Provider connections

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.

Don’t miss our latest blog updates:

  • Gain new insights and refresher program information: Start the year off right by increasing your MBM program knowledge at one of our many 2024 webinar opportunities, which are conveniently listed here.
  • 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
  • Our latest MBM provider portal updates:
    • Reminder: Letters can now be viewed on our provider portal using order search
    • Provider portal ‘Reset your password’ page updated and simplified
  • Thank you for your participation in our annual Provider Satisfaction Survey – results and future provider experience improvements will be shared in the upcoming months.
  • Help us to protect patient PHI: Be sure to use a new cover sheet for all fax submissions you submit to Carelon MBM.
  • How you can join the User Experience Feedback group: Get involved in making the prior authorization process easier! Complete the survey today.

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

Did you know? Tips and tricks

In this section, we’ve gathered some best practices that will help new and experienced portal users learn and increase knowledge of certain functions, by solution, and globally.

Training

To help you gain new insights and refresher program information, we’re hosting a series of live webinar and Q&A sessions that are designed for providers and office staff who request and/or submit prior authorization.

Portal updates

To provide the best user experience possible, Carelon implements enhancements to our provider portal ongoing. Visit this section to learn about the latest new and improved provider capabilities implemented.

About Carelon

Carelon is a leading specialty benefits management company with more than 30 years of experience. Visit this section to learn how to contact Carelon, how to get involved with our User Experience group and more.