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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/...in health status such as certain medical conditions may also cause changes in plan eligibility and coverage status. Quick Tips: Member Consent When you check eligibility on the provider portal,...
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Provider Resources
https://www.caresource.com/providers/provider-portal/...tools. Submit or Find A Claim Check Eligibility Check Eligibility Verify patient eligibility for coverage and learn more about health statuses. Check Eligibility Prior Authorization Prior Authorization View prior authorization...
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FAQs
https://www.caresource.com/providers/education/faqs/...is important to verify member eligibility before providing services. Patients must be eligible CareSource® members at the time of service in order for services to be covered. CareSource offers several...
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Contact Us
https://www.caresource.com/providers/contact-us/...OH 45401-1947 You can also do business with us online any time day or night. Visit our Provider Portal to check claims, prior authorization status, member eligibility, coordination of benefits...
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Past Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/past/...2020 01/28/2020 Recent Provider Portal Updates 01/28/2020 Paper Checks Dated 1/21, 1/22, 1/23 01/27/2020 EAPG Claims Status 01/22/2020 Payment for Laboratory Services Furnished by FQHCs or RHCs 01/21/2020 Policy Updates...
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Patient Administration
https://www.caresource.com/providers/education/patient-care/patient-administration/...their premium payment. CareSource will continue to process medical claims and pay providers during this grace period. After 30 days of nonpayment, the member’s eligibility will be flagged as delinquent...
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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/The Public Health Emergency (PHE) for COVID-19 has ended. Services like vaccines, treatment, and testing are still available. Some rules changed, stopped, or started again. CareSource continues to watch COVID-19...
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FAQs
https://www.caresource.com/members/education/faqs/...eligible for Hoosier Healthwise (HHW) or Healthy Indiana Plan (HIP). For more information, review the eligibility information on the FSSA website. If you qualify, you can apply online through Indiana...
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Health Care Links
https://www.caresource.com/providers/education/patient-care/health-care-links/...Criteria US Medical Eligibility Criteria (US MEC) for Contraceptive Use 2016-Present Centers for Disease Control and Prevention DiabetesPro® American Diabetes Association, Professional Education Portal Domestic Violence Intimate Partner Violence Centers...
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Claim Rejection Notifications
https://www.caresource.com/providers/provider-portal/claims/claim-rejection-notifications/...How to Fix: The system will check the member ID, sex, DOB, and first 4 characters of the last name to attempt to identify the correct member. Contact Provider Services...
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Check eligibility