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Claims
https://www.caresource.com/providers/provider-portal/claims/...claims. Providers can upload paper claims via the provider portal. You can also mail or fax paper claims to the following address: CareSource Attn: Claims Department P.O. Box 8730 Dayton,...
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FAQs
https://www.caresource.com/providers/education/faqs/...claims (CMS-1500) and hospital/facility claims (UB-04) electronically. CareSource’s dental claims are managed through SkyGen, which accepts electronic dental claims through clearinghouses and the SkyGen Portal. We recommend that dental health...
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Claim Rejection Notifications
https://www.caresource.com/providers/provider-portal/claims/claim-rejection-notifications/...Claims without gestation age How to Fix: On professional claims, the CPT procedure codes must be tied to the appropriate ICD-10 diagnosis codes. Diagnosis code validation edits on professional claims...
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Past Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/past/...Advantage Contract; Continuation of CareSource Medicaid Contracts 11/02/12 CareSource Receives NCQA Accreditation 11/02/12 Enhanced Dental Management Portal Functionality and Claims Processing – Effective 11/26/12 10/26/12 Claims Payment and New EFT...
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Contact Us
https://www.caresource.com/providers/contact-us/...1-833-230-2100 Monday through Friday, 9 a.m. to 6 p.m ET Address: CareSource PASSE Attn: Claims Department P.O. Box 2308 Dayton, OH 45401 Care Coordination 1-833-230-2005 Monday through Friday, 8 a.m....
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...unclear information on the claim, you should submit a corrected claim. You should not file a dispute or appeal. Refer to the Claims page or the provider manual for further...
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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/...(PASRR) Requirements 05/05/2023 ODM Claims Rejection Logic 05/04/2023 Rejection of Claims Based on the Provider Master File 05/02/2023 Rejection of Claims that Bypass the ODM Fiscal Intermediary Summary – This...
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Forms
https://www.caresource.com/providers/tools-resources/forms/We have compiled all of the essential forms in one place for you to utilize. Select the applicable form(s) for reporting, credentialing, claims, and more. Note: You may need to...
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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...least one that addresses children and adolescents Be based on perinatal care, care for children up to 24 months of age, care for children 2-19 years of age, care for...
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Training & Events
https://www.caresource.com/providers/education/training-events/...need to set up a new account using a unique email address as your username. To use single sign-on in the future, be sure to use the same email address...
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CLAIMS ADDRESS