...Records For any third-party records requests, please send a letter of representation and compliant HIPAA authorization to: TrueCare Attn: Office of General Counsel 230 N. Main St Dayton, OH 45402...

...information on PASSE services that are offered by CareSource PASSE that include: Covered benefits and how to get them. If any benefits have prior authorization requirements. Take part in decisions...

...for claims, authorizations and communications Dental, vision and hearing benefits and services $0 copays for Medicare and Medicaid drugs $287 a month in healthy allowances to use on qualifying items,...

...Prior Authorization Provider Communications CareSource PASSE supports coordination across all interventions along the continuum of care. Visit these pages for resources to support coordinated care with a holistic, integrated approach:...

...dentist and/or prior authorization from CareSource. Your dentist will make the request on your behalf. Depending on your plan, you may have more benefits. Please contact Member Services if you...

Provider Attestation Form – Submit this form to attest to practice competency prior to working with CareSource. CCVS Provider Authorization and Release Form – Submit this form to authorize release...

...of getting the denial letter A state fair hearing ruling is made against you The authorization ends or service limits are met You may request an expedited internal appeal of...

...Benefits-At-A-Glance CareSource insurance plans for individuals and families provide comprehensive benefits including preventive care. Prior authorization is required for certain services. Benefits at a Glance Use this guide to see...

...your premium. Comply with all provisions of the policy that are outlined in the Certificate of Coverage. This includes Prior Authorization Know and confirm your benefits before receiving treatment. Show...

...page to find any form when you need it. Other Documents Certificate of Coverage Benefits At-A-Glance Prior Authorization List Member Services: 1-833-230-2053 (TTY: 711), 24 hours a day, seven days...