...services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers can bill you is your plan’s in-network cost-sharing...

...of Coverage (EOC) on the Plan Documents page for full information on in-network and out-of-network copayments, as well as applicable conditions and limitations. Help Us Improve Our Provider Network CareSource...

...include: Inappropriate or inconsistent treatment Delay in receipt of care Compromising member health, safety or welfare Having the potential to limit functional abilities on a permanent or long-term basis In...

...ProviderSource Newsletter Winter 2024 ProviderSource Newsletter Fall 2024 ProviderSource Newsletter Spring 2024 ProviderSource Newsletter Spring 2024 ProviderSource Newsletter NCQA Annual Insert Winter 2023 ProviderSource Newsletter Fall 2023 ProviderSource Newsletter Spring...

...and Human Services VIEW PUBLIC HEALTH EMERENCY INFORMATION Resources Information for Healthcare Professionals Information for Healthcare Professionals Centers for Disease Control and Prevention (CDC) View COVID-19 Information Coronavirus (COVID-19) Partner...

...If you are not currently in our network, we invite you to consider joining us. Join Our Network If you offer medical services and want more information about becoming a...

...Providers can view clinical guidelines being used by CareSource at www.myturningpoint-healthcare.com. Providers will initially be asked to “Register for Access”. Upon registration, providers will be able to log into the...

...partners. In addition, providers are expected to administer patient care in a culturally competent manner. Resources are provided below. Roles and Responsibilities PCP care coordination responsibilities include the following: Assisting...

...members must enroll with ODM through the PNM system. This includes all out-of-network providers, whether out-of-state or unenrolled providers, who are not active providers on the PNM. Providers can submit...

...Go to https://www.healthplanresources.com to sign in using your NPI* and use the password provided in your Welcome Letter. Office Managers/Administrators: Managing a group of providers? Sign in through the Provider...