...Find A Doctor/Provider search tool to find a network provider or care location near you. Use the filters in the right column to find providers in network for your plan,...

...pre-service appeal. This is considered a member appeal and will be resolved within 30 days plus any extension, if applicable, for a standard appeal. See ‘Extending an Appeal” for more...

...must obtain our prior authorization. When you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from balance...

...April 2019 04/12/2019 Statewide Hepatitis A Outbreak Information 04/12/2019 Applied Behavior Analysis Rates and Pricing 04/04/2019 Policy Updates April 2019 04/01/2019 Enhancements to Delivery and Newborn Notifications – UPDATE 03/28/2019...

...address and the password of your choice to complete training and manage accounts for all providers in your Tax Identification Number (TIN). *Office Managers/Administrators and providers without an NPI number...

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...Streamlined Claims and Authorizations: A One Front Door approach has been established to simplify the submission of claims and prior authorizations. Submitting Claims and Authorizations Providers can submit claims and...

...after annual deductible is met for HDHP and HSA Eligible plans.) You can talk with a provider and have a prescription* called in to a local pharmacy any time. It...

...formats like large print, braille, or audio. Find a Provider Use our Find a Doctor/Provider tool to find providers like family therapists, substance use counselors, social workers, community mental health...

...Learn about nutrition and wellness Help you find an appropriate provider Report Fraud, Waste & Abuse CareSource has a program for handling cases of health care fraud, waste and abuse....