...Error Number: 21 Error Description: Newborn Delivery Claims without gestation age How to Fix: On professional claims, the CPT procedure codes must be tied to the appropriate ICD-10 diagnosis codes....

...work with you to define your needs and link you to resources. Your Care Manager can help you with health or other life concerns. They can also help you understand...

...authorization. Refer to the Authorization Requirements for Medications Under the Medical Benefit. For all prior authorization decisions (standard or urgent), CareSource PASSE™ provides notice to the provider and member as...

...secure portal account that can help you get the most out of your member experience. You can: Designate or change your primary care doctor View or print your ID Card...

...care goals. Our free Disease Management programs help our members find a path to better health through information, resources and support. We help our members through: The MyHealth online program...

...from a Drug or Alcohol Problem? GET HELP NOW! Call 1-833-674-6437 or (TTY: 1-800-743-3333 or 711) for help. We are here to help you when you are going through a...

...a.m. to 7 p.m. Eastern Time, Monday through Friday. Care Management Our Care Management team can help you navigate the health care system. A Care Manager can help you find...

...help schedule visits with providers or anything else that will help coordinate your care. What is the Person-Centered Service Plan (PCSP)? Your PCSP is an overall plan of care. It...

Our Quality Improvement (QI) Program is designed to ensure the organization delivers on all aspects of care delivery for beneficiaries based on their unique needs. We monitor, analyze and identify...

We are committed to zero suicides. We recognize the important role you play in our members’ lives through their visits to your practice. We are committed to partnering with you...