...questions about a dispute to a provider disagreeing with a denial. They do not include inquiries that come through ODM’s Provider Web portal (HealthTrack). Provider disputes do include provider disagreements...

...Form. Provider Maintenance Current CareSource providers should use the provider portal to make any demographic changes. To do this, please log into the provider portal and click the “Provider Maintenance”...

...Provider Types To qualify as a PCP, a provider must practice in one of the following primary care areas: General practice Family practice Internal medicine Pediatrics Obstetrics/gynecology A specialist may...

...Acrobat Reader. Provider Manual Macomb Prepaid Inpatient Health Plan (PIHP) Provider Manual Addendum Dental Provider Manual The dental provider manual is a resource for our dental providers and serves as...

...for obtaining a CareSource Provider Contract: Visit https://www.CareSource.com. Hover over the “Providers” tab. A purple box appears on the right with a link to “Become a CareSource Provider!”. Select the...

...the HAP CareSource™ Provider Portal. How to Register for the HAP CareSource Provider Portal It’s easy! You will access the HAP CareSource Provider Portal through the HAP Portal. Only one...

...Grievances via the Provider Portal Fast Facts: Providers have 30 calendar days from the date of the incident to file a provider grievance. CareSource will resolve all provider grievances within...

...Quick Reference Materials Additional Links Provider Policies Forms Updates & Announcements Provider Portal Provider Portal Discover all the different functions you have available on the provider portal. Most Popular File...

...accessing the Provider Portal. Provider Education Series CareSource has created a custom library of training and resources on topics important to health care providers. Trainings are short (five to seven...

...services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers can bill you is your plan’s in-network cost-sharing...