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 * Home
 * Tips and tricks
 * Training
 * Portal updates
 * About Carelon Medical Benefits Management




PROVIDER CONNECTIONS

As of March 1, 2023,  AIM Specialty Health is now Carelon Medical Benefits
Management! Click here to read the article.

Radiology providers: Have you registered on OptiNet? Click here for the article
and scroll to the radiology program.

Happy mid-summer 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 care that is appropriate, safe, and
affordable.

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. External submission scenarios: If you currently use
a dedicated health plan/payer portal to submit prior authorization requests,
please continue to use that portal to submit requests to Carelon Medical
Benefits Management.

Don’t miss our latest blog updates:

 * Gain new insights and refresher program information: Find upcoming webinar
   opportunities here!
 * Learn about the latest clinical engine enhancements we’ve implemented for our
   Genetic Testing solution! Visit the Tips and tricks section of our site!
 * How to access our new Carelon MBM website with links to our Carelon MBM
   provider portal, Carelon MBM clinical appropriateness guidelines and pathways
   page and more! Read the article here.
 * How you can join the User Experience Feedback group: Get involved in making
   the pre-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.

Learn more


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.

Learn more


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.

Learn more


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.

Learn more

Copyright © 2023 Carelon Medical Benefits Management. All rights reserved.