Payer coverage
CareSource prior authorization, automated.
Docflow automates CareSource prior authorizations on the CareSource provider portal for Medicaid, Marketplace and dual-eligible members.
This is how you try Docflow: a 30-day pilot, fully refundable if you're not satisfied.
Reserve your start week.
What your team deals with on CareSource.
CareSource runs Medicaid, Marketplace and Medicare Advantage plans across several states, and takes prior authorization requests on its own provider portal.
- Rules differ by state and by line of business.
- Medicaid members often need re-authorization on a fixed schedule.
- Requests and status checks happen in the portal, one patient at a time.
From order to decision, without your team logging in.
- 01
Build the request
Docflow reads the order and clinicals from your system and fills in everything CareSource asks for.
- 02
Submit it
Docflow signs in to CareSource with your team's login, submits the request and attaches the documents.
- 03
Follow it to a decision
Docflow checks back every 12 hours until there's a decision, and flags any request for more information to your team.
- 04
Write it back
The decision and authorization number land in your system, on the right order, with a record of every step.
CareSource questions.
Does Docflow handle CareSource re-authorizations?
Yes. Docflow tracks when an authorization ends and starts the renewal early, so patients don't go without supplies.
Does Docflow need its own CareSource account?
No. Docflow uses your team's login, stored encrypted, so requests are submitted under your organization like they are today.
How long does it take to get started?
Start with a 30-day pilot on your real work. If you're not satisfied, you get a full refund.
Other portals Docflow submits on.
Hand us your CareSource queue.
Start with a 30-day pilot, fully refundable if you're not satisfied.
This is how you try Docflow: a 30-day pilot, fully refundable if you're not satisfied.
Reserve your start week.
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