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PAP285 - Carelon Sleep Testing and Therapy - Lay out of Portal has changed, updated instructions for accessing Carelon materials and Prior authorizations.
Blue Cross of Idaho·ID · Sleep Medicine, Pulmonology·Medical Policy
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho updated the Carelon Sleep Testing and Therapy portal layout and access instructions. The policy clarifies prior authorization requirements for sleep studies and therapy equipment, with new portal navigation steps for providers.
Action Required
Immediately: All providers offering sleep testing and therapy services must register in OptiNet through the Blue Cross of Idaho provider portal. Navigate to Authorizations & Notifications > Carelon Prior Authorizations > Launch > Access Your Optinet Registration. Each location must have separate registration. Obtain prior authorization before scheduling sleep studies, therapy equipment, or oral appliances. For retrospective authorizations, call Carelon at 866-714-1105 within 7 days of service date or claims will be denied.