...mail before the renewal deadline. The renewal date is based on the following: New members – 12 months from the original date of eligibility Existing members – 12 months from...

...and/or the denied claim If filing an appeal on behalf of a member or for pre-service issues, the member’s written consent (or signed Appointment of Representative form(coming soon) for dual...

...Members may access Member Services by calling our toll-free number, 1-833-230-2099, 7 a.m. to 7 p.m. (TTY for the hearing impaired: 1-800-743-3333) and following the menu prompts. Members may access...

...and send a new claim. Error Number: 33 LOB: All Error Description: Member not found for submitted member ID, HIX Member Mismatch, or Claim received for group not valid to...

...and adopts evidence-based nationally accepted standards and clinical practice guidelines to help inform and guide the provision of clinical care to members. CPGs are identified through member review of member...

...NEW CareSource Provider E-Communication System 11/21/2013 New Facility Code Edits for Hospital Claims 11/14/2013 Quick Reference Guide for Non-Participating Providers 10/21/2013 ICD-10 Training Needs and Provider Checklist 10/17/2013 Synagis Prior...

The Public Health Emergency (PHE) for COVID-19 has ended. Services like vaccines, treatment, and testing are still available. Some rules changed, stopped, or started again. CareSource continues to watch COVID-19...

...Member Services Members access Member Services by calling our toll-free number, 1-855-202-0729 (TTY for the hearing impaired: 1-800-255-0056), 7 a.m. – 7 p.m. Eastern Standard Time (EST), and following the...

...the member’s card? Yes! Any participating primary care provider (PCP) may see eligible CareSource members. PCPs are responsible for verifying member eligibility before providing any services. Please log on to...

...Coverage Member Handbook New Member Kit New Member Booklet Planning for Healthy Babies Member Booklet Non-Discrimination Notice Provider Directory The most up-to-date list of providers is available through our online...