Claims

In addition to information about how to submit claims and check payments, CareSource offers tools to find specific information, such as claim status and member coordination of benefits (COB) status.

CareSource accepts claims in a variety of formats, including online and paper claims.

Recommended Option: Submit Claims Online

Providers have the option to submit claims through our secure, online Provider Portal. You can submit claims, track claim payments and more. CareSource offers this service at no cost.

SUBMIT CLAIMS ONLINE USING THE CARESOURCE PROVIDER PORTAL

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

Helpful Tools & Resources

Provider Manual (Coming Soon)
Refer to the Provider Manual for detailed information to submit claims.

Availity Portal
CareSource also partners with Availity to offer electronic claim submission and real-time transactions at no charge through the Availity Portal. You can use the Availity Portal Registration Guide to get signed up.

Get Paid Electronically

CareSource has partnered with ECHO Health, Inc. to deliver provider payments. ECHO offers three payment options:

  1. Electronic fund transfer (EFT) – preferred
  2. Virtual Card Payment (QuicRemit) – Standard bank and card issuer fees apply*
  3. 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.

Alternative Method: Paper Claims

For the most efficient processing of your claims, CareSource recommends you submit all claims electronically through the CareSource Provider Portal. Paper claim forms are encouraged only for services that require clinical documentation or other forms to process. Refer to the Provider Manual (coming soon) for instructions to submit paper claims.

Claims can also be submitted via mail to:

CareSource
Attn: Claims Department
P.O. Box 36
Dayton, OH 45420-0036

Non-participating Providers

Non-participating providers may submit claims to CareSource using the Non-Participating Provider Profile Form. CareSource is unable to process claims without this information. Please be sure to attach your W-9 form when you submit this online form.