...the same service Intentionally using improper medical coding to receive a higher rate of reimbursement Billing for services not provided Scheduling more frequent return visits than are needed Unbundling services...

...choose mail-order delivery through Express Scripts® for drugs that qualify. FIND A PHARMACY Please show your CareSource member ID card to the pharmacy. Your CareSource member ID card will let...

...doctor View or print your ID Card or have one mailed to you Pay your monthly premium View payments and past invoices View claims to see what CareSource paid and...

...cardiologists and other specialists for comprehensive care, covered with a low copay. Advanced Treatment Options: Coverage for advanced cardiac treatments and procedures. Cardiac Rehabilitation: Regular sessions are essential for recovery...

...Testing Dry Eye Syndrome Testing Durable Medical Equipment (DME) Modifiers Durable Medical Equipment (DME) Modifiers Durable Medical Equipment (DME) Modifiers E Emergency Department Electrocardiogram (EKG/ECG) and Imaging Interpretation Emergency Department...

...appointment. Write down your medical history. List: Any past surgeries and their dates. Medications and their dosages Over-the-counter medications, vitamins or herbal remedies. Known allergies. Known medical issues. Family medical...

...for medical necessity. The retrospective review request must include a copy of the other carrier’s EOP. All requests for services will be reviewed for timeliness and medical necessity. Health partners...

...You use your member ID card when you visit a provider or pick up your prescriptions. Do not let others use your member ID card. It is unique to you....

...Go to the Spend tab and click All Gift Card. Choose your gift card and check out. Go to My Gift Cards to find your e-gift card and redemption code....

...All internal appeal requests must have: The covered person’s name and ID number as shown on the ID card The provider’s name The date of the medical service The reason...