www.providerportal.com Open in urlscan Pro
23.213.161.197  Public Scan

Submitted URL: https://click.mlsend2.com/link/c/YT0yNTc4NDY4NzA5NjIyMzU1MTU1JmM9bzdrMiZlPTY2NzAyNjAmYj0xMzY3NDU2NzQ5JmQ9ZjliN3c4bQ==.Vpk9...
Effective URL: https://www.providerportal.com/
Submission: On September 30 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST ./

<form method="post" action="./" onsubmit="javascript:return WebForm_OnSubmit();" id="form1">
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    <input type="hidden" name="__WSScriptLoader" id="__WSScriptLoader" value="">
    <input type="hidden" name="__WSViewState" id="__WSViewState"
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  </div>
  <script type="text/javascript">
    //<![CDATA[
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    if (!theForm) {
      theForm = document.form1;
    }

    function __doPostBack(eventTarget, eventArgument) {
      if (!theForm.onsubmit || (theForm.onsubmit() != false)) {
        theForm.__EVENTTARGET.value = eventTarget;
        theForm.__EVENTARGUMENT.value = eventArgument;
        theForm.submit();
      }
    }
    //]]>
  </script>
  <script src="/WebResource.axd?d=pynGkmcFUV13He1Qd6_TZMBGRjVOVr5-qkWmGGlAuCsJ8BTbjPxghH2xldZeH9PCAHx0aRRs3Olc8lle-LEaj3LcPYtr_ozqgWODkVRZ_jn-xplSyZhcoXBYRcm2j7MT0&amp;t=638562381717896622" type="text/javascript"></script>
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    src="/ScriptResource.axd?d=NJmAwtEo3Ipnlaxl6CMhvmd1XfLk6jwmo97uILJ3vQCYVy2Ko_kjBLFBX1oJ5ReQSHxaNLcCY8OHDgZDdo9XC16bTed7DENF05riG6XjNlV-_gd_l6ycs1mRTX9TlU7v9l4AYUTeMV52OcjtwZHsR_r8zuG-OcJKMUjx13fkMTrbNe8xs20gGb8ackw0aZKQuPKjI-2c3y0UZRJzmKu9kA2&amp;t=7a0cc936"
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  <script
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  <script
    src="/ScriptResource.axd?d=ySGA_4LeTR3k-hD2i-DD5zpU80HWi1X5nMLT4xkBJXIKum6YOh-kNAbVzMjsNvTJlMLIWZsmh5ohxMFQgaxvG-wgQLvG5mnSn07QsQDU_-7RuGVKRGy5INHg7dU5urr_HP782g7QduRWjWpB5eZjhr3nteCImEzfh8k1XWUSEX-tTa50N7qPM2AIipgOldKR874mjhb4m_Oo71u3g9P4Ig2&amp;t=ffffffffdad03afb"
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  <script
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    type="text/javascript"></script>
  <script language="javascript" type="text/javascript">
    //
    //	Initializing the WorkflowServer framework
    //
    workflowServer.Assemblies['WorkflowServer.WebFoundation'] = new Assembly('Support/Script/Workflow/');
    workflowServer.ServerPath = '/Server.aspx';
    workflowServer.FormName = 'form1';
    workflowServer.WSSessionID = 'web-session:8C757189-2415-47B8-B1A9-CCB48CE19088';
    workflowServer.SessionTimeout = 20;
    workflowServer.ScriptsEmbedded = true;
    workflowServer.TimeToWarning = 1;
    workflowServer.SetupTimeoutMessage = 'True';
    //
    //		Registering and initializing the 'WorkflowServer.Web.Page' class
    //
    workflowServer.RegisterClass(WorkflowServer, 'Web.Page', 'WorkflowServer.WebFoundation');
    WorkflowServer.Web.Page.prototype.ShowActivity = function(activity) {
      return workflowServer.ExecuteInstanceMethod(this.__controlID, 'ShowActivity', arguments);
    }
    WorkflowServer.Web.Page.prototype.ValidateSession = function() {
      return workflowServer.ExecuteInstanceMethod(this.__controlID, 'ValidateSession', arguments);
    }
    WorkflowServer.Web.Page.prototype.AbandonSession = function(WSSessionID) {
      return workflowServer.ExecutePost(this.__controlID, 'AbandonSession', arguments);
    }
    //
    //		Registering and initializing the 'WorkflowServer.Web.UI.Frame' class
    //
    workflowServer.RegisterClass(WorkflowServer, 'Web.UI.Frame', 'WorkflowServer.WebFoundation');
  </script>
  <script type="text/javascript">
    //<![CDATA[
    function hidekey() {
      if (event.keyCode == 27) {
        workflowServer.HidePostBackBlocker();
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    }
    document.body.onkeypress = hidekey;

