Provider Support

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Eligibility and benefits can be obtained on our benefit portal. A member can be located by searching with their member ID number located on their ID card, or with their social security number (select SSN from the drop down on the portal). A -0 number must be added to the end of the member ID to identify the member:

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-01: Cardholder

-02: Spouse

-03, -04, etc. (in order of date of birth, -03 being firstborn): Dependent

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Once a cardholder or dependent's page has been brought up, providers may also access information for other family member by clicking on "View all family members" beneath the current member's name and selecting a different family member from the list. If no names come up, there are no dependents on the plan. Should this be inaccurate, please contact us and we will contact the employer to correct this.

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The benefits can be viewed as a PDF document by clicking on the link located at either the top or the bottom of the member's account page. The link will be labeled with specific information that follows the example below:

"Benefit type: Benefit Plan Summary - Employer Abbreviation Benefit Abbreviation Date of Benefit Release/Update"

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Most essential information is located on the benefit plan summary, but some exceptions or other information may not be listed. If there are any questions, please contact us to be sure.

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Accumulators can also be found on the member account page. They will include in-network and out-of-network, as well as the individual and family levels. Above the accumulators, the member's coverage, effective dates, and (if applicable) termination dates can be found. Please contact us if you have any questions.

Dental and vision claims are submitted directly to CareFactor via fax to 614-766-1007, or the claims can also be emailed to support@carefactor.com. The provider web portal can be accessed at any time to check on current claim status. Claims will be available once they have begun processing. They will be marked "In Process" when still processing, and "Paid" when processed. The explanation of benefits will then be available within 48 to 72 hours.