...the CareSource Utilization Management department. You may submit clinical appeals pre- or post-service. All pre-service appeals are clinical appeals, and if not submitted by a physician or physician’s representative, require...

Appeals Non-participating providers may request reconsideration of a claim denial. You must request an appeal within 60 days of the date of the remittance advice, and a signed Waiver of...

...Part B drug appeals may not be extended. Learn more about appeals in your Evidence of Coverage (EOC) or Medicaid-Only Member Handbook. Questions? Call Member Services at 1-855-475-3163 (TTY: 1-833-711-4711...

The CareSource® grievance and appeals policies and timeframes may vary by plan. Click the links below to access appeals information for your member’s plan. Ohio Medicaid CareSource MyCare® Ohio Marketplace...

Appeals Non-participating providers may request reconsideration of a claim denial. You must request an appeal within 90 calendar days of the date of the remittance advice. Non-contracted providers have 90...

...Section 9 your Evidence of Coverage for timeframes for CareSource’s review of appeals and expedited appeals. Internal Appeal of Adverse Benefit Determination A decision we make about your coverage or...

...45401 Disease Management 1-844-438-9498 Care Management 1-855-202-0729 Referral fax: 844-417-6255 Behavioral Health 1-855-202-1058 Quality Improvement 1-855-202-1058 Appeals 1-855-202-1058 Fax: 1-937-531-2398 CareSource Attn: Health Partner Appeals-Georgia, P.O. Box 2008 Dayton OH...

...goes over what you need to know about grievances and appeals. Member Services: 1-833-230-2005 (TDD/TTY: 711) Monday through Friday, 8 a.m. – 5 p.m. CT Your Medicare Rights As a...

...the address on the bottom of the form. Appeals Forms Consent for Provider to File an Appeal on Patient/Member's Behalf Submit this form to request an appeal on behalf of...

...coordination of benefits will now be accepted 180 days from the date of service. Claim appeals will be accepted 30 days from the date of the adverse action, denial of...