Provider Maintenance

Up-to-date contact information is critical to process your claims. In addition, it ensures our directories are up-to-date and reduces unnecessary calls to your practice. This information is also reportable to Medicaid and Medicare.

Update Your Information

Please submit any changes for your practice using the Provider Maintenance Form on the Provider Portal. Simply login to the Portal and select “Provider Maintenance” from the navigation area on the left-hand side of the page. You can update CareSource with such changes as:

• Adding a provider to a group
• Changing an address or phone number
• Adding new restrictions or capacity limitations

The information will be submitted electronically to CareSource and you will receive an email verifying your requested changes. Changes made to your provider profile must match the information CareSource receives from the state’s provider enrollment file. Any updates should mirror the state’s fiscal agent, Gainwell Technologies. Incorrect information may result in claim rejections or denials.

NOTE – To change your Tax ID number, or update your IRS name, you must make those changes through an amendment to your contract, not through maintenance. You can make those changes using the New Health Partner Contract Form.