...is at least as effective in rewarding and facilitating qui tam actions for false claims as those described in the Federal False Claims Act. Indiana’s False Claims and Whistleblower Protection...

...a prior authorization is required for the medication. Pharmacy Claims Submission Please visit the ESI Pharmacy Portal for claims information, including: Payer sheet Compound prescription requirements Prospective DUR response requirements...

...will only reimburse claims for Medicaid services. Claims for Medicare must be submitted to the plan managing the member’s Medicare benefits. Therefore, we recommend that you check member eligibility each...

...The Provider Portal lets you verify member eligibility, submit claims electronically, check claim status and more, all in one convenient location. Explore the resources available to you. Provider Communications CareSource...

...at initial application. For each day of an inpatient hospital stay/SNF stay, an applicant may claim 4 hours towards their monthly Qualifying Activities requirement. Community Service Approved community service programs...

...is critical to process your claims. In addition, it ensures our directories are up-to-date and reduces unnecessary calls to your practice. Up-to-date contact information is critical to process your claims....

...claims for services in which prior authorization is required, but not obtained by the provider. 2026 Prior Authorization List Prior Authorization Statistics Please access the Pharmacy Prior Authorization Transparency Act...

...Health Care Links Newsletters & Communications Pharmacy Quality Improvement Reporting Fraud, Waste & Abuse Training & Events Claims Claims Submit claims, find processes and access time-saving tools. Submit or Find...

...social security number). If you wish to communicate such information please use one of our secure websites, web forms, or phone numbers/mailing addresses provided. If you choose not to provide...

...social security number). If you wish to communicate such information, please use one of our secure websites, web forms, or phone numbers/mailing addresses provided. If you choose not to provide...