    function WebForm_OnSubmit() {
      return workflowServer.ShowPostBackBlocker(true);
      return true;
    }
    //]]>
  </script>
  <div>
    <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="CA0B0334">
    <input type="hidden" name="BrowserHistoryChange_SelectedBrowserHistoryValue" id="BrowserHistoryChange_SelectedBrowserHistoryValue" value="">
  </div>
  <script type="text/javascript">
    //<![CDATA[
    Sys.WebForms.PageRequestManager._initialize('ctl00', 'form1', ['tctl01', ''], ['__WSMethodNotifier', ''], [], 90, '');
    //]]>
  </script>
  <input type="hidden" name="__WSMethodNotifier" id="__WSMethodNotifier"><img id="WS_PostBack_Blocker_Image"
    src="/WebResource.axd?d=ADjxraj6nmPAX0_24PpRlIY1Jl8igThBtjDdClOPsjL1QNHKyQfY4YaQ_3Oc399zZTDHpzIA2YgY6-lBdTBX5w9igrBOYrj49715HghIF6x2Fo4Hw6IOGeAMCqXPAQzFyAaM6iuW3mcGn8a-p6TU6M7KejBYmM4dxTQoHryjiAysU-qT_bNIIL59llCOGxOC4qs3rUzOFNYiL8-8G4iob5naPYB0ryS3BtGEl3HNJfo1&amp;t=638586571020000000"
    style="border-width: 0px; width: 0px; height: 0px; position: absolute; z-index: 1000; left: 0px; top: 0px;">
  <div id="ctl01">
    <span></span>
  </div>
  <div id="container">
    <script language="JavaScript">
      function OnBrowserHistoryChange(historyRec) {
        var v = document.getElementsByName('BrowserHistoryChange_SelectedBrowserHistoryValue')
        if (v.length > 0 && v[0] != null) {
          v[0].value = historyRec;
        }
        __doPostBack('BrowserHistoryChange', 'OnBrowserHistoryChanged')
      }
    </script>
    <div id="appEnvironment">
    </div>
    <div id="hpnmessagearea" style="background-color: yellow;">
      <span id="hpnmessagebody" style="color:Red;"></span>
    </div>
    <div id="validationmessages" style="visibility: visible;">
      <table width="100%" cellpadding="0" cellspacing="0" border="0">
        <tbody>
          <tr>
            <td>
              <div id="vsMessages" style="color:Red;display:none;">
              </div>
            </td>
          </tr>
          <tr>
            <td>
              <div id="MessageAreaPanel" style="color:Red;">
              </div>
            </td>
          </tr>
        </tbody>
      </table>
    </div>
    <div id="sectionHeader">
      <span id="asSectionHeader"></span>
    </div>
    <div id="messagearea">
      <span id="asMessage"></span>
    </div>
    <div id="newheadermenu">
      <span id="HeaderMenu"></span>
    </div>
    <div>
    </div>
    <div style="clear: both;">
      <div id="contentarea">
        <div id="searchcontainer">
          <span id="asSearch"></span>
          <span id="BannerArea"></span>
        </div>
        <div id="displaycontainer">
          <span id="asPrimary"><span id="asPrimary_ctl00">
              <!--<script type="text/javascript"  src="/Support/Script/v-638624560720000000/Common-2017082901.js"></script>-->
              <script type="text/jscript" language="JavaScript">
                $(function() {
                  var enviPhone = '(800) 252-2021';
                  $('#phoneNumber').append(enviPhone + '.');
                  var envi = 'PRODUCTION'.toLowerCase();
                  var logoClassSuffix = "prod"; //default is for prod
                  if (envi == "demo") {
                    logoClassSuffix = "demo";
                  } else if (envi == "dev") {
                    logoClassSuffix = "dev";
                  } else if (envi == "loadtest") {
                    logoClassSuffix = "load";
                  } else if (envi == "") {
                    logoClassSuffix = "prod";
                  } else if (envi == "qa") {
                    logoClassSuffix = "qa";
                  } else if (envi == "staging") {
                    logoClassSuffix = "stg";
                  } else if (envi == "uat") {
                    logoClassSuffix = "uat";
                  } else {
                    console.log("Environment name is unrecognized: '" + envi + "'");
                  }
                  $("#imgAIMLogo").append("<div class = 'companyLogoTrans companyLogo_" + logoClassSuffix + "'></div>");
                  if (typeof grecaptcha != "undefined" && $('#btnSubmit').length > 0) {
                    grecaptcha.reset();
                  }
                });
              </script>
              <script src="https://www.recaptcha.net/recaptcha/api.js" async="" defer=""></script>
              <style type="text/css">
                .realperson-challenge {
                  display: inline-block;
                }

                .realperson-text {
                  font-family: "Courier New", monospace !important;
                  font-size: 6px;
                  font-weight: bold;
                  letter-spacing: -1px;
                  line-height: 4px;
                }

                .realperson-regen {
                  text-decoration: underline;
                  color: blue;
                  cursor: pointer;
                }

                .rectangle {
                  /*holds the copyright info at the bottom of the screen */
                  width: 100%;
                  bottom: 0px;
                  left: 0.1%;
                  font-size: 11px;
                  color: #666666;
                  position: absolute;
                  padding: 10px 50px 10px 50px;
                  height: 50px;
                  box-sizing: border-box;
                  background-color: #f2f2f2;
                }

                .bar {
                  font-size: 14px;
                  margin-left: 8px;
                  margin-right: 8px;
                  color: #cccccc;
                }

                .copyright {
                  height: 15px;
                  background-color: rgba(255, 255, 255, 0);
                  box-sizing: border-box;
                  font-family: "Segoe UI", sans-serif;
                  color: #7b7b7b;
                  text-align: left;
                  line-height: normal;
                  letter-spacing: 0.3px;
                  font-size: 11px;
                }

                .use-of-provider {
                  height: 15px;
                  background-color: rgba(255, 255, 255, 0);
                  box-sizing: border-box;
                  font-family: "Segoe UI", sans-serif;
                  color: #7b7b7b;
                  text-align: left;
                  line-height: normal;
                  letter-spacing: 0.3px;
                  font-size: 11px;
                }

