Medical and Other Prior Authorization

You may need to download Adobe Acrobat Reader to open these files.

Contracting and Practice Changes

Medical Prior Authorization


  • ECHO Health Enrollment – Submit this form to enroll with ECHO Health, our electronic funds transfer partner.
  • Navigate Overpayment Recovery Form – Submit this form to offset overpaid claims against a future payment.
  • Claim Refund Check Form (coming soon) – Mail your refund check, this form and any other required documentation to CareSource.
  • Navigate Itemized Bill Cover Sheet – Submit this cover sheet and itemized statement for high dollar claims.


Fraud, Waste and Abuse