...covered services, the health care services that are not covered by the plan, and the annual deductible, copayments, and coinsurance you must pay when you receive covered services. Select your...

...the same service Intentionally using improper medical coding to receive a higher rate of reimbursement Billing for services not provided Scheduling more frequent return visits than are needed Unbundling services...

...of Health & Human Services Sickle Cell CDC Sickle Cell (Children) American Academy of Pediatrics Women: Get Your Well-Woman Visit Every Year US Department of Health & Human Services Behavioral...

...Service Record Documentation Standards C Claims Editing and Review Continuity of Care Court Mandated Health Services Cystic Fibrosis Testing E Electrocardiogram (EKG/ECG) Interpretation and Imaging Interpretation Emergency Services Esophageal Brush...

...denies a service. CareSource gives partial approval to cover a service. CareSource denies payment of a service. You get a surprise bill from a provider. These types of service include...

...Authorization Forms for Medical, Waiver, and Other Services Prior Authorizations forms for medical, waiver, and other services can be found on the Prior Authorization page. Claims Forms Claim Refund Check...

...Readmission Residential Treatment Services - Mental Health Residential Treatment Services - Mental Health Residential Treatment Services - Substance Use Disorder Residential Treatment Services – Mental Health Residential Treatment Services –...

...share the cost of services. Cost shares are stated as copays, coinsurance, and annual deductible, and apply to most services. Use CareSource24 Call the CareSource24® Nurse Advice Line to make...

...and teach you skills to reach your goals. ACT lets you have flexibility with when and where you get services. Behavioral Health Care Coordination Services This no-cost service pairs you...

...CareSource MyCare Ohio HMO-DSNP ID cards display information for office visits. The member ID number must be included when billing for services to avoid claim rejection. If a member chooses...