Claims
In addition to information about how to submit claims and check payments, we offer you tools to find specific information, such as claim status and member coordination of benefits (COB) status.
Recommended Option: Submit Claims Online
Providers have the option to submit claims through our secure, online Provider Portal. You can submit claims, track claim payments and more. CareSource offers this service at no cost.
SUBMIT CLAIMS ONLINE USING THE PROVIDER PORTAL
Benefits of Submitting Claims Online
We encourage you to submit claims online to take advantage of the following benefits:
- Faster claim processing
- Reduced administrative costs
- Reduced probability of errors or missing information
- Faster feedback on claim status
- Minimal staff training or cost
| Helpful Tools & Resources | |
|---|---|
We partner with Availity to offer electronic claim submission and real-time transactions at no charge. | Availity Portal Registration Guide Utilize this guide to get started with Availity registration. |
Submit this cover sheet and itemized statement for high dollar claims. | Non-Participating Provider Profile Form Submit this form to offset overpaid claims against a future payment. |
Submit this form to offset overpaid claims against a future payment. | Refer to the Provider Manual for detailed information to submit claims. |
Get Paid Electronically
We partner with ECHO Health, Inc. to deliver provider payments. ECHO offers three payment options:
- Electronic fund transfer (EFT) – preferred
- Virtual Card Payment (QuicRemit) – Standard bank and card issuer fees apply*
- Paper Checks
*Payment processing fees are what you pay your bank and credit card processor for use of payment via credit card.
Enrollment Instructions
Enroll with ECHO for payment and choose EFT as your payment preference for CareSource.
Questions? Call ECHO Customer Support at 1-888-834-3511.
SUBMIT CLAIMS ONLINE USING THE PROVIDER PORTAL
Alternative Option: Submit Paper Claims
For the most efficient processing of your claims, we recommend you submit all claims electronically. Paper claim forms are encouraged only for services that require clinical documentation or other forms to process.
Refer to the Provider Manual for instructions to submit paper claims.
Note: Providers are highly encouraged to upload paper claims via the Provider Portal.
Mail Paper Claims to the Following Address:
CareSource
Attn: Claims Department
P.O. Box 804
Dayton, OH 45401
More Information
For additional information regarding the provider disputes and appeals, please visit the Disputes and Appeals page. If you have questions not addressed on our website, please contact the CareSource Claims department at 1-833-230-2101.