How to request prior authorization

There are three ways to contact Carelon Medical Benefits Management:

1. Through a direct link on the Blue Cross Provider Central website at bluecrossma.com/provider.
   Log in and go to eTools and then to Carelon. Click the Go Now button.
   (Available to Blue Cross Blue Shield of Massachusetts participating providers.)
2. Go directly to the Carelon provider portal (registration is required) at www.providerportal.com
   Note: If you’ve already registered for the provider portal for Blue Cross Blue Shield of Massachusetts or another insurer, you won’t need to register again.
3. Call the Carelon Contact Center (Monday – Friday, 8 a.m. – 6 p.m., ET) at 1-866-745-1783.

Tips for Entering a Prior Authorization Request

Get to know the prior authorization process
Access On-Demand Training Tutorials which shows you exactly how to enter a request.

Prepare to enter a prior authorization request
Knowing what information you’ll need for each order saves time. Our Cancer treatment order request worksheet can help you identify and collect the information you need to have available when entering an order request. We recommend that you print a copy and keep it handy when you’re preparing to submit a cancer treatment order. Also check out our Quick Guide to Order Entry

Align with Pathways
Our Pathways worksheets can help you align with identified Pathways. Download worksheets for these cancer types.