Dear Provider,
Unfortunately, BCBS and Carelon are still experiencing issues, which are preventing providers from properly registering for the Carelon portal. They are working diligently to address these issues, and we will notify you once they have been resolved and provide portal registration instructions at that time.
In the meantime, to assist you with the new BCBS prior authorization (PA) for physical therapy (PT) requirement (effective 11/1/2024), HNS has created a “BCBS-Carelon” section of the HNS Website, which you may access here:
BCBS / Carelon PA for PT Program (healthnetworksolutions.net)
Importantly, in addition to select resources from Carelon, this new section contains HNS’ newly created “BCBSNC Physical Therapy Prior Authorization Summary Sheet” which outlines important details we currently know about this new PA program.
Click Here to Access the BCBSNC Physical Therapy
Prior Authorization Summary Sheet
To help ensure you properly obtain PA and avoid denials, please be sure you and your billing CA understand this new program and follow the directions included in this document.
HNS will continue to update the BCBSNC Physical Therapy Prior Authorization Summary Sheet, as well as the new BCBS-Carelon section of the HNS website, with any additional important information we learn about the BCBS PA program, and will also notify the network of any pertinent updates.
Sincerely,
HNS