                .support {
                  height: 17px;
                  background-color: rgba(255, 255, 255, 0);
                  box-sizing: border-box;
                  font-family: "Segoe UI", sans-serif;
                  color: #0078ad;
                  text-align: center;
                  line-height: normal;
                  float: right;
                  margin-top: -10px
                }
              </style>
              <link href="/Support/Stylesheets/v-638624560740000000-portalsystemrequirements.css" rel="stylesheet">
              <div id="commonMessageArea" style="margin-left: 25%; visibility: hidden;">
                <table>
                  <tbody>
                    <tr>
                      <td>
                        <img src="../../Support/Images/check.gif" alt="">
                      </td>
                      <td>
                        <div id="commonMessageAreaPlaceholder">
                          <div id="asPrimary_ctl00_vsMessages" style="color:#999999;display:none;">
                          </div>
                        </div>
                      </td>
                    </tr>
                  </tbody>
                </table>
              </div>
              <div id="browserCompatibilityMessageArea" style="visibility: hidden;">
                <table>
                  <tbody>
                    <tr>
                      <td>
                        <img src="../../Support/Images/warning_small.gif" alt="">
                      </td>
                      <td>
                        <div id="browserCompatibilityHeading">
                        </div>
                      </td>
                    </tr>
                    <tr>
                      <td></td>
                      <td>
                        <div id="browserCompatibilityDescription">
                        </div>
                      </td>
                    </tr>
                  </tbody>
                </table>
              </div>
              <div id="singleColumn" style="width: 100%;">
                <div id="sognondiv" style="margin-left: 100px;">
                  <table style="margin-left: 35%; width: 550px;">
                    <tbody>
                      <tr>
                        <td>
                          <div id="imgAIMLogo">
                            <div class="companyLogoTrans companyLogo_prod"></div>
                          </div>
                        </td>
                      </tr>
                    </tbody>
                  </table>
                  <div class="clarity-app" id="sign_in" style="margin-left: 35%; padding-top: 15px;">
                    <div class="main-content">
                      <div class="app-nodal">
                        <div class="outer-wrap">
                          <div class="middle-wrap">
                            <div class="inner-wrap">
                              <h2><span id="asPrimary_ctl00_title">User Confirmation</span></h2> <label class="control-label">
                                <span class="caption" style="font-size: 15px;"><span>USERNAME</span></span><br>
                              </label>
                              <input name="asPrimary$ctl00$txtLoginId" type="text" id="asPrimary_ctl00_txtLoginId" placeholder="Username" autocomplete="off">
                              <br>
                              <span id="lblUserNameErrorMessage" style="color: red; display: none;"></span>
                              <br>
                              <br>
                              <label class="control-label">
                                <span class="caption" style="font-size: 15px;"></span><br>
                              </label>
                              <br>
                              <span id="lblUserPasswordErrorMessage" style="color: red; display: none;"></span>
                              <br>
                              <br>
                              <noscript>
                                <div>
                                  <div style="width: 302px; height: 422px; position: relative;">
                                    <div style="width: 302px; height: 422px; position: absolute;">
                                      <iframe src="https://www.recaptcha.net/recaptcha/api/fallback?k=6LcE7F8UAAAAACxEt0O2FA09FsPWfCUutsdkRUU5" frameborder="0" scrolling="no" style="width: 302px; height: 422px; border-style: none;"></iframe>
                                    </div>
                                  </div>
                                  <div style="width: 300px; height: 60px; border-style: none; bottom: 12px; left: 25px; margin: 0px; padding: 0px; right: 25px; background: #f9f9f9; border: 1px solid #c1c1c1; border-radius: 3px;">
                                    <textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
                                      style="width: 250px; height: 40px; border: 1px solid #c1c1c1; margin: 10px 25px; padding: 0px; resize: none;">   </textarea>
                                  </div>
                                </div>
                              </noscript>
                              <span id="lblCaptchaErrorMessage" style="color: red; display: none;">Invalid Captcha</span>
                              <input name="asPrimary$ctl00$chkRememberMe" type="checkbox" id="asPrimary_ctl00_chkRememberMe">
                              <span class="control-caption"><span style="font-size: 14px;">Remember Me</span></span>
                              <br>
                              <br>
                              <div class="buttons">
                                <div class="left">
                                  <input type="submit" name="asPrimary$ctl00$btnLookup" value="Next" id="asPrimary_ctl00_btnLookup" class="app-button-green">
                                </div>
                                <div class="right">
                                  <p style="font-size: 14px; color: #808080;"> Don't have an account? </p>
                                  <input type="submit" name="asPrimary$ctl00$cmdRegister" value="Register" id="asPrimary_ctl00_cmdRegister" class="app-button-gray">
                                </div>
                              </div>
                            </div>
                            <div class="span6" style="padding-top: 25px">
                              <a id="asPrimary_ctl00_cmdForgotPassword" tabindex="4" class="app-link" href="javascript:__doPostBack('asPrimary$ctl00$cmdForgotPassword','')" style="color:#0078AD;text-decoration:underline;">Can't access your account?</a>
                            </div>
                          </div>
                        </div>
                      </div>
                      <table style="border: 0; width: 560px;">
                        <tbody>
                          <tr>
                            <td style="padding-left: 5px">
                              <span>
                                <span id="asPrimary_ctl00_lblVersion" style="color:Gray;">24.09.21.240</span>
                              </span>
                            </td>
                            <td style="text-align: right;">
                              <span id="systemRequirements" style="color: #808080; cursor: pointer;">System Requirements</span>
                              <div id="infoIcon" class="infoIconGray">
                              </div>
                            </td>
                          </tr>
                        </tbody>
                      </table>
                      <table style="width: 560px; border: 0;">
                        <tbody>
                          <tr>
                            <td style="padding-left: 5px">
                              <div id="scheduledMaintenance">
                                <table>
                                  <tbody>
                                    <tr>
                                      <td>
                                        <div id="infoIconDiv" class="infoIconSystemMessage"></div>
                                      </td>
                                      <td class="aimmessage">
                                        <span id="asPrimary_ctl00_lblMessage" style="color: rgb(128, 128, 128);">The Carelon Medical Benefits Management provider portal will be unavailable Sundays between 12:30 PM CST - 6:00 PM CST for regularly
                                          scheduled maintenance.<br><br><b><u>New Update:</u></b> The Check Order Status module will be now be retired as of 10/21/2024. Please use the Order Search module to find the status of an order.<br><br>
                                          <div class="x_elementToProof"><b><u>NOTICE:</u></b> Carelon MBM will continue to roll out multi-factor authentication (MFA) to all existing portal users through the rest of the year. You will be notified when
                                            your account needs to be updated. Also, new users will automatically be setup up for MFA when they register. Check our Provider Connection newsletter to find the latest information and important dates for
