Contact Us
Provider Services
We are open Monday through Friday from 7 a.m. to 7 p.m. Eastern Time (ET).
For additional information, you may also contact one of our Health Partner Network Managers.
We are closed each year on:
- New Year’s Day
- Martin Luther King Jr. Day
- Memorial Day
- Independence Day
- Labor Day
- Thanksgiving Day
- Day After Thanksgiving
- Christmas Eve
- Christmas Day
If a holiday falls on a weekend, we will be closed the following business day.
Provider Portal
Do business with us online any time of the day or night with our Provider Portal. You can use the Provider Portal to check:
- Claims
- Prior authorization status
- Member eligibility
- Coordination of benefits, and more
Additional Key Contact Information
Below is a list of the plan’s phone numbers for general questions, prior authorizations, claim inquiries and more, as well as common fax numbers and addresses. Use this list as a guide to help you find the appropriate contact for your questions.
Department | Phone |
Medical Prior Authorization | |
Pharmacy Prior Authorization | |
Pharmacy Help Desk | |
Claims | |
Appeals |
Office of the Ombudsman
The CareSource Office of the Ombudsman is an independent, neutral department within CareSource that serves the needs of CareSource members, providers and other stakeholders.
The Office of the Ombudsman:
- is free of charge.
- is a neutral, independent advocate for CareSource members.
- helps coordinate services with local community/advocacy organizations. (This includes both covered and non-covered services.)
- provides health plan navigation and advocacy assistance to research and resolve outstanding issues.
- assists with complaint and grievance resolution.
- ensures stakeholders obtain impartial resolution to their concerns.
- Identifies and mitigates potential systemic issues within the health plan.
Contact the CareSource Office of the Ombudsman: 1-678-214-7580
Toll Free: 1-877-683-8993.