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