                                            our MFA rollout (see link in bottom right corner).</div><br><br>
                                        </span>
                                      </td>
                                    </tr>
                                  </tbody>
                                </table>
                              </div>
                              <span>If you need assistance, please <a id="asPrimary_ctl00_cmdClickHere" href="javascript:__doPostBack('asPrimary$ctl00$cmdClickHere','')" style="color:#0078AD;text-decoration:underline;">Click Here</a> or contact
                                Carelon Medical Benefits Management provider portal support at </span><span id="phoneNumber">(800) 252-2021.</span>
                            </td>
                          </tr>
                        </tbody>
                      </table>
                    </div>
                  </div>
                  <div id="infoIconContent" class="popoverwrap" style="display: none; width: 270px;">
                    <b class="pointer"></b>
                    <p class="systemRequirement"> Portal System Requirements </p>
                    <div class="content">
                      <p style="font-size: 14.66px"> For the best experience the site is optimized for: </p>
                      <p style="font-size: 14.66px"> - Microsoft Edge 101.0.1210.39 or higher </p>
                      <p style="font-size: 14.66px"> - Google Chrome 101.0.4951.64 or higher </p>
                      <p style="font-size: 14.66px"> - Mozilla FireFox 100 or higher </p>
                      <p style="font-size: 14.66px"> - Screen resolution of at least 1024x768 </p>
                      <p style="font-size: 14.66px"> You may use the links below to update to the most current versions </p>
                      <table>
                        <tbody>
                          <tr>
                            <td>
                              <div class="edgeIcon"></div>
                            </td>
                            <td>
                              <a href="https://www.microsoft.com/en-us/edge#evergreen" target="_blank">Update Microsoft Edge</a>
                            </td>
                          </tr>
                          <tr>
                            <td>
                              <div class="icon chromeIcon"></div>
                            </td>
                            <td>
                              <a href="https://www.google.com/chrome/browser/desktop/index.html" target="_blank">Update
                                Google Chrome</a>
                            </td>
                          </tr>
                          <tr>
                            <td>
                              <div class="icon fireFoxIcon"></div>
                            </td>
                            <td>
                              <a href="https://www.mozilla.org/en-US/firefox/desktop/" target="_blank">Update Firefox</a>
                            </td>
                          </tr>
                        </tbody>
                      </table>
                    </div>
                  </div>
                </div>
              </div>
              <link href="/Support/Clinical/libs/clarity-api/styles/styles.min.css" rel="stylesheet" type="text/css">
              <link href="/Support/Stylesheets/clarity/clarityspa.css" rel="stylesheet" type="text/css">
              <style type="text/css">
                .alertIcon,
                .providerNotLinkedToHealthPlan {
                  background-image: url('/Support/Images/clarity_icons-16x16.png');
                  background-position: -16px -592px;
                  width: 16px;
                  height: 16px;
                }
              </style>
              <div class="clarity-app" id="accountLockedDiv" style="visibility: hidden; overflow: hidden">
                <div class="main-content">
                  <div class="app-modal">
                    <div class="modal" style="top: 29%; background-color: #efefef !important;">
                      <div class="outer-wrap">
                        <div class="middle-wrap">
                          <div class="inner-wrap" style="border: 1px solid #fc0">
                            <div class="content">
                              <table style="width: 100%">
                                <tbody>
                                  <tr>
                                    <td style="width: 15px">
                                      <p class="yellow-box"><img alt="" style="width: 19px; height: 18px;" src="../../Support/Images/warning_small.gif">&nbsp; ACCOUNT LOCKED</p>
                                    </td>
                                  </tr>
                                </tbody>
                              </table>
                              <p class="subtext" style="text-align: left;"> It has been more than 45 days since you have logged in. For security purposes, we have locked your account. </p>
                              <p class="subtext" style="text-align: left;"> Please click continue to confirm your identity and unlock your account. </p>
                              <div class="buttons" style="bottom: -30px;">
                                <div class="left">
                                  <input type="submit" name="asPrimary$ctl00$accountLocked$btnCancel" value="Cancel" onclick="javascript:CloseAccountLockedDialog();" id="asPrimary_ctl00_accountLocked_btnCancel" class="app-button-gray">
                                </div>
                                <div class="right">
                                  <input type="submit" name="asPrimary$ctl00$accountLocked$btnContinue" value="Continue" id="asPrimary_ctl00_accountLocked_btnContinue" class="app-button-green">
                                </div>
                              </div>
                            </div>
                          </div>
                        </div>
                      </div>
                    </div>
                  </div>
                </div>
              </div>
              <script type="text/javascript">
                var resetModule = 'https://register.providerportal.com/user/forgotten-password-username';
                $('#asPrimary_ctl00_accountLocked_btnContinue').click(function() {
                  window.location = resetModule;
                });
              </script>
              <link href="/Support/Clinical/libs/clarity-api/styles/styles.min.css" rel="stylesheet" type="text/css">
              <link href="/Support/Stylesheets/clarity/clarityspa.css" rel="stylesheet" type="text/css">
              <style type="text/css">
                .alertIcon,
                .providerNotLinkedToHealthPlan {
                  background-image: url('/Support/Images/clarity_icons-16x16.png');
                  background-position: -16px -592px;
                  width: 16px;
                  height: 16px;
                }
              </style>
              <div class="clarity-app" id="accountTemporaryLockedDiv" style="visibility: hidden; overflow: hidden">
                <div class="main-content">
                  <div class="app-modal">
                    <div class="modal" style="top: 29%; background-color: #efefef !important;">
                      <div class="outer-wrap">
                        <div class="middle-wrap">
                          <div class="inner-wrap" style="border: 1px solid #fc0">
                            <div class="content">
                              <table style="width: 100%">
                                <tbody>
                                  <tr>
                                    <td style="width: 15px">
                                      <p class="yellow-box"><img alt="" style="width: 19px; height: 18px;" src="../../Support/Images/warning_small.gif">&nbsp; ACCOUNT LOCKED</p>
                                    </td>
                                  </tr>
                                </tbody>
                              </table>
                              <p class="subtext" style="text-align: left;"> There have been too many unsuccessful login attempts. For security reasons your account is now locked. Please try logging again after 15 minutes. </p>
                              <div class="buttons" style="bottom: -30px;">
                                <div class="right">
                                  <input type="submit" name="asPrimary$ctl00$accountTemporaryLocked$btnCancel" value="Close" onclick="javascript:CloseAccountTemporaryLockedDialog();" id="asPrimary_ctl00_accountTemporaryLocked_btnCancel"
                                    class="app-button-gray">
                                </div>
                              </div>
                            </div>
                          </div>
                        </div>
                      </div>
