Claims
In addition to information about how to submit claims and check payments, we offer you tools to find specific information, such as claim status and member coordination of benefits (COB) status.
Recommended Option: Submit Claims Online
Providers have the option to submit claims through our secure, online HAP CareSource provider portal. You can submit claims, track claim payments and more. We offer this service at no cost.
Submit Claims Online Using the CareSource Provider Portal
Benefits of Submitting Claims Online
We encourage you to submit claims online to take advantage of the following benefits:
- Faster claim processing
- Reduced administrative costs
- Reduced probability of errors or missing information
- Faster feedback on claim status
- Minimal staff training or cost
Refer to the Provider Manual for detailed information to submit claims.
| Helpful Tools & Resources | |
|---|---|
We partner with Availity to offer electronic claim submission and real-time transactions at no charge. You can use the Availity Portal Registration Guide to get signed up. | Submit this cover sheet and itemized statement for high dollar claims. |
Submit this form to offset overpaid claims against a future payment. | Refer to the Provider Manual for detailed information to submit claims. |
Get Paid Electronically
If you’re currently set up for electronic fund transfer (EFT) with HAP, there is nothing you need to do.
If you aren’t set up for EFT with HAP, please review the information below.
HAP CareSource has partnered with ECHO Health, Inc. to deliver provider payments. ECHO offers three payment options:
- 1. Electronic fund transfer (EFT) – preferred
- Virtual Card Payment (QuicRemit) – Standard bank and card issuer fees apply*
- Paper Checks
*Payment processing fees are what you pay your bank and credit card processor for use of payment via credit card.
Enrollment Instructions
Enroll with ECHO for payment and choose EFT as your payment preference for CareSource.
Questions? Call ECHO Customer Support at 1-888-834-3511.
Submit Claims Online Using the CareSource Provider Portal
Alternative Option:Submit Paper Claims
For the most efficient processing of your claims, HAP CareSource recommends you submit all claims electronically via the HAP CareSource provider portal. Paper claim forms are encouraged only for services that require clinical documentation or other forms to process.
Note: Providers are highly encouraged to upload paper claims via the HAP CareSource Provider Portal.
Please send all paper claim forms to HAP CareSource at the following address:
HAP CareSource
Attn: Claims Department
P.O. Box 1186
Dayton, OH 45401-1186
Refer to the Provider Manual for instructions to submit paper claims.
More Information
For additional information regarding the provider disputes and appeals, please visit the Disputes and Appeals page. If you have questions not addressed on our website, please contact the CareSource Claims department at 1-833-230-2102.