...treat you fairly. You are not satisfied with the quality of care you received. CareSource denies a service. CareSource gives partial approval to cover a service. CareSource denies payment of...

...have translation services available to make information appropriately accessible. Information must be available: Before Enrollment At Enrollment Any time you need the information to make an informed choice To involve...

...Provider Portal Submit claims, check claims status, check for known claims processing issues in the Claims Payment Systemic Errors (CPSE) report, review member eligibility, and view payment information. Visit the...

...this means: Covering services without any limits or need of a prior authorization. This includes services done by out-of-network providers. Using a special claims payment process to make sure providers...

...Committee (part of the Department of Community Health (DCH).) The request can be made by you, a parent/guardian, or other representative. A representative is a person you allow to make...

CareSource covers services that are medically necessary. We also offer rewards and incentives for you. Some services have a small cost to you. This is called a copayment or copay....

...Members may pay a small part of their prescription costs. This is called a copayment or copay. Learn more about pharmacy copays.Learn more about pharmacy copays. Georgia Pathways to Coverage...

...to their enrollment being discontinued, the member will be responsible for repayment of capitation premium payments. Report any concerns of child or adult abuse and/or neglect to TrueCare or: SUSPECTED...

...to their enrollment being discontinued, the member will be responsible for repayment of capitation premium payments. Report any concerns of child or adult abuse and/or neglect to TrueCare or: SUSPECTED...

...and speak with Member Services Connect with Teladoc®, your telehealth provider Connect with MYidealDOCTOR™, your telehealth services partner Make premium payments And more! The CareSource mobile app is available for...