Provider Portal Access Registration

Required fields are marked with an asterisk (*).

Are you a provider who is under contract with Carelon Health?*

Carelon Health

The provider portal is for those under contract with Carelon Health.


If you’re a primary care physician or specialist who would like to become a contracted provider, please submit the Provider participation request. All other providers interested in becoming a contracted provider should submit the Ancillary provider participation request.

Are you or those in your office current portal users?*

Carelon Health

If you’re a contracted provider who needs help with the portal, please contact the Provider Relations Team at providerrelations@carelon.com or call 888-291-1358, option 5.

Carelon Health

Please complete the Provider Portal Access Form below. Once we receive your request it will be processed within (5) five business days. Thank you, Carelon Health

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Are you an external biller?*
Is there an additional user you’d like to add?*
How many additional users would you like to add?

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