Claims
In addition to information about how to submit claims and check payments, CareSource offers tools to find specific information, such as claim status and member coordination of benefits (COB) status.
CareSource accepts claims in a variety of formats, including online and paper claims.
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 CareSource Provider Portal
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 claims status
- Minimal staff training or cost
Helpful Tools & Resources
Provider Manual
Refer to the Provider Manual for detailed information to submit claims.
Availity Portal
CareSource also partners with Availity to offer electronic claim submission and real-time transactions at no charge through the Availity Portal. You can use the
Availity Portal Registration Guide to get signed up.
Get Paid Electronically
CareSource has partnered 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.
Alternative Option: Submit Paper Claims
For the most efficient processing of your claims, CareSource recommends you submit all claims electronically. Paper claim forms are encouraged only for services that require clinical documentation or other forms to process. If providers choose this option, we advise you upload images of the paper claims via the Provider Portal.
Refer to the Provider Manual for instructions to submit paper claims.
Payment Review
Payment Review Tool – Use this tool to reference CareSource’s pre- and post-payment review processes and appropriate contacts.
Non-participating Providers
Non-participating providers may submit claims to CareSource using the Non-Participating Provider Profile Form (Coming Soon). CareSource is unable to process claims without this information. Please be sure to attach your W-9 form when you submit this online form.
We want to make it as easy as possible to conduct business with us. In addition to information about how to submit claims and check payments, CareSource offers you tools to find specific information, such as claim status and member coordination of benefits (COB) status.
CareSource accepts claims in a variety of formats, including online and paper claims.