Coverage Determinations (Decisions) A decision we make about the payment for a Part D drug or an exception to our formulary. If you believe you are entitled to payment or...

...services to get a higher repayment Members who: Share their CareSource member ID card with another person Sell prescribed medications or other medical equipment paid for by CareSource Provide inaccurate...

...– CareSource® and its contracted business partners may use and give out your protected health information to carry out treatment, payment or health care operations and for other purposes permitted...

...permission to speak with a caregiver about a member’s medical, payment or protected health information. You may need to talk to us about: Health coverage and benefits Medical information Payment...

...deductible and balances. Make your premium payment. Call the CareSource 24® Nurse Advice Line and speak with a registered nurse anytime, 24/7/365. Connect with Teladoc®, your zero-cost telehealth services provider....

...a state appointment and make sure you’re ready to sell. We also manage the payment of commissions and investigate situations of non-payment. If you have questions about contracting with CareSource...

Marketplace plans have two types of costs: premium and the cost for care. Premium is the monthly payment you make to keep your coverage and all the benefits and services...

...funds transfer (EFT) – preferred Virtual Card Payment (QuicRemit) – Standard bank and card issuer fees apply** Paper checks Enroll with ECHO for payment and choose EFT as your payment...

...ones. Member Consent/HIPAA Authorization Form Gives permission for CareSource to speak with a caregiver about a member’s medical, payment or protected health information. A CareSource member or appointed representative may...

Learn what the terms mean that your provider uses. There are even more word meanings in your member handbook. Term Definition Inpatient Services Inpatient Services are when you spend at...