...through programs, agencies or contracts. The False Claims Act applies when a company or person: Knowingly presents a false or fraudulent claim for payment, Knowingly uses a false record or...

...their premium payment. CareSource will continue to process medical claims and pay providers during this grace period. After 30 days of nonpayment, the member’s eligibility will be flagged as delinquent...

...the grace period, if the member is terminated due to non-payment of premium, CareSource will recoup any payments made for claims received in the second and third months of the...

...rendered Retaining payments made in error by CareSource Payments stemming from kickbacks or Federal Stark Law violations Duplicate payments for services Member: Inappropriate use of Medicaid/Medicare purchased narcotics Forging prescriptions...

Welcome to CareSource PASSE Our mission is: Putting Members First, Pursuing Better Health Care. Together we can make a lasting difference in the lives of those we serve by improving...

...Form Mail your refund check, this form and any other required documentation to HAP CareSource. Overpayment Recovery Form Submit this form to offset overpaid claims against a future payment. Itemized...

...you in the amount of your overpayment, or we will offset future copayments. If the pharmacy hasn’t collected a copayment from you and is carrying your copayment as a debt...

...25th of each month before the start of the coverage month. For example, pay by February 25 for your March coverage. What Payment Options Are Available? We accept payments online,...

CareSource maintains medical, payment and administrative policies for our health partners. These policies are regularly reviewed, updated, withdrawn or added; and therefore, subject to change. The policies presented on these...

...to Fix: Correct DOS with date after ICD-10 was available. Error Number: 766 Error Description: Services were performed during a Health Insurance Exchange (HIX) premium payment grace period. Error Number:...