...the health and safety of a member requires that medical records must be submitted under a shorter timeframe, providers are expected to comply with the shorter turnaround time. Providers and...

...more information, visit the Quick Reference Materials page. State Department of Health Resources Please select your state resources below for specific COVID-19 vaccine guidance. State Information Indiana Department of Health...

...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...

...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...

...your unique email address and the password of your choice to complete training and manage accounts for all providers in your TIN. *Office Managers/Administrators and providers without an NPI number...

...as they pertain to provision of services and care CareSource prohibits its providers or partners from refusing to treat, serve or otherwise discriminate against an individual because of race, color,...

Our Commitment We are committed to improving our beneficiaries’ health by removing barriers to care and working with our community partners and providers to drive meaningful change. Provider Responsibilities Providers...

...External Medical Review Providers who disagree with CareSource’s determination on appeal to deny, limit, reduce, suspend, or terminate a covered service for lack of medical necessity may request an External...

...Non-Participating Providers Prior authorization must be obtained before sending patients to nonparticipating providers, with the following exceptions. Emergency Services All in-patient services require prior authorization. Please call 1-833-230-2101 to obtain...

...Providers May Disregard ECHO Health Registration Notification 01/14/2020 Provider Payment Migration Complete 01/13/2020 Dental Claims 01/07/2020 High Dollar Claims Cover Sheet – UPDATE 01/07/2020 Policy Updates January 2020 – This...