...Efficiency (Getting the concern addressed quickly) Appropriateness of health care services Treatment that our members get Call us if you have questions about how we review your care. Call Member...

...health services in the receipt of health services. Consult our website or newsletters annually for any updates to member rights and responsibilities. Your Membership Rights As a member of HAP...

...vendors for goods or services Preventing members from accessing covered services resulting in underutilization of services offered Altering/destroying member materials, medical records, etc. Backdating forms The Federal False Claims Act:...

...services with a $0 copay! This includes teeth cleanings, exams, x-rays and other services. We cover routine eye exams and eyewear. You can get two NationsHearing hearing aids every three...

...the member’s authorized representative acting on behalf of the member (or provider acting on the member’s behalf with the member’s written consent) to file a grievance either orally or in...

...statement, “Can you find us 50 more guys like him?” Since then, CareSource Life Services has referred six additional members to this employer for similar warehousing positions. This member participated...

...Services to receive care coordination services at 1-833-230-2005, Monday through Friday, 8 a.m. to 5 p.m. Central Time (CT). Identifying a Member’s Assigned Care Coordinator Providers may call Provider Services...

...please use one of our secure Web forms, or phone numbers/mailing addresses provided. Secure Website Services Certain online services are available to CareSource members and providers via our Secure Website...

...of our secure Web forms, or phone numbers/mailing addresses provided. Secure Website Services Certain online services are available to TrueCare members and providers via our Secure Website Services. The secure...

...are required to submit reports: Psychiatric Residential Treatment Facility (PRTF) services, Home and Community-Based Services (HCBS) for those with Intellectual Disabilities and Behavioral Health needs CES-Waiver services, Outpatient Behavioral Health...