The Carelon Medical Benefits Management (MBM) Provider Portal represents a critical digital platform designed to streamline healthcare provider interactions and administrative processes. This secure online portal offers healthcare professionals a centralized system for managing patient-related information and administrative tasks efficiently.
Official Links
- Provider Portal: https://www.providerportal.com/
- Carelon Provider Resources: https://www.carelon.com/providers
What is the Carelon MBM Provider Portal?
The Carelon MBM Provider Portal is a web-based platform specifically created for healthcare providers to:
- Access patient information
- Submit and manage claims
- Verify patient eligibility
- Communicate securely with Carelon Medical Benefits Management
Who Can Use the Portal
Healthcare providers, including:
- Physicians
- Medical practices
- Healthcare administrators
- Authorized medical staff members
Access and Login Requirements
System Requirements
To access the portal, providers need:
- Compatible browsers:
- Microsoft Edge (version 101.0.1210.39 or higher)
- Google Chrome (version 101.0.4951.64 or higher)
- Mozilla Firefox (version 100 or higher)
- Screen resolution of at least 1024×768
- JavaScript enabled
Login Process
- Use email address and password set during multi-factor authentication (MFA)
- Account may be locked after 45 days of inactivity
- Mandatory multi-factor authentication for enhanced security
Key Security Features
Multi-Factor Authentication (MFA)
- Mandatory for all existing and new portal users
- Provides additional account protection
- Automatic setup for new users during registration
Account Security Protocols
- Automatic account lock after multiple unsuccessful login attempts
- 15-minute waiting period after account lockout
- Account deactivation for extended inactivity
Customer Support
If you encounter login issues or need assistance:
- Web Customer Service: (800) 252-2021
- Check Provider Connection newsletter for latest updates
System Maintenance
The portal undergoes regular maintenance:
- Unavailable every Sunday
- Maintenance window: 12:30 PM – 6:00 PM CST
- Urgent requests during maintenance: Contact health plan number on member ID card
Privacy and Compliance
The provider portal adheres to:
- Privacy Policy
- Terms of Use
- Copyright © 2025 Carelon Medical Benefits Management, Inc.
Unprovided Information
Some details were not explicitly available in the source material, including:
- Specific claim submission processes
- Detailed registration steps
- Comprehensive list of portal features
Recommendations for Providers
- Keep browser updated to latest versions
- Enable JavaScript
- Prepare for mandatory multi-factor authentication
- Maintain regular portal access to prevent account lockout
The Carelon MBM Provider Portal offers healthcare professionals a secure, efficient platform for managing patient-related administrative tasks. By understanding its features and maintaining compliance with security protocols, providers can maximize the portal’s potential.
Note: Always refer to the most current portal guidelines and contact Carelon support for specific inquiries.
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.
What is Carelon MBM?
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What is the provider line for Carelon Medical Benefits Management?Please contact Carelon Medical Benefits Management at (800) 252-2021 to obtain general information about Carelon Medical Benefits Management and its services.
How do I contact Carelon?For information about prior authorization, prescription exceptions, and utilization management, call 833-293-0659 or fax 844-521-6940. For information about home delivery, call 833-396-0309 or fax 833-389-4172. fax 800-269-5493.
https://www.providerportal.com/
If you need assistance, please Click Here or contact Carelon Medical Benefits Management provider portal support at (800) 252-2021. Portal System Requirements.
https://www.carelon.com/providers
Our provider portal provides convenient tools and resources for processing claims, obtaining claims information, verifying eligibility status, and more.