...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...

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...

...or billing administrator and complete all required COB information. For professional claims (CMS-1500), COB information should be sent at the line level. For hospital/facility claims (UB-04), COB information should be...

...us at: CareSource Attention: Georgia Member Appeals P.O. Box 1947 Dayton, OH 45401 If you need help reading this information, please call us. We can read the information aloud for...

...Box 8730 Dayton, OH 45401-8730 Fax: 937-224-3388 In addition to information about how to submit claims and check payments, CareSource PASSE™ offers you tools to find specific information, such as...

...get a bill from a provider for more than the amount the EOB shows as your responsibility, or that shows incorrect information, please call Member Services at 1-833-230-2099 (TTY: 711)....

...drug reimbursement. NADAC pricing can be accessed on Medicaid.gov. Pricing information can also be accessed through the secure Express Scripts Provider Portal. Drug pricing appeals can be completed through the...

...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...

...Attn: Provider Appeals PO Box 1947 Dayton, OH, 45401-1947 CareSource will review the evidence and respond to the dispute within 60 calendar days. For more information, contact Provider Services at...

...an application. CCVS Provider Authorization and Release Form Submit this form to authorize release of credentialing information to CareSource PASSE. Debarment Form Use this form to provide ownership of disclosure...