Visit the Radiology provider microsite to access helpful information and tools such as a direct link to the provider portal, clinical guidelines, FAQs and more.
Now live: OptiNet September enhancements implemented!
Carelon Medical Benefits Management (MBM) understands the key role that medical practices play in the delivery of care for patients who require imaging studies. Developed in collaboration with your health plan, our radiology program helps support care that is consistent with current medical evidence and delivered in the most clinically appropriate setting.
As you know, OptiNet helps with site servicing selection! When we are contacted to order imaging studies, we offer the information we collected in OptiNet to help locate clinically appropriate, convenient, and cost-effective alternate imaging study facilities for patients, so please be sure to always keep your registration complete and current.
What is OptiNet?
OptiNet is an online assessment tool designed to collect service and capability information. It is a self-reporting tool for servicing providers to report information offered at their imaging and genetic testing locations and to assist with ordering providers search results during site selection for pre-authorization orders. The information collected helps to support the Carelon MBM site of care program, Specialty Care Shopper OptiNet initial display, and imaging credentialing programs.
Why we are reaching out?
Our records indicate you currently are registered in OptiNet. We have made some changes to the application that we would like to keep you informed about.
Effective September 9, 2023, OptiNet is no longer a pop-up window! When clicking on “Access Your OptiNet Registration” you will be transitioned into OptiNet seamlessly.
Once in OptiNet, and you are within a record or registration, you can easily “Return to Search Results”, this hyperlink has been added to the top of the page and will bring you back to your original search.
If you need to go back to the portal application, or to transition between RBM and GT OptiNet, the OptiNet “Home” hyperlink at the top of the page will allow you to do just that.
- Be on the lookout for even further enhancements within OptiNet!
- For our October enhancements check out our Helpful Guide section for additional OptiNet documentation.
- Any changes we make within our OptiNet application is to make it more user-friendly! We hope these changes help you navigate within the application easier.
If you have any questions, please do not hesitate to contact our OptiNet assessment team at: (877) 202-6543 or at Assessment@carelon.com.
Don’t wait. Register your imaging site of care with OptiNet® today!
Carelon understands the key role that medical practices play in the delivery of care for patients who require imaging studies. Developed in collaboration with health plans, our Radiology Program helps support quality care that is consistent with current medical evidence and delivered in the most clinically appropriate setting.
Our program includes OptiNet, which is available in the provider portal. OptiNet is a proprietary, multifaceted program designed to collect service and capability information on outpatient imaging providers.
Available to our health plan clients, OptiNet is the Carelon assessment tool that gives providers more transparency when ordering high-tech imaging procedures and more. OptiNet generates a modality score based on equipment, staffing, and quality control information reported by the facility.
It is available in the provider portal.
Register your imaging facility today!
Choosing an imaging provider is an important decision for our customers, affecting the quality and cost of their care. The Carelon OptiNet tool will help providers and their patients compare high value, lower cost imaging facilities for computed tomography (CT) imaging, magnetic resonance (MRI) imaging, and other imaging services.
Why is registration important?
When you register, your facility information is displayed in the provider portal. By registering, your facility may be available on our Initial Display List to ordering physicians and members requesting imaging services. Providers register sites within OptiNet to become eligible alternate sites for our Site of Care and Carelon Specialty Care Shopper (member engagement) programs.
What do you need to do?
Register in the OptiNet tool.
How to register
- Log in to the provider portal at https://providerportal.com.
- Select “Access Your OptiNetRegistration” found on the left-hand side of the provider portal home page.
- OptiNet will guide you through the registration process.
What data will be included?
The Carelon online registration tool, OptiNet, collects data on imaging providers related to: facility specifications, technologist and physician qualifications, accreditation, equipment features, and technical registration. This information is used to determine how organizations conform to industry-recognized standards, including those established by the American College of Radiology (ACR) and the Intersocietal Accreditation Commission (IAC).
For more Information:
View our provider microsite to learn about the many benefits of OptiNet.
If you have any questions about the OptiNet registration or score card generation, please contact the Carelon Assessment Department at 877.202.6543 or by email at Assessment@aimspecialtyhealth.com.