...any questions or concerns, please contact Provider Services at 1-855-202-1058 or speak with your Provider Engagement Representative. The grievance process allows the member, or the member’s authorized representative acting on...

...Fraud) Written Report: Use the Fraud, Waste and Abuse Reporting Form on www.caresource.com or write a letter and send to: CareSource Attn: Special Investigations Unit P.O. Box 1940 Dayton, OH...

The policies below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here. # A B C D E F G H I...

...one of many services available to our providers 24 hours a day through our secure Provider Portal. The pended claims report is another resource for claim status and it is...

...areCareSource Dual Advantage™ (HMO SNP) isCareSource MyCare ohio isCareSource isCareSource Marketplace Indiana isCareSource Marketplace KentuckyCareSource Marketplace West Virginia is listed as an authorized health plan. If not, check the Authorized...

...request and provider demographic updates. The PNM module is the single point for providers to complete provider enrollment, centralized credentialing, and provider self-service. The PNM module replaced MITS provider portal....

...A CareSource member or appointed representative may complete this form when applicable. Appointment of Representative Form An appointed representative is a relative, friend, advocate, provider or other person authorized to...

...to 937-531-2398. If you have chosen an authorized representative, remember to fill out the Appointment of Representative Form. We will give you an answer to your appeal in writing within...

...the right to: File a complaint (also called a grievance) File an appeal Ask for an external review Authorized Representative In order for CareSource to talk to your authorized representative,...

...authorized under state law to act for you will need to sign an Appointment of Representative Form. Complete it by: Mail: Send it to CareSource, P.O. Box 1947, Dayton, OH...