...Operations Guide Review this overview for the Marketplace enrollee and member payment process, invoices and grace periods. Read the Revenue Cycle Guide Medicare Online Enrollment Guide Medicare Online Enrollment Guide...

...Administration Fee Bonus Payment 06/23/2021 Expired COVID-19: Vaccination Temporary Payment Policy Update 06/18/2021 Active COVID-19: Vaccine Administration Fee Increase 06/14/2021 Expired COVID-19: Temporary Change to PAs for Transition to Post-Acute...

...paying for care that is not needed. Please report it in one of these ways: Call 1-833-230-2005 (TDD/TTY: 711). Select the menu choice to report fraud. Fill out the Fraud,...

...ID card Find a doctor Make a payment Check claims And more The CareSource mobile app is available for both iPhone and Android systems. Get it free through the Apple...

...Provider Portal Submit claims, check claims status, check for known claims processing issues in the Claims Payment Systemic Errors (CPSE) report, review member eligibility, and view payment information. Visit the...

...CareSource. It allows you to quickly look up information such as how to contact us, how to request an ID card and how to pay your bill. Select your state...

...CareSource complies with all Center of Medicare and Medicaid Services (CMS) payment policies and National Coverage Determinations (NCDs). In the absence of a NCD, CareSource follows the applicable Local Coverage...

...Form Mail your refund check, this form and any other required documentation to HAP CareSource. Overpayment Recovery Form Submit this form to offset overpaid claims against a future payment. Itemized...

Our Quality Improvement (QI) Program is designed to ensure the organization delivers on all aspects of care delivery for beneficiaries based on their unique needs. We monitor, analyze and identify...

...pays an office copay. The ENT suggests a sinus surgery for her. Before the surgery, the ENT office must get prior approval from HAP CareSource to make sure the service...