...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...

...defined as being unable to obtain nutritionally adequate, medically appropriate and/or safe foods. Submit authorizations within the Provider Portal. For billing, please use the following code: S5170 with V1 Modifier....

At CareSource, we bring true partnership to Georgia providers. As part of our network, you can expect accurate claims processing, efficient prior authorizations and the dedicated commitment of a nonprofit...

...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:...

...plan generally must: Cover emergency services without requiring you to get approval for services in advance (prior authorization) Cover emergency services by out-of-network providers Base what you owe the provider...

...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...

...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...

...increases access to necessary medications such as MAVYRET for Medicaid beneficiaries by removing the prior authorization requirements and dispensing the medication in an eight-week supply (or a 12-week supply, when...

...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...