Provider Portal
CareSource's secure online Provider Portal makes it easier for you to work with us 24/7. The CareSource Provider Portal has critical information and tools to save your practice time. This helpful online tool is available for all CareSource health care plans.
Registered Users
Click on Provider Login to perform a variety of web-based transactions such as:
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Payment History - Search for payments by Check Number or Claim Number
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Claim Status - Search for status of claims, claims recovery and claim appeals
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Coordination of Benefits - Confirm COB for patients
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Explanation of Payment - Access from the secure Provider Portal with the option to print
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Prior Authorization - Medical inpatient/outpatient, home health care and Synagis
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Eligibility Termination Dates – View the member’s termination date (if applicable) under the eligibility tab
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Case Management Referrals – The case management form is now automated on our portal for efficiency in enrolling members
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Member Dental History - The specific tooth and 4 surface areas to all dental procedure codes
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Provider Information Change - Demographic Change, add an affiliation, add a provider
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Member Profile - Comprehensive view of patient medical/pharmacy utilization
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CareSource Clinical Practice Registry - Innovative tool that helps easily view and sort PCPs' CareSource members into actionable groups for improved focus on preventive care (e.g., well baby visits, diabetes, asthma and more)
Register today
Registration is quick and easy. Sign Up today!