CareSource
Summary
CareSource is a Medicaid managed care organization offering dental, medical, and vision coverage operating in 7 states. Claims route under payer ID CRSCK, with 4 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through CareSource Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
CRSCKAlso seen as 00325, 10057, RP117, RP122- Also known as
- Family Health Management
- Uses CAQH
- YesApplication route: Payer portal application
- Service area
- AR, GA, IN, KY, NC, OH, WV
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Claim status (276/277) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for CareSource?
- The payer ID for CareSource is CRSCK. Alternate IDs seen across clearinghouses include 00325, 10057, RP117, RP122.
- How long does CareSource provider enrollment take?
- CareSource provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does CareSource require CAQH?
- Yes. CareSource uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- Does CareSource require ERA enrollment?
- Yes. CareSource requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does CareSource cover?
- CareSource operates in AR, GA, IN, KY, NC, OH, WV. Coverage can differ by plan and product line, so confirm the specific plan before you file.
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.