                    </div>
                  </div>
                </div>
              </div>
              <link href="/Support/Clinical/libs/clarity-api/styles/styles.min.css" rel="stylesheet" type="text/css">
              <link href="/Support/Stylesheets/clarity/clarityspa.css" rel="stylesheet" type="text/css">
              <div class="clarity-app" id="accountDisabledDiv" style="visibility: hidden">
                <div class="main-content">
                  <div class="app-modal">
                    <div class="modal" style="top: 29%; background-color: #efefef !important;">
                      <div class="outer-wrap">
                        <div class="middle-wrap">
                          <div class="inner-wrap" style="border: 1px solid #f10e0e">
                            <div class="content">
                              <table style="width: 100%">
                                <tbody>
                                  <tr>
                                    <td style="width: 15px">
                                      <div class="disabledIcon" style="margin-top: 4px;"></div>
                                    </td>
                                    <td>
                                      <h2 style="text-align: left; font-size: 14px;"> ACCOUNT DISABLED </h2>
                                    </td>
                                  </tr>
                                </tbody>
                              </table>
                              <p class="subtext" style="text-align: left;"> For security purposes, your account has been disabled. </p>
                              <p class="subtext" style="text-align: left;"> Please contact Web Customer Service at (800) 252-2021 for any questions about your account. </p>
                            </div>
                            <div class="buttons" style="bottom: -30px;">
                              <div class="right">
                                <input type="submit" name="asPrimary$ctl00$accountDisabled$btnClose" value="Close" onclick="javascript:CloseAccountDisabledDialog();" id="asPrimary_ctl00_accountDisabled_btnClose" class="app-button-gray">
                              </div>
                            </div>
                          </div>
                        </div>
                      </div>
                    </div>
                  </div>
                </div>
              </div>
              <link href="/Support/Clinical/libs/clarity-api/styles/styles.min.css" rel="stylesheet" type="text/css">
              <link href="/Support/Stylesheets/clarity/clarityspa.css" rel="stylesheet" type="text/css">
              <script type="text/jscript" language="JavaScript">
                $(function() {
                  var enviPhone = '(800) 252-2021';
                  $("#phoneNumberText").append('If your registration has not been approved after two days, please contact Carelon Medical Benefits Management provider portal support at ' + enviPhone);
                });
              </script>
              <style type="text/css">
                .alertIcon,
                .providerNotLinkedToHealthPlan {
                  background-image: url('/Support/Images/clarity_icons-16x16.png');
                  background-position: -16px -592px;
                  width: 16px;
                  height: 16px;
                }
              </style>
              <div class="clarity-app" id="registrationPendingDiv" style="visibility: hidden">
                <div class="main-content">
                  <div class="app-modal">
                    <div class="modal" style="top: 29%; background-color: #efefef !important;">
                      <div class="outer-wrap">
                        <div class="middle-wrap">
                          <div class="inner-wrap" style="border: 1px solid #fc0">
                            <div class="content">
                              <table style="width: 100%">
                                <tbody>
                                  <tr>
                                    <td style="width: 15px">
                                      <div class="alertIcon" style="margin-top: 4px;"></div>
                                    </td>
                                    <td>
                                      <h2 style="text-align: left; font-size: 14px;"> REGISTRATION PENDING</h2>
                                    </td>
                                  </tr>
                                </tbody>
                              </table>
                              <p class="subtext" style="text-align: left;"> Your registration is currently being reviewed for approval. </p>
                              <p class="subtext" style="text-align: left;"> Once your registration is approved, an email will be sent to verify the Username and Password are active and you can access provider portal. </p>
                              <p class="subtext" style="text-align: left;" id="phoneNumberText"> If your registration has not been approved after two days, please contact Carelon Medical Benefits Management provider portal support at (800) 252-2021
                              </p>
                            </div>
                            <div class="buttons" style="bottom: -30px;">
                              <div class="right">
                                <input type="submit" name="asPrimary$ctl00$registrationPending$btnClose" value="Close" onclick="javascript:CloseRegistrationPendingDialog();" id="asPrimary_ctl00_registrationPending_btnClose" class="app-button-gray">
                              </div>
                            </div>
                          </div>
                        </div>
                      </div>
                    </div>
                  </div>
                </div>
              </div>
              <script type="text/javascript">
                var resetModule = 'https://register.providerportal.com/user/forgotten-password-username';
                $('#asPrimary_ctl00_troubleLogingIn_btnYes').click(function() {
                  window.location = resetModule;
                });
              </script>
              <input name="asPrimary$ctl00$txtLoginAttempt" type="hidden" id="asPrimary_ctl00_txtLoginAttempt">
              <input name="asPrimary$ctl00$hdnFailedCaptcha" type="hidden" id="asPrimary_ctl00_hdnFailedCaptcha" value="false">
              <div id="signInFooter" class="rectangle">
                <table style="width: 100%">
                  <tbody>
                    <tr>
                      <td class="copyright">Copyright © 2024 Carelon Medical Benefits Management, Inc. All rights reserved. </td>
                    </tr>
                    <tr>
                      <td class="use-of-provider">Use of provider portal indicates agreement with our <a style="color: #0078AD" href="https://www.careloninsights.com/privacy/" target="_blank">Privacy Policy</a><span>,</span>
                        <a style="color: #0078AD" href="https://www.careloninsights.com/terms-of-use/" target="_blank">Terms of Use</a><span>.</span>
                      </td>
                      <td class="support">
                        <a id="asPrimary_ctl00_lbSupport" href="javascript:__doPostBack('asPrimary$ctl00$lbSupport','')" style="color:#0078AD;font-size:13px;">Support</a>&nbsp;<span class="bar">|</span>
                        <a style="color: #0078AD; font-size: 13px" href="https://providers.carelonmedicalbenefitsmanagement.com/providerconnections/" target="_blank">Newsletter<span>/</span>Blog</a>
                      </td>
                    </tr>
                  </tbody>
                </table>
              </div>
              <script type="text/javascript">
                var dialogDiv;
                var accountLockedDiv;
                var accountDisabledDiv;
                var registrationPendingDiv;
                var accountTemporaryLockedDiv;
                $('#header').remove();
                $('#titlebar').remove();
                $('.navbar').remove();
                $('#lblUserNameErrorMessage').hide();
                $('#lblUserPasswordErrorMessage').hide();
                $('#asPrimary_ctl00_btnSubmit').click(function() {
                  var validate = true;
                  if ($('#asPrimary_ctl00_txtLoginId').val().trim() == '') {
                    $('#lblUserNameErrorMessage').html('Username is Required');
                    $('#lblUserNameErrorMessage').show();
                    validate = false;
                  } else {
                    $('#lblUserNameErrorMessage').hide();
                  }
                  if ($('#asPrimary_ctl00_txtPassWord').val().trim() == '') {
                    $('#lblUserPasswordErrorMessage').html('Password is Required');
                    $('#lblUserPasswordErrorMessage').show();
                    validate = false;
                  } else {
                    $('#lblUserPasswordErrorMessage').hide();
                  }
                  return validate;
                });

