...If your first appeal is denied or if you disagree with any part of our appeal decision, you can ask for further appeal levels. Grievances This is an official complaint....

...CareSource, P.O. Box 1947, Dayton, OH 45401-1947 Appeals An appeal is a request to reconsider and change the decision made or the action taken on services requested. An appeal is...

...timeframe a member and/or provider has to appeal. To initiate the peer-to-peer process, please call CareSource’s Utilization Management team at 1-833-230-2101. CareSource® evaluates prior authorization requests based on medical necessity,...

CareSource of North Carolina Co.® is committed to maintaining the quality and appropriateness of health care services provided to our members. The Utilization Management department performs all utilization management (UM)...

...A Claim Provider Appeals Provider Appeals View appeal requirements and time frames and submit appeals. View or Submit Tools & Resources Tools & Resources Access information to help you with...

...Consent Forms Reminder 03/05/2020 Access and Availability Standards 03/02/2020 Policy Updates March 2020 03/01/2020 Notice of DentaQuest Dental Plan Administration Implementation Date Change – This notification has been revised. See...

...bill from your provider. What is an Appeal? If you do not agree with the decision CareSource made, you have the right to appeal. An appeal is a request to...

...Forms We want you to easily find the forms you need for your CareSource plan. Visit the Forms page to find any form when you need it. Questions? Call Member...

...help doing 80 hours per month, you can ask for a reasonable modification. Can I appeal a decision about my eligibility or any decision that affects my coverage? Yes. If...

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