

You can direct any questions or topic recommendations by sending an email to:  WebCustomerService@carelon.com.