-
Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...questions about a dispute to a provider disagreeing with a denial. They do not include inquiries that come through ODM’s Provider Web portal (HealthTrack). Provider disputes do include provider disagreements...
-
Claim Rejection Notifications
https://www.caresource.com/providers/provider-portal/claims/claim-rejection-notifications/...provider may contact CareSource Provider Services at 1-833-230-2100 to resolve this issue. Error Number: 128 Error Description: Submitted Provider Tax ID not in Facets How to Fix: The provider is...
-
General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers can bill you is your plan’s in-network cost-sharing...
-
Past Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/past/...NEW CareSource Provider E-Communication System 11/21/2013 New Facility Code Edits for Hospital Claims 11/14/2013 Quick Reference Guide for Non-Participating Providers 10/21/2013 ICD-10 Training Needs and Provider Checklist 10/17/2013 Synagis Prior...
-
Training & Events
https://www.caresource.com/providers/education/training-events/...address and password when accessing the Provider Portal. Provider Education Series CareSource has created a custom library of training and resources on topics important to health care providers. Trainings are...
-
Become a Participating Provider
https://www.caresource.com/providers/education/become-caresource-provider/...Form. Provider Maintenance Current CareSource providers should use the provider portal to make any demographic changes. To do this, please log into the provider portal and click the “Provider Maintenance”...
-
Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...revised with the input from a medical director of like specialty and then reviewed/approved by the Market Provider Advisory Committee and the Enterprise Provider Advisory Committee. To ensure consistent application...
-
Claims
https://www.caresource.com/providers/provider-portal/claims/...providers, whether out-of-state or unenrolled providers, who are not active providers on the PNM. Providers can submit an application for screening, enrollment, and credentialing through ODM PNM & Centralized Credentialing...
-
Newsletters & Communications
https://www.caresource.com/providers/education/newsletters-communications/...ProviderSource Newsletter Fall 2024 ProviderSource Newsletter Spring 2024 ProviderSource Newsletter Spring 2024 ProviderSource Newsletter NCQA Annual Insert Winter 2023 ProviderSource Newsletter Fall 2023 ProviderSource Newsletter Spring 2023 ProviderSource Newsletter Spring...
-
Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/...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...
Found 215 results for
Provider lIst