Definitions CareSource provides several opportunities for you to request review of dispute or authorization denials. Actions available after a denial include: Claim Appeals A claim appeal is a written request...

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...Dental Services Routine dental checkups and dental cleanings are covered under Hoosier Healthwise, HIP Plus, HIP State Plus, and HIP State Basic and HIP Maternity plans. You can find a...

...You recently switched plans and your medication is not on your new plan’s covered drug list (formulary). Your plan dropped your medication from its formulary or added coverage restrictions for...

...or the care it provides. Make recommendations regarding the plan’s member rights and responsibilities policy. Choose an advance directive to designate the kind of care you wish to receive should...

...can also give you the total number of grievances, appeals and exceptions filed with our plans. To get this data, please call Member Services. Request Status Call Member Services for...

...care for members who have existing care treatment plans that include scheduled services with non-participating health partners or who transition to or from another payer including those members identified as...

As part of our commitment to both health partners and members, we want to provide resources that support your professional practice and encourage best practices in opioid use and pain...

...detailed information. Transition of Care CareSource will coordinate continuity of care for members who have existing care treatment plans that include scheduled services with non-participating health partners or who transition...

Thank you for choosing us! We want you to be happy with your coverage. Use our online self-service tools anytime 24/7. You can also call Member Services when you have...