...you when you get the service Tell you how to get the service Prior Authorization Your doctor will assist you in getting a prior authorization from us for services that...

...Member Consent/HIPAA Authorization Form – Online Member Consent/HIPAA Authorization Form - Hard copy Fraud Waste and Abuse Reporting Form – Use this form if you think a health partner or...

What is This Notice? This Notice of Privacy Practices is required by the Health Insurance Portability and Accountability Act (HIPAA) of 1996. This notice describes how medical information about you...

...information established under HIPAA, finalizing the Breach Notification Rule. View the Combined Regulation Text – PDF (as of March 2013). This is an unofficial version that presents all the HIPAA...

...on our Plan Documents page. What is a prior authorization? What services need one? Prior authorization is when your doctor or provider gets approval from CareSource before you can get...

Our Provider Manual is a resource for working with our health plan. This manual communicates policies and programs and outlines key information, such as claim submission, and reimbursement processes, authorizations,...

At TrueCare™, we are more than just quality health insurance. We care about YOU. We know that life can be hectic. Making your health and wellness a priority can be...

At TrueCare™, we are more than just quality health insurance. We care about YOU. We know that life can be hectic. Making your health and wellness a priority can be...

...Demo. Utilization Management – View our utilization management activities including prior authorization, concurrent review, discharge planning and other activities. Tobacco and Vaping Cessation Tool Kit – Access our tools and...

...needs and taking appropriate action Providing phone coverage for handling patients’ calls 24/7 Following all referral and prior authorization policies and procedures as outlined in the Provider Manual Complying with...