Important: Effective Feb. 1, 2023, provider claims submitted to trading partners must include the 12-digit ODM assigned Medicaid member ID (MMIS), else they will be rejected by ODM.

We want to make it as easy as possible to conduct business with us. In addition to information about how to submit claims and check payments, CareSource offers you 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.

Preferred Option: Submit Claims Online

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

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.

The ability to submit claims through the Provider Portal will no longer be available once the Ohio Department of Medicaid implements Stage 3b.

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.

Submit Claims Online via the Provider Portal

Alternative Option: Submit Paper Claims

For the most efficient processing of your claims, CareSource recommends you submit all claims electronically. Paper claim forms are encouraged only for services that require clinical documentation or other forms to process. If providers choose this option, we advise you upload images of the paper claims via the Provider Portal. Refer to the Provider Manual for instructions to submit paper claims.

The ability to submit paper claims will end once Ohio Department of Medicaid (ODM) implements Stage 3b.

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.