Claims

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 North Carolina Co.® offers you tools to find specific information, such as claim status. 

CareSource North Carolina Co. accepts claims in a variety of formats, including online and paper claims.

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 North Carolina Co. offers this service at no cost.

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

Refer to the Navigate Provider Manual for detailed information to submit claims.

CareSource North Carolina Co. 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 North Carolina Co. has partnered with ECHO Health, Inc. to deliver provider payments. ECHO offers three payment options:

  1. Electronic fund transfer (EFT) – preferred
  2. Virtual Card Payment (QuicRemit) – Standard bank and card issuer fees apply*
  3. 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 North Carolina Co.

Questions? Call ECHO Customer Support at 1-888-834-3511.

Paper Claims

For the most efficient processing of your claims, CareSource North Carolina Co.® recommends you submit all claims electronically through the Provider Portal. Paper claim forms are encouraged only for services that require clinical documentation or other forms to process. Refer to the Navigate Provider Manual for instructions to submit paper claims.

Claim Overpayment Recovery Requests and Resources

Navigate Overpayment Recovery Form – Submit this form to offset overpaid claims against a future payment.

High Dollar Claims

Submit this Navigate cover sheet and itemized statement for high dollar claims.

Non-participating Providers

CareSource is unable to process claims without this information. Please be sure to attach your W-9 form when you submit this online form.