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Provider portal. Submit a new case for prior authorization, or check on an existing one. Sign in. Clinical guidelines and pathways. Access the evidence-based criteria used in our review process. Visit.
Provider portal. Submit a new case for prior authorization, or check on an existing one. Login. Register. Clinical guidelines and pathways. Access the evidence-based criteria used in our review process. Login. Log in or register with Carelon Insights, where we rapidly optimize care and costs.
Check our Provider Connection newsletter to find the latest information and important dates for our MFA rollout (see link in bottom right corner). If you need assistance, please Click Here or contact Carelon Medical Benefits Management provider portal support at (800) 252-2021.
Visit our sign-in page to access our provider portal, program materials, provider finder and more. For questions about a request or portal support: Call 1-844-411-9622 or contact our support team. For questions about the provider network: Call 1-833-585-6262 or email our network team.
Provider portal. Get answers to questions, access real-time patient information, check claims status, enter and view authorizations, and more. Access the provider portal. Become a provider. Join our Advanced Primary Care provider network and benefit from our support in helping your patients improve their health. Join our network of providers.
Carelon MBM will soon introduce multi-factor authentication (MFA) for its specialty benefits and post-acute provider portals. Learn more here. To access step by step instructions for the Carelon provider portal MFA process, click here.
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Benefits of the Carelon ProviderPortal for Pre & Post-Service Reviews: Offers self-service, smart clinical algorithms and in many instances real-time determinations. Check prior authorization status. Increases payment certainty. Provides faster pre-service decision turnaround times than post service reviews.
From this portal you can accomplish things like: Check member real-time eligibility; View Authorizations; Update Provider Demographics
Carelon Provider Portal for Home Health, DMEPOS, PAC-IM, SDoH, and Wound Care providers. This portal was created to allow medical offices, hospitals, and post acute providers to request healthcare services and gain information needed as they interact with our clinical team.