                function ShowInvalidLoginMessage() {
                  $('#lblUserNameErrorMessage').html('Username/Password does not match an account ');
                  $('#lblUserNameErrorMessage').show();
                  $('#lblUserPasswordErrorMessage').html('Username/Password does not match an account ');
                  $('#lblUserPasswordErrorMessage').show();
                }
                // Invalid Login
                if ($('#asPrimary_ctl00_txtLoginAttempt').val() === "InvalidLoginAttempt") {
                  ShowInvalidLoginMessage();
                }
                // Account Locked
                if ($('#asPrimary_ctl00_txtLoginAttempt').val() === "AccountLocked") {
                  RegisterAccountLockedDialog();
                  ShowAccountLockedDialog();
                }
                // Account Temporary Locked
                if ($('#asPrimary_ctl00_txtLoginAttempt').val() === "AccountTemporaryLocked") {
                  RegisterAccountTemporaryLockedDialog();
                  ShowAccountTemporaryLockedDialog();
                }
                // Account Disabled
                if ($('#asPrimary_ctl00_txtLoginAttempt').val() === "AccountDisabled") {
                  RegisterAccountDisabledDialog();
                  ShowAccountDisabledDialog();
                }
                // Registration Pending
                if ($('#asPrimary_ctl00_txtLoginAttempt').val() === "RegistrationPending") {
                  RegisterRegistrationPendingDialog();
                  ShowRegistrationPendingDialog();
                }
                // Exceeded Login Attempt
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                  $('#captchaTable').show();
                  $('#hdnValidateCaptcha').val('true');
                  ShowInvalidLoginMessage();
                } else {
                  $('#captchaTable').remove();
                  $('#hdnValidateCaptcha').val('false');
                }
                var systemRequirementOrIconClick = false;

