...to your authorized representative regarding your grievance or appeal, you and your authorized representative must complete the Appointment of Representative form or the Internal Appeal Request form. Return the completed...

...make reasonable efforts to provide the member with prompt oral notification of the delay and applicable grievance rights. CareSource will notify the member and their authorized representative in writing of...

...ending. You can appeal if you disagree. You must ask for one within 60 days from the date listed on the letter. You or an authorized representative can file. Call...

...involve benefits or denial of benefits. The Grievance Process You or your authorized representative may file a grievance verbally or in writing. You or your authorized representative can file a...

...possible. Notice given by or on behalf of the member to CareSource or to any authorized agent of CareSource, with information sufficient to identify the member, shall be deemed notice...

...the redetermination form. Appointment of Representative Form English | Spanish An appointed representative is a relative, friend, advocate, doctor or other person authorized to act on your behalf in filing...

...Committee (part of the Department of Community Health (DCH).) The request can be made by you, a parent/guardian, or other representative. A representative is a person you allow to make...

...email CiteAutoAssistance@caresource.com and a representative will be in contact. This email is only for assistance and questions regarding prior authorizations within the Provider Portal. Phone 1-833-230-2101 Fax 1-844-676-0372 Sick Newborn...

...any questions or concerns, please contact Provider Services at 1-855-202-1058 or speak with your Provider Engagement Representative. The grievance process allows the member, or the member’s authorized representative acting on...

...fees charged by health information management companies for medical record retrieval or submission. Your health partner representative may contact you if medical records are not received within the 14-day timeframe...