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CareSource
Provider PortalI H C P 2 0 1 8 A n n u a l S e m i n a r
CareSource Provider Portal Registration
1. Go to CareSource.com.
2. On the top right corner of the page, hover over
Login and select Provider.
3. Select Indiana.
4. Click register here under Register for the
Provider Portal.
5. Enter your information, including your CareSource
Provider Number (located in your welcome letter).
6. Follow remaining steps to register.
Helpful Hints:
• The zip code is the practitioner’s primary location.
• In order to utilize the CareSource Provider Portal,
you must use the Internet Explorer version 8, 9, 10
or 11 browser. We do not support Internet Explorer
version 7. You may also use Google Chrome and
Firefox browsers.
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Provider Portal Resource Library
We offer training resources to help you learn how to use our Portal.
Navigate to “Provider Training” under the “Users” menu.
How to Check Eligibility
Upon logging into the Provider Portal, health partners will be able
to view member eligibility:
• 24 months of history
• Member span information
• Multiple member look-up (up to 50)
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Online Claim Submission
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Under Providers, click on “Online Claim Submission”.
Online Claim Submission (continued)
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1. Select
New Claim
2. Select
Providers
3. Select
DocType
4. Select
Create
1. Select New Claim.
2. Select Providers from the
dropdown menu.
3. Select DocType.
4. Select Create.
Online Claim Submission (continued)
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Continue to complete each form and finish by clicking Submit.
How to Check Claim Status
Claim status is updated daily on our Provider Portal, and you can check
claims that were submitted for the previous 24 months. You can search by
Medicaid ID number, member name and date of birth or claim number.
Select Claim Information on the left navigation under the Member
Search menu.
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Claim Disputes
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CareSource allows you to submit Claim
Disputes on the Provider Portal.
Click on “Claim Disputes” under the
“Providers” section.
Enter Claim
ID and click
Find
Claim Disputes (continued)
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123456789101
Select Dispute Type from
the dropdown menu
Include any
pertinent
documentation
Add any notes to support
your dispute
Once the Provider Portal identifies your claim:
- Enter your Dispute Type
- Attach any pertinent documentation supporting your dispute
- Add any necessary notes to support your dispute
File an Appeal
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Claim Recovery Request/Recoupment
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View Payment History
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Enter
date range
Input Check OR
Claim number
Upon entering your date range and check
OR claim number, the Provider Portal will list
applicable remittance advice.
Updating Information
Advance written notice of status changes, such as a change in
address, phone or adding a health partner to your practice helps us
keep our records current and are critical for claims processing.
Select Provider Maintenance on the left navigation under the Providers
menu.
Note: Updates to information must also be made in CoreMMIS.
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Pharmacy
Membership Lists
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Select your Provider from the drop down arrow to easily access a list of
your CareSource patients. It’s also easy to download into a printable
format!
Clinical Practice Registry
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Use the Clinical Practice Registry to:
• Identify gaps in care
• Holistically address patient care
• Improve clinical outcomes
The registry is color coded to easily identify areas of focus for your patients.
The registry includes information on, but not limited to:• Adult access • Asthma • Breast cancer screening • Cervical cancer screening • Colorectal cancer screening
• Chlamydia screening • Diabetes (Hba1c, eye exam, kidney/urine micro-albumin) • Emergency room visits • Lead screening
How to Reach Us
Provider Services 1-844-607-2831
Hours Monday to Friday
8 a.m. to 8 p.m. (EST)
Member Services 1-844-607-2829
Hours Monday to Friday
8 a.m. – 8 p.m. (EST)
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LAKE PORTER
LAPORTEST. JOSEPH
STARKE
MIAMI
FULTON
CASS
MARSALL
ELKHART
KOSCIUSKO
WABASH
LAGRANGE
NOBLE
WHITLEY
STEUBEN
DEKALB
ALLEN
WELLS ADAMS
NEWTONJASPER PULASKI
WHITE
BENTON
WARREN TIPPECANOE
CARROLL
HOWARD
TIPTONCLINTON
MONTGOMERY
FOUNTAIN
VERMILLION
PARKE
PUTNAM
VIGOCLAY
OWEN
MONROE BROWN
MORGAN
HENDRICKS
BOONE HAMILTON
HANCOCK
SHELBYJOHNSON
MARION
GRANT
MADISONDELAWARE
JAY
RANDOLPH
HENRYWAYNE
RUSH FAYETTE UNION
DECATUR
FRANKLIN
JENNINGS
RIPLEY
JEFFERSON
OHIO
SWITZERLAND
SCOTT
CLARK
SULLIVANGREENE
LAWRENCEJACKSON
KNOX DAVIESS MARTIN
ORANGEWASHINGTON
GIBSON
PIKEDUBOIS CRAWFORD
HARRISON
POSEYWARRICK
SPENCER
PERRY
FLOYD
Denise Edick, Manager, Health Partnerships
317-361-5872
Amy Williams, Team Lead, Health Partnerships
317-741-3347
Angelina Warren, Behavioral Health Partner
Engagement Specialist
317-658-4904
Brian Grcevich, Ancillary, Associations and Dental
317-296-0519
Tenise Hill – North
317-220-0861
Mandy Bratton – South
317-209-4404
Maria Crawford
317-416-6851
Indiana University, Suburban
Health Organization
Jeni Little
765-993-7118
Community Health Network,
Eskenazi
Sylvia Vargas
219-713-7775
Franciscan Alliance, St. Joseph Regional
Medical Center
Cathy Pollick
260-403-8657
Parkview, Lutheran
Tonya Thompson
219-214-3950
Union Hospital, American Health Network
Bonnie Waelde
812-454-5832
Deaconess & St. Vincent Health
Paula Garrett
812-447-6661
KentuckyOne, Norton, Baptist
Health Floyd
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Thank you!
IN-P-0284a; Date Issued: 10/23/18; Date Approved: 10/3/18
