The Carelon Medical Benefits Management (MBM) Provider Portal is a comprehensive digital platform designed to streamline healthcare provider interactions, offering secure and efficient access to critical medical management resources.
Official Links
- Provider Portal Website: https://www.providerportal.com/
- Support Contact: (800) 252-2021
Portal Access and Requirements
System Requirements
Healthcare providers must use:
- Microsoft Edge (version 101.0.1210.39 or higher)
- Google Chrome (version 101.0.4951.64 or higher)
- Mozilla Firefox (version 100 or higher)
- Minimum screen resolution: 1024×768
Login Considerations
- Multi-factor authentication (MFA) is mandatory
- Users must log in using their email address and password
- Account may be locked after 45 days of inactivity
- Multiple unsuccessful login attempts will temporarily disable access
Key Features
Authentication and Security
- Multi-factor authentication for all users
- Automatic account lockout after extended inactivity
- Periodic security updates
Maintenance Schedule
The portal is unavailable on Sundays from 12:30 PM to 6:00 PM CST for scheduled maintenance. During these times, urgent requests should be directed to the health plan’s contact number on the member ID card.
Account Management
Registration Process
- New users must complete a registration process
- Registration is subject to review and approval
- Email verification required after approval
Account Status Scenarios
- Inactive Account: Locked after 45 days without login
- Failed Login Attempts: Temporary 15-minute lockout
- Disabled Account: Requires re-registration
Support and Assistance
Customer Support
- Web Customer Service: (800) 252-2021
- Available for account-related inquiries
- Assists with registration and access issues
Privacy and Compliance
Legal Considerations
- Usage indicates agreement with:
- Privacy Policy
- Terms of Use
- Copyright © 2025 Carelon Medical Benefits Management, Inc.
Unprovided Information
The following details were not specifically available in the source document:
- Detailed step-by-step login instructions
- Comprehensive list of portal features
- Specific multi-factor authentication setup process
- Mobile app download instructions
Important Recommendations
- Enable JavaScript in your browser
- Use recommended browser versions
- Keep login credentials secure
- Contact support for persistent access issues
The Carelon MBM Provider Portal represents a critical digital interface for healthcare professionals, prioritizing secure, efficient, and streamlined medical management interactions.
Disclaimer
Information current as of August 2025, based on available documentation. Providers should confirm current details directly with Carelon MBM.
FAQ
What is the Carelon provider portal?Our provider portal provides convenient tools and resources for processing claims, obtaining claims information, verifying eligibility status, and more.
How do I contact Carelon for providers?Please contact Carelon Medical Benefits Management at (800) 252-2021 to find out how to initiate a request and to be connected with the applicable Carelon Medical Benefits Management toll-free number.
Is there a Cigna Medicare provider portal?Availity Essentials is now Cigna Healthcare® Medicare Advantage’s provider portal. Cigna Healthcare® Medicare Advantage is always looking for ways to simplify business processes and improve your online experience, giving you access to the information and tools you need most.
What is Carelon Prior Auth?Prior authorization is based on member benefits and eligibility at the time of service. It determines medical necessity, treatment appropriateness, and setting via nationally recognized guidelines. The following services are subject to review by Carelon: Genetic testing.
https://www.providerportal.com/
Log in to the Carelon MBM Provider Portal (formerly AIM provider portal) to submit a new case for prior authorization or check the status of an existing
https://providerportal.carelonhealth.com/
Our provider portal provides convenient tools and resources for processing claims, obtaining claims information, verifying eligibility status, and more.