How to participate
The Medical Oncology Program is administered by Carelon Medical Benefits Management on behalf of employee health plans administered by BlueAdvantage Administrators of Arkansas. The first step in participating is to register as a user of the Carelon provider portal. The provider portal allows you to initiate the review of cancer treatment regimens for your patients*. We call this the “order request” process.
From the provider portal you can:
- Initiate, update, and submit new order requests
- Identify Carelon Cancer Treatment Pathways
- Retrieve your order summaries
When your practice initiates an order request using the provider portal, the order is evaluated for alignment with Carelon Cancer Treatment Pathways and plan medical policy. A regimen that meets clinical criteria is approved in real time, and when your practice selects a designated Carelon Cancer Treatment Pathways, you may be eligible for enhanced reimbursement**.
Provider portal
The provider portal is your access point for submitting order requests online.
Program Resources
Visit the resources page to access Pathways details, a Quick Guide to Order Entry, FAQs, and other resources to support your participation.
*To identify an included member, look on a member’s BlueAdvantage Administrators of Arkansas ID card.
** Participating providers in Alabama, Arkansas, California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, North Carolina, Ohio, Virginia or Wisconsin may be eligible for enhanced reimbursement.