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Provider Portal

Humana – CareSource's® secure online Provider Portal makes it easier for you to work with us 24/7. The Provider Portal has critical information and tools to save your practice time.

Registered Users

Click on Provider Login to perform a variety of web-based transactions such as:

  • Payment History - Search for payments by Check Number or Claim Number.

  • Claim Status - Search for status of claims, claims recovery and claim appeals.

  • Coordination of Benefits - Confirm COB for patients.

  • Explanation of Payment - Access from the secure Provider Portal with the option to print.

  • Prior Authorization - Medical inpatient/outpatient, home health care and Synagis.

  • Eligibility Termination Dates – View the Member’s termination date (if applicable) under the eligibility tab.

  • Case Management Referrals – The case management form is now automated on our portal for efficiency in enrolling Members.

  • Member Dental History - The specific tooth and four surface areas to all dental procedure codes.

  • Member Profile - Comprehensive view of patient medical/pharmacy utilization.

  • CareSource Clinical Practice Registry - Innovative tool for our PCPs that helps easily view and sort Humana – CareSource members into actionable groups for improved focus on preventive care (e.g., well baby visits, diabetes, asthma and more).

  • Benefit Limits - Providers can track benefit limits (chiropractic, occupational, physical, speech therapy) electronically before services are rendered.

Portal Registration

If you are not registered with Humana – CareSource’s Provider Portal, please follow these easy steps:

  1. Click on the “register here” button and complete the 3-step registration process. 
    Note:  You will need to have your Tax ID number.
  2. Click the “Continue” button.
  3. Note the User Name and Password you create so that you can access the Portal’s many helpful tools.
  4. If you do not remember your username/password, please call Provider Services at 1-855-852-7005.