                function OnBodyClick() {
                  if (systemRequirementOrIconClick == false) {
                    $('#infoIconContent').hide();
                  }
                }

                function overrideDialogStyle() {
                  $('div.ui-dialog.ui-widget.ui-widget-content').removeClass('ui-dialog-content ui-widget-content');
                  $('.ui-dialog-titlebar').remove();
                  $('.ui-widget-overlay')[0].style.opacity = 0.4;
                }

                function RegisterRegistrationPendingDialog() {
                  registrationPendingDiv = $('#registrationPendingDiv').dialog({
                    autoOpen: false,
                    closeOnEscape: false,
                    modal: true,
                    width: 'auto',
                    height: 'auto',
                    resizable: false,
                    draggable: true,
                    position: {
                      my: 'center center',
                      of: window,
                      collision: 'fit'
                    },
                    open: function() {
                      $('#registrationPendingDiv').removeAttr('style');
                      overrideDialogStyle();
                      $('div.inner-wrap').focus();
                    }
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                }

                function RegisterAccountDisabledDialog() {
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                    autoOpen: false,
                    closeOnEscape: false,
                    modal: true,
                    width: 'auto',
                    height: 'auto',
                    resizable: false,
                    draggable: true,
                    position: {
                      my: 'center center',
                      of: window,
                      collision: 'fit'
                    },
                    open: function() {
                      $('#accountDisabledDiv').removeAttr('style');
                      overrideDialogStyle();
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                  });
                }

                function RegisterAccountLockedDialog() {
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                    closeOnEscape: false,
                    modal: true,
                    width: 'auto',
                    height: 'auto',
                    resizable: false,
                    draggable: true,
                    position: {
                      my: 'center center',
                      at: 'center center',
                      of: window,
                      collision: 'fit'
                    },
                    open: function() {
                      $('#accountLockedDiv').removeAttr('style');
                      overrideDialogStyle();
                      $('div.inner-wrap').focus();
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                }

                function RegisterAccountTemporaryLockedDialog() {
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                    closeOnEscape: false,
                    modal: true,
                    width: 'auto',
                    height: 'auto',
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                      at: 'center center',
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                      collision: 'fit'
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                }

                function RegisterDialog(placeholder) {
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                    width: 'auto',
                    height: 'auto',
                    resizable: false,
                    position: {
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                      of: window,
                      collision: 'fit'
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                    open: function() {
                      placeholder.removeAttr('style');
                      overrideDialogStyle();
                    }
                  });
                }

                function ShowDialog(placeholder) {
                  placeholder.dialog('open');
                }
                // Account Locked
                function ShowAccountLockedDialog() {
                  $('#accountLockedDiv').css('visibility', 'visible');
                  $('#accountLockedDiv').dialog('open');
                }

                function CloseAccountLockedDialog() {
                  $('#overlay').remove();
                  $('#accountLockedDivDiv').css('visibility', 'hidden');
                  accountLockedDiv.dialog("close");
                }
                // Account Temporory Locked
                function ShowAccountTemporaryLockedDialog() {
                  $('#accountTemporaryLockedDiv').css('visibility', 'visible');
                  $('#accountTemporaryLockedDiv').dialog('open');
                }

                function CloseAccountTemporaryLockedDialog() {
                  $('#overlay').remove();
                  $('#accountTemporaryLockedDiv').css('visibility', 'hidden');
                  accountTemporaryLockedDiv.dialog("close");
                }
                // Account Disabled
                function ShowAccountDisabledDialog() {
                  $('#accountDisabledDiv').css('visibility', 'visible');
                  $('#accountDisabledDiv').dialog('open');
                }

                function CloseAccountDisabledDialog() {
                  $('#overlay').remove();
                  $('#accountDisabledDiv').css('visibility', 'hidden');
                  accountDisabledDiv.dialog("close");
                }

                function ShowRegistrationPendingDialog() {
                  $('#registrationPendingDiv').css('visibility', 'visible');
                  $('#registrationPendingDiv').dialog('open');
                }

