...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....

...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...

...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...

...Line Get the help you need 24 hours a day, 7 days a week, 365 days a year. We can help you: Learn about a health problem. Decide when a...

...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...

...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...

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...

...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...

...plan will help you reach your goals. It also links your medical health, developmental disability, and specialty health services. Can a care coordinator help pay my utility bills? A care...

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...