We also have several features available for your use. Use our Find a Provider to assist members in choosing the right doctor, review our Pharmacy Prior Authorization before prescribing medicine, or check on a Medical Prior Authorization for your patient.
Now you can submit your Prior Authorization requests online. Click here to access our Provider Portal.
CareSource has a program to manage health care fraud. To find out more, please click on Fraud and Abuse.
Coming Mid September! Web Portal Enhancements!
CareSource provider web portal enhancements include:
- Claim Enhancements
- Claims History increased from 6 months to 24 months
- Enhanced Reason Codes include text descriptions
- Check numbers
- Claims payment date
- Addition of Dental claims
- Addition of Vision Claims
- Eligibility Span information
- COB information given with eligibility
- Optimized Data Model (higher performance)
Effective October 1, 2008 all claims status requests will be serviced through the web portal only, telephonic services will not be available.
Dispute Resolution
CareSource wants to make sure you receive appropriate attention to potential disputes. Please review our Dispute Resolution section to learn more.
Formulary Updates
CareSource recently updated our formulary. You may download CareSource's preferred drug list to your PDA from www.ePocrates.com. You can also access our preferred drug list, list of drugs requiring prior authorization online.
For information about these changes, read answers to our Frequently Asked Questions.