Sanjoy Musunuri joined CareSource in 2020 as Executive Vice President, Strategy and Business Development, where he oversees the advancement of new and innovative strategies that create growth opportunities and extend...

...business Corrective action of any identified fraud, waste and/or abuse are available in the provider manual. For provider terminations/suspensions information, see the CareSource Fair Hearing Plan (coming soon). Prohibited Affiliations...

...to discuss an adverse decision with physician reviewer, please call the Medical Management department at 1-855-852-55581-855-202-10911-833-230-21011-855-202-1058 within five business days of the determination. Our members’ health is always our number...

...adopt our policy on fraud, waste and abuse when handling CareSource business. The Federal False Claims Act Using the False Claims Act (the Act), you can help reduce fraud against...

...following business day. Provider Portal Do business with us online any time of the day or night with our Provider Portal. You can use the Provider Portal to check: Claims...

...expedited appeal. Notification of Resolution CareSource will decide whether to expedite an appeal within one business day. We will make reasonable efforts to provide prompt verbal notification to the member...

...has created a custom library of training and resources on topics important to health care providers. Trainings are short (five to seven minutes) to easily fit into your busy schedule....

...member benefits, and more to make it easier for you to do business with us. Note: To access, you may need to download Adobe Acrobat Reader. VIEW THE CARESOURCE PASSE...

...things may change in the way we do business with you and want to communicate these changes to you in an efficient manner. COVID-19 information Pharmacy information, including our Preferred...

We streamline our business practices to limit the administrative burden on you and our members. Our goal is to make it easier for you to help our members access the...