...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,...

...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...

...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...

...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...

...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...

...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...

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...

...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...

...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...

...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...