Our Services
CareSource's foundation is our strong partnership with our contracted health care providers. Through you, we fulfill our mission of making a difference in the lives of underserved people by improving their health care.
Because the satisfaction of our health care providers is so important to us, we offer a wide array of services and benefits including quick claims payment, enhanced reimbursement, a secure provider portal available 24/7 and more.
Request a New Contract with CareSource
Providers who would like to set up a new contract with CareSource should send a completed New Contract Provider Information Form and a copy of your W-9:
Email: newcontract@caresource.com
Fax: 937-396-3290
Mail: CareSource
PO Box 8738
Dayton, OH 45401-8738
Attn: New Contract
Provider Information Change
Advance written notice of status changes, such as a change in address, phone, or adding or deleting a provider to your practice help us keep our records current and are critical for claims processing.
How to Submit Changes to CareSource
Please complete the Provider/Group Change Request Form and submit to CareSource:
Timeline of Changes:
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Type of Change
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Minimum Notice Required
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New providers or deleting providers*
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Immediate
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Phone number change
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10 calendar days
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Address change
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60 calendar days
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Providers leave the practice
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60 calendar days
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Change in capacity to accept members
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60 calendar days
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Why is this Important?
This information is critical to process your claims. In addition, it ensures our directories are up-to-date, and reduces unnecessary calls to your practice. This information is also reportable to Medicaid and Medicare.
*A claim submitted after May 23, 2007, for a deceased provider who had an NPI will be rejected by Medicare because the provider's NPI was deactivated in the Medicare claims processing system due to the provider's death. For more information, visit CMS.gov.
Provider Service Center
How to reach us
Call Provider Services toll-free at 1-800-488-0134 and follow the prompts.
Our friendly and knowledgeable representatives are available to speak with you from 8 a.m. to 6 p.m., Monday through Friday, except holidays.
You can call Provider Services with questions or issues about covered services, procedures or services that require Prior Authorizations, member eligibility, basic reimbursement rate inquiries and other CareSource policies. Please have the name and CareSource member ID number for the member you are calling about ready when you call.
For more information, please contact your Provider Relations Representative.
Provider Portal
CareSource's secure online Provider Portal makes it easier for you to work with us. The portal is easy to access, whenever it is convenient for you. This helpful online tool is available for all CareSource health care plans. Assisting you is one of our top priorities in order to deliver better health outcomes for our members. If you are a registered user, or want to become one, please click on the Provider Login to perform a variety of web-based transactions such as:
- Claims Status
- Member Eligibility
- Prior Authorizations (medical only)
- Member Profile
- Member Rosters
- CareSource Clinical Practice Registry
Provider Relations
Interested in becoming a participating health care provider? Do you have a question about your contract with CareSource? Would you like us to conduct an orientation for your office? Do you have a reimbursement issue?
Whatever the question, our Provider Relations Department is here to serve you. Just call Provider Services at 1-800-488-0134. Ask to speak with the Provider Relations Representative assigned to you.