...do I need to do? Submit a copy of the Explanation of Benefits (EOB) by fax, mail or through the Provider Portal: By fax: 937-396-3138 By mail: CareSource, P.O. Box...

...medical procedure. Claims Forms Claim Refund Check Form Mail your refund check, this form and any other required documentation to CareSource. ECHO Health Enrollment Submit this form to enroll with...

...information. This will be kept private as allowed by law. Email fraud@CareSource.com. Fax 1-800-418-0248. *Others may read your email without you knowing or saying it is okay if your email...

...complete the HIPAA Authorization Form and send it to us via fax or mail. Please allow up to 30 days to process the request. You must return the completed form...

...quality issue reviews. Medical record requests are forwarded to providers via mail, e-mail or fax and may be returned to CareSource via these same mechanisms as detailed in the medical...

...Fill out the Grievances and Appeals form. Mail us a letter. Mail the letter to: CareSource PASSE Attn: Member Grievances P.O. Box 1947 Dayton, OH 45401-1947 Who can ask for...

...get a new CareSource Member Handbook? Mail the postage-paid card from your new member booklet. The handbook is online. Call us. How do I get a new Provider Directory? Mail...

...email or text notice instead of mail. “How can I pay my premium?” ONLINE: Use the Express Payment option at CareSource.com/MPpay. It’s easy. All you need is your name, member...

...Mail: Download the Coverage Redetermination Request Form and fax or mail it to us. Fax: 1-877-852-4070 Mail: Express Scripts, c/o Medicare Clinical Appeals P.O. Box 66588 St. Louis, MO 63166-6588...

...triggers such as emergency room visits, hospital admissions, and the health assessment. These members are automatically mailed condition-specific newsletters. The materials are available in English and Spanish. Any member may...