...– please get it immediately. You should get emergency and urgent care from the nearest and most appropriate health care provider. If you receive urgent or emergency care from a...

...also require prior authorization. Refer to the Authorization Requirements for Medications Under the Medical Benefit. For all prior authorization decisions (standard or urgent), CareSource PASSE™ provides notice to the provider...

...sickness, an urgent care clinic may be a better choice than an ER. You can get in and out faster, and for a lower copay or coinsurance. Most urgent care...

...27699-1201 Phone: 1-855-408-1212 Fax: 919-807-6865 https://www.ncdoi.gov/consumers/health-insurance/health-claim-denied/request-external-review To request an expedited review for urgent circumstances, select the “Request for Expedited Review” option in the External Review Request Form. Out-of-Network Liability and...

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...

...history, etc. Obtaining patient records from facilities visited by CareSource patients for emergency or urgent care if notified of the visit Ensuring demographic and practice information is up to date...

...your PCP. This helpful no-cost service can be used when your PCP is out or your issue is urgent, but not an emergency. Not sure if you need a provider...

...Easy access to health care when and where you need it with retail health clinics, urgent care centers and letting you connect with a doctor online An online smoking cessation...

...problem. Decide when a visit to a provider, urgent care, or an ER visit is needed. Find out more about prescriptions or over-the-counter medications. Learn about nutrition and wellness, and...

...require prior authorization. Urgent Care – When a member is traveling outside the service area, urgent care received from a non-participating provider does not require prior authorization. Post-Stabilization – Prior...