All CareSource Marketplace members have a monthly premium payment. Topics: What is a premium? What is the Advance Premium Tax Credit (APTC)? When are invoices mailed? What is the Grace...

...left or the Provider Manual for further information related to claims submission. Process for Claim Payment Disputes: Medicare providers who are in CareSource’s network and are participating for CareSource members...

...a leading managed care organization with more than two million members, CareSource Military & Veterans draws on decades of experience in providing operational excellence and solutions that transform health care....

Visit the resources linked below to help you deliver the best services for our members. Visit the resources linked below to help you deliver the best services for our members....

...for the chronically ill. Not all members qualify. My CareSource Rewards®** Earn up to $715 each year by completing eligible health activities, including: Annual Flu Shot Annual Wellness Exam Cancer...

...correctly billing with an all-inclusive procedure code – also known as “unbundling” Inappropriate use of CPT codes and/or modifiers to seek higher reimbursement Not checking a member’s identification card, resulting...

...Test (FOBT) (Needed Yearly) $25 Health Needs Assessment (HNA) All Adults New members $50.00 if completed within the 1st 30 days of eligibility; $25 if completed within 31-90 days of...

...health care. The charts on this page can help you know what kind of care you might need. Copays and Your POWER Account with HIP Basic HIP Basic members have...

...quarterly summary reports of a member’s behavioral health status to the PCP, with the member’s or the member’s legal guardian’s consent. Reports may be required more frequently if clinically indicated....

...call us. Low-Cost Primary Care Services The GAPHC helps people with little or no insurance get primary care. Visit the website to learn more. Inter-Pregnancy Care IPC members get all...