...can also make a complaint, file an appeal or tell us if you have other insurance besides CareSource. Member Claim Form: Use this form to request a reimbursement if you...

...may: Select File a Grievance/Appeal in your My CareSource portal account. Send us a letter with your grievance. Please mail the letter to: CareSource Attention: Georgia Member Appeals P.O. Box...

...with CareSource and the service we provide. However, health partners who are unhappy with CareSource’s action concerning a medical necessity decision or a claim payment may appeal it. Please see...

...45401 Disease Management 1-844-438-9498 Care Management 1-855-202-0729 Referral fax: 844-417-6255 Behavioral Health 1-855-202-1058 Quality Improvement 1-855-202-1058 Appeals 1-855-202-1058 Fax: 1-937-531-2398 CareSource Attn: Health Partner Appeals-Georgia, P.O. Box 2008 Dayton OH...

...CareSource, P.O. Box 1947, Dayton, OH 45401-1947 Appeals An appeal is a request to reconsider and change the decision made or the action taken on services requested. An appeal is...

...claim denial should be submitted as an appeal. For more information about appeals, review the Appeals of Claim Denials and Adverse Decisions section on this page. If you believe your...

...timeframe a member and/or provider has to appeal. To initiate the peer-to-peer process, please call CareSource’s Utilization Management team at 1-833-230-2101. CareSource® evaluates prior authorization requests based on medical necessity,...

...Find Resources Submit a Grievance or Appeal Submit a Grievance or Appeal If you are unhappy or don’t agree with a decision made by us or our providers, let us...

...drug reimbursement. NADAC pricing can be accessed on Medicaid.gov. Pricing information can also be accessed through the secure Express Scripts Provider Portal. Drug pricing appeals can be completed through the...

...bill from your provider. What is an Appeal? If you do not agree with the decision CareSource made, you have the right to appeal. An appeal is a request to...