CareSource Provider Portal. I H C P A n n u a l S e m i n a r

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1 CareSource Provider Portal I H C P A n n u a l S e m i n a r

CareSource Provider Portal Registration 1. Go to CareSource.com. On the right side of the page, click on Provider Portal under Provider Resources. 2. Select Indiana. 3.

2 CareSource Provider Portal Registration 1. Go to CareSource.com. On the right side of the page, click on Provider Portal under Provider Resources. 2. Select Indiana. 3. Click register here under Register for the Provider Portal. 4. Enter your information, including your CareSource Provider Number (located in your welcome letter). 5. 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. 2

3 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. 3

4 How to Check Eligibility Upon logging into the Provider Portal, health partners will be able to view member eligibility with: 24 months of history Member span information Multiple member look-up (up to 500) 4

5 Online Claim Submission Under Providers, click on Online Claim Submission. 5

6 Online Claim Submission (continued) 1. Select New Claim 2. Select Provider 3. Select Document Type 4. Select Create 6 1. Select New Claim. 2. Select Provider from the dropdown menu. 3. Select document type. 4. Select Create.

7 Online Claim Submission (continued) Continue to complete each form and finish by clicking Submit. 7

8 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 member ID number, member name and date of birth or claim number. Select Claim Information on the left navigation under the Member Search menu. 8

9 Claim Disputes 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 9

10 Claim Disputes (continued) Once the Provider Portal identifies your claim: Include any pertinent documentation Select Dispute Type from the dropdown menu Add any notes to support your dispute - Enter your dispute type - Attach any documentation supporting your dispute - Add any necessary notes 10

11 11 File an Appeal

12 12 Claim Recovery Request/Recoupment

13 View Payment History Select 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. 13

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

14 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. 14

15 Pharmacy 15

16 Membership Lists Enter your Provider number to easily access a list of your CareSource patients. It s also easy to download into a printable format! 16

Clinical Practice Registry 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

17 Clinical Practice Registry 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 17

How to Reach Us Provider Services 1-844-607-2831 Hours Monday to Friday 8 a.m. to 8 p.

18 How to Reach Us Provider Services Hours Monday to Friday 8 a.m. to 8 p.m. (EST) Member Services Hours Monday to Friday 8 a.m. 8 p.m. (EST) 18

19 DENISE EDICK ENGAGEMENT SPECIALIST MELISSA KAMEN TONYA THOMPSON SUSAN SCHURMAN TROY MCKINLEY PAULA DRYE Manager, Health Partnerships ASSIGNED COUNTIES / HEALTH SYSTEMS IU Health and Suburban Health Organization Engagement Specialist Assignments Counties: Benton, Cass, Fulton, Jasper, Lake, LaPorte, Marshall, Newton, Porter, Pulaski, Starke, White Health Systems: Franciscan & Beacon Health Systems Counties: Adams, Allen, DeKalb, Elkhart, Huntington, Kosciusko, LaGrange, Miami, Noble, St. Joseph, Steuben, Wabash, Wells, Whitley Health Systems: Parkview, Lutheran & SJRMC Counties: Bartholomew, Blackford, Decatur, Delaware, Fayette, Franklin, Grant, Henry, Jay, Madison, Randolph, Rush, Union, Wayne Health Systems: Community Health Network Counties: Boone, Hamilton, Hendricks, Johnson, Marion, Hancock, Morgan and Shelby AMY WILLIAMS amy.williams@caresource.com BONNIE WAELDE bonnie.waelde@caresource.com VACANT ANGELINA WARREN angelina.warren@caresource.com 19 Counties: Brown, Carroll, Clay, Clinton, Fountain, Howard, Monroe, Montgomery, Owen, Parke, Putnam, Tippecanoe, Tipton, Vermillion, Vigo, Warren Health System: American Health Network & Eskanazi Health Counties: Daviess, Dubois, Gibson, Greene, Knox, Lawrence, Martin, Perry, Pike, Posey, Spencer, Sullivan, Vanderburgh, Warrick Health System: Deaconess & St. Vincent Health Counties: Clark, Crawford, Dearborn, Floyd, Harrison, Jackson, Jefferson, Jennings, Ohio, Orange, Ripley, Scott, Switzerland, Washington Health System: KentuckyOne & Norton Health Statewide Behavioral Health CONTRACTING MANAGERS HOSPITALS / LARGE HEALTH SYSTEMS MANDY BRATTON mandy.bratton@caresource.com TENISE HILL tenise.hill@caresource.com

20 Thank You! 20 IN-P-0284; Date Issued: 10/17/17 Date Approved: 9/20/17

LABOR MARKET REVIEW. Region 8 Statistical Data Report for May 2009 Released July 2009

LABOR MARKET REVIEW. Region 8 Statistical Data Report for May 2009 Released July 2009 LABOR MARKET REVIEW Region 8 Statistical Data Report for Released July Labor Force Estimates (Not seasonally adjusted) State Release Date: 06/19/09 Source: Indiana Workforce Development, Research & Analysis,