...as outpatient x-rays. This information is not a complete description of benefits. View Chapter 4 Medical Benefits (what is covered) of your Evidence of Coverage (EOC) on the Plan Documents...

...Well-baby and well-child visits Health, education and outreach Transportation to and from medical visits and other important appointments Visit the Plan Documents page to view the Member Handbook for more...

...and understand format. You can also view your Explanation of Benefits (EOB), which shows all claims within a period of time, by clicking the Documents tab at the top of...

...connect to Ariba Network by fax, email, online, through EDI or using cXML. Companies must be registered on Ariba Network before they can send and receive documents. Registration on Ariba...

Our Program Integrity Department handles cases of managed care fraud, waste or abuse. It can be done by providers, pharmacies, or members. Fraud means the purposeful misuse of or for...

Definitions CareSource provides several opportunities for you to request review of dispute or authorization denials. Actions available after a denial include: Claim Appeals A claim appeal is a written request...

The Public Health Emergency (PHE) for COVID-19 ended. Most services like vaccines, treatment, and testing are still available. Some rules changed, stopped, or started again. CareSource continues to watch COVID-19...

...advance directive. Health care laws do differ by state. These legal services may not cost you anything based on certain requirements. Keep any documents in a safe place where your...

...of Coverage on the Plan Documents page for specific details. The plans uses a Comprehensive Formulary (a list of covered drugs approved by Medicare). Here are some more important facts...

...dental exams. Explore Rewards Previous Next Tools & Resources Tools & Resources Explore helpful tools like Find a Doctor and Find My Prescriptions, view plan documents and more. Tools &...