Submit a Claim
CareSource accepts claims in a variety of formats, including paper and electronic claims.
We encourage providers to submit routine claims electronically to take advantage of the following benefits:
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Faster claims processing.
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Reduced administrative costs.
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Reduced probability of errors or missing information.
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Faster feedback on claims status.
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Minimal staff training or cost.
Paper claim forms are required for services that need special processing, such as:
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Procedures performed that do not have a corresponding CPT procedure code.
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Drug injections that don’t have specific J code descriptions (J9999 and J3490).
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Sterilization procedures — Consent forms must be attached.
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Services billed by report — Claims for services that include a modifier 22 and claims for unlisted procedures must be accompanied by an operative report plus any other documentation that will assist in determining reimbursement..
To find out how to submit paper claims, please click on Paper Claims.
To find out how to submit electronic claims, please click on Electronic Claims.
To find out how to code your claims, please click on Code Sets.
To find out when CareSource will pay your claims, please click on Claims Payment.