...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...

...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...

...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...

...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....

...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...

...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...

...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...

...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,...

...in filing a grievance, coverage determination, organization determination or appeal. We call these people appointed representatives. Those not authorized under state law to act for you will need to sign...