We have compiled all of the essential forms in one place for you to utilize. Select the applicable form(s) for reporting, credentialing, claims, and more. Note: You may need to...

We are excited to welcome you as a CareSource member and introduce some of the programs and tools that make CareSource more than just health insurance. We are Health Care...

...mailed to you by calling us. If you would like to file a grievance or an appeal or ask for an external review, visit the links on the left side...

Definitions CareSource provides several opportunities for you to request review of dispute or authorization denials. Actions available after a denial include: Claim Appeals A claim appeal is a written request...

Member Services We can help you: Get interpreters in the language you speak. Get printed copies of your plan materials sent to you at no charge. Learn more about your...

CareSource PASSE™ may update this page with information about how to work with our plan. Have a question not addressed on this page? Contact Provider Services at 1-833-230-2100. You can...

These reimbursement policies apply to the TRICARE Prime® Demo by CareSource Military & Veterans™ plan. Reimbursement policies are designed to assist you when submitting claims to us. They are routinely...

...on the left side (bottom) of the page to find a pharmacy near you. Covered Prescriptions CareSource uses a Prescription Drug Formulary (or just Formulary). Your Formulary is a list...

...providers on the Find a Doctor/Provider tool on the left side of this web page under Quick Links. You can also find a doctor’s professional training by accessing additional sites....

...monthly bill is based on: What you would have paid for any prescriptions you get Plus, your previous month’s balance Divided by the number of months left in the year....