...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...

...CareSource account and by mail, unless you choose to get an email or text notice instead of mail. “How can I pay my premium?” ONLINE: Use the Express Payment option...

...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...

...must 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...

...quarterly PDL updates. As a Qualified Health Plan in the Health Insurance Marketplace, CareSource provides prescription drug coverage. This benefit provides coverage for prescriptions obtained from a retail pharmacy, mail-order...

...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 record request...

...to 7 p.m., Monday through Friday. By Mail. Fill out the form and mail it back right away to DFCS. Find the address to your local county office. In Person....

...Authorization Form Submit this form to request prior authorization for a medical procedure. Claims Forms Claim Refund Check Form Mail your refund check, this form and any other required documentation...

...send back. 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...

...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...