                function CloseRegistrationPendingDialog() {
                  $('#overlay').remove();
                  $('#registrationPendingDiv').css('visibility', 'hidden');
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                }
                $(function() {
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                      // Do nothing
                    } else {
                      hideInfoIcon($('#infoIcon'));
                    }
                  });
                  if ($('#asPrimary_ctl00_hdnFailedCaptcha').val() === "true" && $('#captchaTable').length > 0) $('#lblCaptchaErrorMessage').show();
                  else $('#lblCaptchaErrorMessage').hide();
                  $('#asPrimary_ctl00_defaultReal').realperson({
                    chars: $.realperson.alphanumeric
                  });
                  var clickCount = 0;
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                  $('#systemRequirements').on('click', function() {
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                      $('#infoIconContent').hide();
                      clickCount = 0;
                      systemRequirementOrIconClick = false;
                    }
                    clickCount++;
                  });
                  $('#infoIcon').hover(function() {
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                    $(this).addClass('infoIconBlue');
                    showPopHover();
                  }, function() {});
                  $('#infoIcon').on('click', function() {
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                    if (clickCount > 0) {
                      hideInfoIcon($('#infoIcon'));
                    }
                    clickCount++;
                  });

                  function hideInfoIcon(icon) {
                    $('#infoIconContent').hide();
                    clickCount = 0;
                    console.log("Click Count: " + clickCount);
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                  function showPopHover() {
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                    $('#infoIconContent').css({
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                      left: x
                    }).show();
                  }
                  if ($.cookie("session_terminated")) {
                    RegisterDialog($("#_TimeoutMessageBox"));
                    ShowDialog($("#_TimeoutMessageBox"));
                    $.removeCookie("session_terminated");
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                });
              </script>
            </span></span>
        </div>
        <div>
          <span id="HelpWindow"></span>
        </div>
      </div>
      <br>
      <br>
      <!-- Footer needs to be below content area but inside container DIV -->
      <div id="spacer">
      </div>
      <div id="Disclaimer" style="margin-left: 24px; margin-bottom: 15px;">
        <span id="asDisclaimer"></span>
      </div>
      <br>
      <br>
      <br>
      <br>
      <br>
      <br>
      <br>
      <br>
      <br>
      <br>
      <div id="footer">
        <span id="asFooter"></span>
      </div>
    </div>
  </div>
  <input name="browserInfo" type="hidden" id="browserInfo"
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  <!-- container closing DIV -->
  <!-- Start popup window -->
  <div align="center" id="TimeoutMessageBox" style="position: absolute; left: 0px; top: 0px; visibility:hidden; z-index: 1;">
    <p>&nbsp;</p>
    <p>&nbsp;</p>
    <table width="400" border="0" cellspacing="0" cellpadding="0">
      <tbody>
        <tr>
          <td></td>
        </tr>
        <tr>
          <td align="left" class="bgwhite">
            <div class="subnavbar">System Message</div>
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                      <tbody>
                        <tr>
                          <td width="49"><img src="Support/Images/clock_refresh.gif" width="48" height="48"></td>
                          <td align="left" class="highlighttext">You will be automatically logged off in <span id="timeoutSecs" class="errortext"> </span>due to inactivity </td>
                        </tr>
                      </tbody>
                    </table>
                    <p class="sumsubtitle">To return to the application<br> Click the reset button below </p>
                    <hr width="80%">
                    <p>
                      <label>
                        <!-- button here for mockup purposes only, replace with .NET button, make sure to assign "button" class to new button for consistency -->
                        <input name="Reset" type="button" class="button" id="btnResetTimeout" value="Reset" onclick="ResetTimeout()">
                      </label>
                    </p>
                  </td>
                </tr>
              </tbody>
            </table>
          </td>
        </tr>
      </tbody>
    </table>
  </div>
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    workflowServer.getElementById('asPrimary_ctl00').wsObject = new WorkflowServer.Web.UI.Frame('asPrimary_ctl00');
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</form>

Text Content

Carelon MBM provider portal


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USER CONFIRMATION

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24.09.21.240 System Requirements



The Carelon Medical Benefits Management provider portal will be unavailable
Sundays between 12:30 PM CST - 6:00 PM CST for regularly scheduled maintenance.

New Update: The Check Order Status module will be now be retired as of
10/21/2024. Please use the Order Search module to find the status of an order.


NOTICE: Carelon MBM will continue to roll out multi-factor authentication (MFA)
to all existing portal users through the rest of the year. You will be notified
when your account needs to be updated. Also, new users will automatically be
setup up for MFA when they register. 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.

Portal System Requirements

For the best experience the site is optimized for:

- Microsoft Edge 101.0.1210.39 or higher

- Google Chrome 101.0.4951.64 or higher

- Mozilla FireFox 100 or higher

- Screen resolution of at least 1024x768

You may use the links below to update to the most current versions


Update Microsoft Edge

Update Google Chrome

Update Firefox

  ACCOUNT LOCKED

It has been more than 45 days since you have logged in. For security purposes,
we have locked your account.

Please click continue to confirm your identity and unlock your account.



  ACCOUNT LOCKED

There have been too many unsuccessful login attempts. For security reasons your
account is now locked. Please try logging again after 15 minutes.




ACCOUNT DISABLED

For security purposes, your account has been disabled.

Please contact Web Customer Service at (800) 252-2021 for any questions about
your account.




REGISTRATION PENDING

Your registration is currently being reviewed for approval.

Once your registration is approved, an email will be sent to verify the Username
and Password are active and you can access provider portal.

If your registration has not been approved after two days, please contact
Carelon Medical Benefits Management provider portal support at (800) 252-2021



Copyright © 2024 Carelon Medical Benefits Management, Inc. All rights reserved.
Use of provider portal indicates agreement with our Privacy Policy, Terms of
Use. Support | Newsletter/Blog


















 

 

System Message

You will be automatically logged off in due to inactivity

To return to the application
Click the reset button below

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