Contact Us

CareSource® strives to make it easy for you to work with us, whether online or over the phone.

For questions not addressed on our website, please call Provider Services at Navigate to tel:1-833-230-2101Navigate to tel:1-844-607-2831Navigate to tel:1-833-230-2101Navigate to tel:1-855-202-10581-833-230-2101Navigate to tel:1-844-539-1729Navigate to tel:1-833-230-2176Navigate to tel:1-833-230-2101

Our Navigate Health Partner Engagement Representatives will be happy to answer your questions Monday through Friday, 8 a.m. to 5 p.m. Eastern Time (ET).

West Virginia Providers – Meet Your Provider Engagement Specialist!

Lisa West – Provider Engagement Specialist - West Virginia

Lisa West – Provider Engagement Specialist

681-319-9503 | Lisa.West@CareSource.com

Lisa West returned to CareSource in 2019 after 10 years of pursuing other employment goals. Lisa and her husband, Harvey, have been married for 42 years and reside in Vienna, West Virginia. She enjoys spending time with her three kids and eight grandkids scattered throughout West Virginia. “Yes,” Lisa said, “eight and life is grand.”

Lisa said, “It is an honor to work with a company that truly lives the mission to make a lasting difference in our members lives, and where working with providers is like coming home.”

Lisa manages Vandalia Health and Valley Health System, as well as the providers in the following counties in West Virginia: Boone, Cabell, Clay, Fayette, Grant, Greenbrier, Hampshire, Hardy, Kanawha, Lewis, Lincoln, Logan, Mason, McDowell, Mercer, Mingo, Monroe, Pendleton, Pocahontas, Putnam, Preston, Raleigh, Summers, Tucker, Wayne, Webster, and Wyoming. In addition, Lisa is responsible for assisting providers located in Virginia who see West Virginia members.

Melissa “Missy” Gilbert – Provider Engagement Specialist

Melissa “Missy” Gilbert – Provider Engagement Specialist

937-531-2896 | Melissa.Gilbert@CareSource.com

Melissa “Missy” Gilbert has been with CareSource for 11 years, nine of those being in Provider Relations. Prior to joining CareSource, Missy managed provider practices and understands the importance of having strong relationship with her providers. Born and raised in West Virginia, Missy resides in Parkersburg and enjoys spending her free time with her family and her grandson, Colson.

Melissa said, “I always strive to deliver excellent service and be the best advocate I can be for my providers.”

Missy manages WVU Medicine and UPMC Western Maryland, as well as the providers in the following counties in West Virginia: Barbour, Berkeley, Braxton, Brooke, Calhoun, Doddridge Gilmer, Hancock, Harrison, Jackson, Jefferson, Marion, Marshall, Mineral, Monongalia, Morgan, Nicholas, Ohio Pleasants, Randolph, Ritchie, Roane, Taylor, Tyler, Upshur, Wetzel, Wirt and Wood. In addition, Missy is responsible for assisting providers located in Pennsylvania and Maryland who see West Virginia members.

West Virginia Contact Information:

CareSource West Virginia
400 Washington Street East
Suite 401
Charleston, WV 25301
681-319-9500

Kathy Oplinger
Director, Kentucky and West Virginia Marketplace
681-319-9505
Kathy.Oplinger@CareSource.com

You can also do business with us online any time of the day or night. Visit our Provider Portal to check claims, prior authorization status, member eligibility, coordination of benefits and more.

Key Contact Information

Below is a list of the plan’s phone numbers for general questions, prior authorizations, claim inquiries and more, as well as common fax numbers and addresses. Use this list as a guide to help you find the appropriate contact for your questions.

DepartmentPhoneAdditional Information

Provider Services

1-833-230-2101

Medical Prior Authorization

1-833-230-2101

Fax: 844-676-0372

Pharmacy Prior Authorization

1-833-230-2101

Fax: 866-930-0019

Pharmacy

1-833-230-2101

Claims

1-833-230-2101

CareSource
Attn: Claims Department
P.O. Box 804
Dayton, OH 45401

Appeals

1-833-230-2101

Fax: 937-531-2398

CareSource
Attn: Provider Appeals
P.O. Box 804
Dayton OH 45401

Care & Disease Management

1-833-230-2037

Referral fax: 866-582-0615