Update Practice Information

Keeping your provider information up to date is crucial for timely claims processing and enhancing patient experiences. Accurate data improves patient access, allowing them to easily find and connect with you, which leads to better care coordination and satisfaction.

Additionally, updated directories help members make informed choices, fostering trust in your practice. By maintaining current information, you also reduce unnecessary calls to your office, allowing your team to focus more on delivering exceptional care.

Update Your Information

Please submit any changes for your practice using the Provider Maintenance Form on the provider portal. Simply login to the Portal and select “Provider Maintenance” from the Provider navigation area on the left-hand side of the page. Update CareSource® with such changes as:

  • Adding or removing a provider from a group.
  • Changing an address or phone number.
  • Adding new restrictions or capacity limitations.
  • Adding location ADA accommodations.
  • Adding cultural competency training information.
  • Adding language capabilities at location.

The information will be submitted electronically to CareSource and you will receive an email verifying your requested changes. Providers can also check the status of the maintenance request on the provider portal.

Helpful Tools and Resources

  • Forms Page – Access essential forms for contracting and practice changes, claims, appeals and more.
  • New Health Partner Contract Form – Changes to your tax ID or IRS name require an amendment to your contract and you can use this form to make these changes. 

BetterDoctor

CareSource has partnered with BetterDoctor, the Quest Analytics Accuracy solution that outreaches to providers to collect attestations for CareSource. State and federal regulations require that health plans must validate and update their contracted provider network every 90 days. This process ensures we have the most accurate information for claims payment and provider directories.

To learn more about CareSource’s collaboration with BetterDoctor, view the Navigate BetterDoctor FAQs.