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Live Provider Orientation Webinar

Live Provider Orientation Webinar

Attention Providers – please join the Provider Engagement team for a live Provider Orientation Webinar on July 16 at 10 a.m. Email NCProviderEngagement@CareSource.com, WVProviderEngagement@CareSource.com or KYProviderEngagement@CareSource.com to confirm your spot – capacity is limited! For more information, check out the North Carolina, Kentucky or West Virginia Training pages in the Provider Portal.

Live Provider Orientation Webinar

Attention Providers – please join the Provider Engagement team for a live Provider Orientation Webinar on July 16 at 10 a.m. Email NCProviderEngagement@CareSource.com,  WVProviderEngagement@CareSource.com or KYProviderEngagement@CareSource.com to confirm your spot – capacity is limited! For more information, check out the North Carolina, Kentucky or West Virginia Training pages in the Provider Portal.

2024 Provider Satisfaction Survey

Your feedback is important, and we want to hear from you! Starting in May, you might have received an email or phone call from Press Ganey requesting you to fill out the annual Provider Satisfaction Survey. This survey is an opportunity for you to share your thoughts on your experience working with CareSource. Learn more about the Provider Satisfaction Survey here. We look forward to your feedback!

2024 Provider Satisfaction Survey

Your feedback is important, and we want to hear from you! Starting in May, you may receive an email or phone call from Press Ganey requesting you to fill out the annual Provider Satisfaction Survey. This survey is an opportunity for you to share your thoughts on your experience working with CareSource PASSETM. Learn more about the Provider Satisfaction Survey here. We look forward to your feedback!

2024 Provider Satisfaction Survey

Your feedback is important, and we want to hear from you! Starting in May, you may receive an email or phone call from Press Ganey requesting you to fill out the annual Provider Satisfaction Survey. This survey is an opportunity for you to share your thoughts on your experience working with CareSource. Learn more about the Provider Satisfaction Survey here. We look forward to your feedback!

2024 Provider Satisfaction Survey

Your feedback is important, and we want to hear from you! Starting in May, you may receive an email or phone call from Press Ganey requesting you to fill out the annual Provider Satisfaction Survey. This survey is an opportunity for you to share your thoughts on your experience working with CareSource. Learn more about the Provider Satisfaction Survey here. We look forward to your feedback!

Member Portal HIV Resources – June

HIV Resources 

It’s important to make choices that keep you healthy and protect others. If you or someone you know has HIV, there are resources available to help.

GA Medicaid Prior Authorization Requests

For Cardiac and Musculoskeletal procedures, visit TurningPoint’s website at https://www.myturningpoint-healthcare.com/ to enter Prior Authorization requests.

Coming Soon, New Online Claims Submission: A New Look and Feel

Summary
CareSource has updated its Provider Claim Submission feature. The new portal contains all the functionality that is in place today with a new look and feel. You will still have access to the previous functionality, including the features listed below:

Features
Claim Entry Health Insurance Claim Form (HCFA), Uniform Billing (UB) Form, Dental
Claim Entry HCFA, UB, Dental – Partial form save & begin at previous saved location
Claim Entry HCFA, UB, Dental – Recent History
Claim Entry HCFA, UB, Dental – Clone Claim (Full, Partial)
Claim Entry HCFA, UB, Dental – Resubmission
Claim Attachment
Claim Upload – No Direct Data Entry required
Copy a previously submitted claim
Pre-Load Provider Information (NPI, TIN, Billing address and name)
End User Dashboard
Search Capability
Document Status Tracking

Impact
Providers who have saved a draft claim will no longer be able to access that draft once the changes go into effect. Claims previously submitted through our existing Claim Submission feature within the last 45 days cannot be viewed through the new Claims Submission page, but can be viewed on the Provider Portal by searching for a claim by Claim Number.

Importance
There are new user guides and training videos available to help you get familiar with the new Claim Submission feature. These are available on the Provider Portal under Users > Provider Training.

Questions?
If you have any questions or concerns, please contact Provider Services at 1-833-230-2100 available
Monday through Friday from 8 a.m. to 5 p.m. Central Time (CT).

Coming Soon, New Online Claims Submission: A New Look and Feel

Summary
CareSource has updated its Provider Claim Submission feature. The new portal contains all the functionality that is in place today with a new look and feel. You will still have access to the previous functionality, including the features listed below:

Features
Claim Entry Health Insurance Claim Form (HCFA), Uniform Billing (UB) Form, Dental
Claim Entry HCFA, UB, Dental – Partial form save & begin at previous saved location
Claim Entry HCFA, UB, Dental – Recent History
Claim Entry HCFA, UB, Dental – Clone Claim (Full, Partial)
Claim Entry HCFA, UB, Dental – Resubmission
Claim Attachment
Claim Upload – No Direct Data Entry required
Copy a previously submitted claim
Pre-Load Provider Information (NPI, TIN, Billing address and name)
End User Dashboard
Search Capability
Document Status Tracking

Impact
Providers who have saved a draft claim will no longer be able to access that draft once the changes go into effect. Claims previously submitted through our existing Claim Submission feature within the last 45 days cannot be viewed through the new Claims Submission page, but can be viewed on the Provider Portal by searching for a claim by Claim Number.

Importance
There are new user guides and training videos available to help you get familiar with the new Claim Submission feature. These are available on the Provider Portal under Users > Provider Training.

Questions?
If you have any questions or concerns, please contact Provider Services at 1-833-230-2101.