...with information sufficient to identify the member, shall be deemed notice to us. Submit claims to: CareSource, P.O. Box 8730, Dayton, OH 45401-8730 See your EOC or call Member Services...

...if the member is suffering from a serious condition that requires urgent treatment. Members may also submit a formulary exception via phone, fax or an online form – Member Exception...

...Accessibility to care Availability of services and practitioners Health outcomes Internal monitoring review and evaluation of program areas, including Utilization Management, Care Management and Pharmacy services Medical, Behavioral Health and...

...MemberSource Newsletter Fall 2019 MemberSource Newsletter Summer 2019 MemberSource Newsletter Spring 2019 MemberSource Winter 2018 MemberSource Fall 2018 MemberSource Summer 2018 MemberSource Spring 2018 MemberSource Winter 2017 MemberSource Fall 2017...

...CareSource of members who may benefit from case management. Please see the “Member Support Services and Benefits” section on how to refer members for case management. In addition, CareSource PCPs...

...Family Services Contact Us If you are not finding the information you need or have more questions, please call us. Our Provider Services staff is happy to assist you. CONTACT...

...their care can effectively coordinate their care We recommend that you check member eligibility each time a member presents for services, as member eligibility can fluctuate. Changes in health status...

...and/or the denied claim If filing an appeal on behalf of a member or for pre-service issues, the member’s written consent (or signed Appointment of Representative form(coming soon) for dual...

...to the Member Handbook for a list of covered services. You can also ask your care coordinator or call Member Services to have a printed copy of the member handbook...

...Member Services Members access Member Services by calling our toll-free number, 1-855-202-0729 (TTY for the hearing impaired: 1-800-255-0056), 7 a.m. – 7 p.m. Eastern Standard Time (EST), and following the...