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After creating an account within the Care1st Health Plan Arizona provider portal you can: Verify member eligibility; Check & submit claims; Submit & confirm authorizations; View detailed patient list; The user manual is available on the secure portal, after you successfully complete the log in process.
Care1st provides the tools and support you need to deliver the best quality of care. Please view our listing on the left that provides useful resources such as forms, guidelines, helpful links, and training.
You can check your application status on the Provider Portal. You will need to enter your NPI and Application ID to view your status. Complete your application with supporting documents. Providers who wish to contract with CareSource PASSE™ must also be credentialed.
Care1st uses clinically sound, nationally developed and accepted criteria for making medical necessity decisions. Clinical criteria utilized in decision making include, but is not limited to: Note: There is no prior authorization for Behavioral Health Crisis Services.
We have compiled all of the essential forms in one place for you to utilize. Select the applicable form(s) for reporting, credentialing, claims, and more. Note: You may need to download Adobe Acrobat Reader to open these files.
Register for the Provider Portal. Already registered? Log in here. You can save time and money by completing tasks through the secure, online Provider Portal tools.
Through this secure and easy to use internet portal, healthcare providers can submit claims and inquire on the status of their claims, inquire on a patient’s eligibility, upload files containing 837 transactions, and search for another provider.
