...and/or investigative, as well as clinical appropriateness based upon patient demographic information. Updates & Announcements Our goal is to keep you informed with timely information about our plan and services....

...standardized rules. The review will include evaluation of services for being experimental and/or investigative, as well as clinical appropriateness based upon patient demographic information. Providers may also request copies of...

...P.O. Box 1947 Dayton, OH 45401 If you need help reading this information, please call us. We can read the information aloud for you, in English or in your primary...

...Help you learn more about a health condition you have, like asthma or diabetes. Give you information on how to prevent a health condition. Provide steps to take to keep...

...deny/reject if the rendering provider was not actively affiliated with the billing group on the PMF during the DOS. You can validate your information in the MITS system and if...

...If you need more information about your health benefits, call CareSource Member Services at 1-833-230-2099 (TTY: 711). For help or more information about your pediatric and adult vision benefits, call...

Welcome to CareSource PASSE Our mission is: Putting Members First, Pursuing Better Health Care. Together we can make a lasting difference in the lives of those we serve by improving...

...view the on-demand training modules and more! Behavioral Health Behavioral Health Adult HEDIS Measures Information and education on Behavioral Health HEDIS measure for your adult population. View the presentation Behavioral...

We realize that you perform administrative tasks in addition to tasks directly related to patient care. To assist you with these tasks, we’ve consolidated the information below. Member Billing Providers...

...if they got the care they needed from their PCP. We also check to ensure our members get quality service from CareSource. Clinical Practice Guidelines: Member Health Information We use...