Carelon Medical Benefits Management recognizes the key role that radiation oncology practices play in the delivery of care for patients with cancer. Developed in collaboration with your patients’ health plans, our Radiation Oncology program helps support quality care that is consistent with current medical evidence. And that’s good news for your practice and the patients you serve.
Based on the clinical information you submit, we conduct a clinical appropriateness review of your requests against clinical guidelines and health plan medical policies, providing you with a central location to obtain authorizations required by your patients’ health plans.
Our review process encompasses certain radiation therapy treatments including, but not limited to*:
Services that may also require review:
*Note: procedures reviewed may vary by health plan
Everyone I know that uses the online portal thinks it is the easiest one in the industry to use. And your clinical reviewers are always kind and make our jobs easy.- Provider practice feedback
Powered by our pioneering Carelon provider portal technology, your requests are processed in real time, with most requests approved at intake.
For requests that require additional consideration, our team of nurses and physicians are available to consult with your practice.
Log in to provider portal