...THEN: for paper close the claim with Status 99, EXCD_ID = ‘t54’, and MCTR_Value = ‘EO47’ THEN: for electronic reject the claim with CLM_STS_CD ‘255’ In order to correct this...

...form or the Internal Appeal Request form. Return the completed form to us along with your grievance, appeal, or request for an external review. These forms are available online on...

...Necessity for Non-Formulary Medications Medical Necessity for Non-Formulary Medications Medical Necessity for Non-Formulary Medications Medical Record Documentation Standards for Practitioners Medical Record Documentation Standards for Practitioners Medical Record Documentation Standards...

WE GOT YOU. CareSource Marketplace plans are simple and reliable with coverage for pre-existing conditions and no annual or lifetime dollar limits for essential health benefits. Every plan also includes...

...a provider, you are required to identify the need for interpreter services for your CareSource of North Carolina Co. patients and offer assistance to them appropriately. CareSource is committed to...

...Beware of any offers for free services or items (food, gas, gift cards, etc.) in exchange for your CareSource ID number. Do not sign your name to a blank form....

...back frequently for upcoming event announcements. Go to HealthPlanResources.com to sign up for a training session. We look forward to meeting you in a future event! Check back frequently for...

...Form so that all providers involved in their care can effectively coordinate their care. This form is located on the Forms webpage. The HIPAA Authorization Form can also be used...

...solely responsible for diagnosis, treatment and medical advice. CareSource is not responsible for, does not provide, and does not represent itself as a provider of medical care. Policies are considered...

...below for benefit information and instructions to obtain services that enable improved access to care. We make it easy for you to request services for your patients. See below for...