...Newsletters & Communications Provider Manuals Updates & Announcements Provider Portal Save time. Save money. Use the secure Provider Portal. This online tool lets you verify member eligibility, submit claims electronically,...

...Claims Prior Authorization Prior Authorization View prior authorization requirements and processes. Prior Authorization Forms Forms Find important forms for doing business with CareSource. View Forms Updates & Announcements Updates &...

...an organization determination. Who Can Ask for an Organization Determination? You Your appointed representative Your provider Full details for these requests can be found in the Evidence of Coverage (EOC)...

...version that is mailed also has the TrueCare member ID card. Provider Directory The most up-to-date list of providers is available through our online Find a Doctor tool. This tool...

...version that is mailed also has the TrueCare member ID card. Provider Directory The most up-to-date list of providers is available through our online Find a Doctor tool. This tool...

...contain your Application ID. You can check your application status on the provider portal. You will need to enter your National Provider Identifier (NPI) and Application ID to view your...

Advance Directives An advance directive is a written record about your future care and treatment. This includes mental health care. It helps your family and providers know your wishes about...

...location near you. Go to our Forms page to find the forms you need. You can also call us to ask for a copy of the form. Fill it out...

Abuse is defined as, provider practices that are inconsistent with sound fiscal, business or medical practices, and result in an unnecessary cost to the Medicaid/Medicare program, or in reimbursement for...

...ask how care is reviewed. You can ask about: Preservice review Urgent concurrent review Post service review Filing an appeal We do not reward providers or our staff for denying...