...from treating health care providers, or other information that provider wants considered in reviewing case Providers need to upload the request form and all supporting documentation to Permedion’s provider portal...

Our Commitment We are committed to improving our beneficiaries’ health by removing barriers to care and working with our community partners and providers to drive meaningful change. Provider Responsibilities Providers...

...Authorization Request Form . Non-Participating Providers Prior authorization must be obtained before sending patients to nonparticipating providers, with the following exceptions. Emergency Services All in-patient services require prior authorization. Please...

...documents. Providers who wish to contract with CareSource® must also be credentialed. Through credentialing, we check the qualifications and performance of physicians and other health care practitioners. Providers are recredentialed...

...from your health care providers. Our providers work with us in this effort. We choose providers based on their education and quality of care. We do not discriminate against any...

...established protocols and guidelines. Providers can submit requests by any of the methods identified below. Providers are required to submit pertinent medical/drug history, prior treatment history and any other necessary...

CareSource® covers laboratory testing services for our members. Laboratory service providers can access the following tools to help them provide efficient and quality care. Policies Providers can view CareSource’s laboratory...

...07/01/2020 Interactive Voice Response (IVR) Enhancements for Providers 06/25/2020 Feedback Requested: SNF Provider Summit Ideas 06/22/2020 Provider Portal Claims Submittal Enhancement 06/15/2020 Policy Updates June 2020 06/01/2020 Holiday Claim Remittance...

...needed. Learn more about CareSource24 on our Where to Get Care page. Use Network Providers Make sure you are using CareSource Marketplace network providers. Use the Find A Doctor tool...

...will review the provider’s request and begin building the provider’s contract. CareSource will coordinate with the CVO to confirm the status of providers who request to enroll with us and...