CareSource® evaluates prior authorization requests based on medical necessity, medical appropriateness, and benefit limits. Services That Require Prior Authorization Please refer to the Procedure Code Lookup Tool to check whether...

...email or text notice instead of mail. “How can I pay my premium?” ONLINE: Use the Express Payment option at CareSource.com/MPpay. It’s easy. All you need is your name, member...

...that we post to the TrueCare Page (other than your User Content) without our prior express written consent. Links: The TrueCare Page may provide you with links to websites, services,...

...an express payment at CareSource.com/MPpay No login needed! Enter your name, CareSource ID number and birth date to go straight to the payment page. Pay by phone: Call 1-833-230-2099 and...

...or make derivative works of the CareSource Page or any information that we post to the CareSource Page (other than your User Content) without our prior express written consent. Links:...

Definitions CareSource provides several opportunities for you to request review of dispute or authorization denials. Actions available after a denial include: Claim Appeals A claim appeal is a written request...

...an expression of dissatisfaction about any matter other than an “adverse action.” Submit Grievances via the Provider Portal Fast Facts: Grievances may be filed within 60 calendar days of the...

...For medical coverage: CareSource, P.O. Box 1947, Dayton, OH 45401-1947 For prescription drug coverage: Express Scripts, c/o Medicare Clinical Appeals, P.O. Box 66588, St. Louis, MO 63166-6588 See other CareSource...

...choose mail-order delivery through Express Scripts® for drugs that qualify. FIND A PHARMACY Please show your CareSource member ID card to the pharmacy. Your CareSource member ID card will let...

Accidental Dental Services All CareSource marketplace plans cover pediatric and adult dental service when related to accidental injury. See your Evidence Of Coverage or Schedule of Benefits for more information...