Member Services We can help you: Get interpreters in the language you speak. Get printed copies of your plan materials sent to you at no charge. Learn more about your...

...A note must be placed in your medical record about refusing care. To freely be able to file an appeal, a grievance (complaint), or ask for a state fair hearing...

...Document Updates for Medicare Advantage Enrollees 01/01/2025 Prior Authorization Requirement Update 01/01/2025 Reminder - Prior Authorization Request and Appeals Process for Part B (Medical Drugs) 01/01/2025 2024 Date November 2024...

...that involve your protected data. Medical and Administrative Appeals: Humana – CareSource at times may make decisions about claims for services provided to you. You or your provider may appeal...

...Member Appeals P.O. Box 1947 Dayton, OH 45401 Toll Free: 937-487-0629 (for Expedited Review) Fax: 937-487-0629 Expedited Fax: 937-531-2398 You may also use the secure online form on our Forms...

...Disputes or Appeals Provider Disputes or Appeals View grievance requirements and time frames and submit grievances. View or Submit Update Practice Information Update Practice Information Alert us to changes in...

CareSource will pay for your prescription drugs and some prescription medical supplies at the pharmacy. Some examples are diabetic supplies, inhaler spacers, peak flow meters, syringes, needles, alcohol wipes and...

...by CareSource regarding payment for a Part D drug or exceptions to our formulary. If your coverage determination is denied, you can appeal the decision by asking for a redetermination...

...your life. Be protected in the community. Voice complaints and appeals about CareSource PASSE or the care we provide. Get all written member information from CareSource PASSE: At no cost...

...about it. To be able to file an appeal, a grievance (complaint) or state hearing. You have a right to voice complaints or appeals about HAP CareSource MI Health LInk...