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Simplifying auth entry for cancer treatment
March 3, 2023

This article is for:
  • Providers who order outpatient cancer (medical oncology) treatment and their staff
  • Servicing providers for outpatient medical oncology treatments

On April 16, 2023, Carelon Medical Benefits Management (formerly AIM Specialty Health) is enhancing its ProviderPortal to simplify authorizations for medical oncology services as part of our Quality Care Cancer Program.

Updates will include:

  • Clinical intake screens that look and function differently from today
  • Improved look and feel of the case entry screens
  • Removal of unnecessary biomarker questions for specific clinical scenarios
  • Revised drug dosing screens to help you more easily input cycle ranges and days of administration

Click here to see examples of what the new screens will look like.

Carelon is not changing the ProviderPortal process for requesting radiation oncology services.

Resources, training, and support

To familiarize you and your practice with the enhanced medical oncology authorization request process, Carelon will host provider and office staff training sessions. Please register for a session to receive a unique meeting invite.

If you cannot join one of these sessions, you can find tutorials and order entry worksheets in the Program resources section of the Carelon site at:
https://providers.carelonmedicalbenefitsmanagement.com/qualitycarecancer/

Provider training sessions Details
Register to attend a general training session that will demonstrate the enhanced case entry process

Wednesday, March 8, 2:00 p.m. 
Register for webinar link

Tuesday, May 16, 1:00 p.m. 
Register for webinar link 

Thursday, August 10, 3:00 p.m. 
Register for webinar link 

Tuesday, November 14, 3:00 p.m. 
Register for webinar link

For more information

  • For questions, about the ProviderPortal and case entry process, please contact Carelon at MedicalOncologySolution@carelon.com.
  • For questions about the Quality Care Cancer Program overall, please contact Network Management and Credentialing Services or your network representative at 1-800-316-BLUE (2583).

Thank you for your continued support of this program.


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