Member Portal – Chronic Kidney Disease – MAY

Chronic Kidney Disease

Did you know that 33% of adults in the United States are at risk for chronic kidney disease (CKD)? That’s one in every three. Take the quiz to see if you are at risk.

Increasing Focus on Balance Billing Protection for Members

Member Billing Policy, State and federal regulations prohibit providers from billing CareSource D-SNP and Ohio MyCare members for services provided to them except under limited circumstances.

Process for Billing D-SNP Claims:

1. Bill Member’s CareSource D-SNP ID # as Medicare primary.
2. Bill Medicaid (fee for service) as secondary because member has $0 cost sharing.
3. If a member has CareSource Dual Advantage plan AND CareSource MyCare Opt-out, bill CareSource as secondary with that member’s MyCare ID number.

To help reduce the instances of balance billing, remember the following steps:

• Ask to see the member’s insurance cards at every visit and confirm the correct insurance is on file.
• Verify a member’s eligibility prior to each visit.
• Be sure to check for a member’s enrollment in D-SNP.
• Ensure your billing system is set up to process a secondary carrier prior to sending out a bill.

Network providers may not balance bill CareSource D-SNP members for covered services. If you have questions regarding billing policies, please reach out to your Health Partner Representative or call Provider Services at 1-833-230-2176 for D-SNP or 1-800-488-0134 for Ohio MyCare.

Increasing Focus on Balance Billing Protection for Members

Member Billing Policy, State and federal regulations prohibit providers from billing CareSource D-SNP members for services provided to them except under limited circumstances.

Process for Billing D-SNP Claims:

1. Bill Member’s CareSource D-SNP ID # as Medicare primary.
2. Bill Medicaid (fee for service) as secondary because member has $0 cost sharing.

To help reduce the instances of balance billing, remember the following steps:

• Ask to see the member’s insurance cards at every visit and confirm the correct insurance is on file.
• Verify a member’s eligibility prior to each visit.
• Be sure to check for a member’s enrollment in D-SNP.
• Ensure your billing system is set up to process a secondary carrier prior to sending out a bill.

Network providers may not balance bill CareSource D-SNP members for covered services. If you have questions regarding billing policies, please reach out to your Health Partner Representative or call Provider Services at 1-833-230-2176.

IN MED Member Portal Notification Message

You may have unused babies First^® or Kids First rewards that are expiring on June 15^th.  Please redeem the rewards on your CareSource OTC card today. Call us with any questions at 1-844-607-2829 (TTY: 711). We are open Monday through Friday, 8 a.m. to 8 p.m., Eastern Time.

Active and Fit Discount Message – Member Portal

NEW!  Active&Fit Direct:  Now even if you didn’t choose a Dental, Vision & Fitness CareSource plan, you can join Active&Fit Direct any time with no contract and you can switch fitness centers or join more than one! Join one by work and one by your home!  Change any time you like. You can use workout videos at home, or even get one-on-one wellness coaching by phone!

To sign up for Active&Fit Direct go to: https://www.activeandfitdirect.com/fitness/AF640027CA.  Get a $0 enrollment fee through June 30 with code StayStrong. You will need to pay 2 months up front to get started. After that, it is just $28 monthly.

NOTE: DENTAL, VISION & FITNESS PLAN MEMBERS!  SIGN UP/ACCESS YOUR ACCOUNT THROUGH THE ACTIVE&FIT WEBSITE!

Change Healthcare Cybersecurity Incident – GA DSNP

Change Healthcare Cybersecurity Incident

Content: CareSource is aware of the recent cybersecurity incident with Change Healthcare. Our trading partner, Availity, has taken appropriate measures to protect patient data and has opted to temporarily restrict communication with the Change Healthcare clearinghouse from inbound and outbound transactions.

Learn More

Change Healthcare Cybersecurity Incident

CareSource is aware of the recent cybersecurity incident with Change Healthcare. Our trading partner, Availity, has taken appropriate measures to protect patient data and has opted to temporarily restrict communication with the Change Healthcare clearinghouse from inbound and outbound transactions.

Medicaid Providers – Learn more. 
Marketplace and D-SNP Providers – Learn more.

Change Healthcare Cybersecurity Incident – GA MCD

Change Healthcare Cybersecurity Incident

CareSource is aware of the recent cybersecurity incident with Change Healthcare. Our trading partner, Availity, has taken appropriate measures to protect patient data and has opted to temporarily restrict communication with the Change Healthcare clearinghouse from inbound and outbound transactions.

Learn More

Change Healthcare Cybersecurity Incident – GA MP

Change Healthcare Cybersecurity Incident

CareSource is aware of the recent cybersecurity incident with Change Healthcare. Our trading partner, Availity, has taken appropriate measures to protect patient data and has opted to temporarily restrict communication with the Change Healthcare clearinghouse from inbound and outbound transactions.

Learn More

Change Healthcare Cybersecurity Incident – IN MCD

Change Healthcare Cybersecurity Incident

CareSource is aware of the recent cybersecurity incident with Change Healthcare. Our trading partner, Availity, has taken appropriate measures to protect patient data and has opted to temporarily restrict communication with the Change Healthcare clearinghouse from inbound and outbound transactions.

Learn More

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