...of providers: Family practice providers: Providers who care for children and adults of all ages and may include obstetrics and minor surgery. Nurse practitioners (NP) and physician assistants (PA):Providers who...

...Newsletters & Communications Provider Manuals Updates & Announcements Provider Portal Save time. Save money. Use the secure Provider Portal. This online tool lets you verify member eligibility, submit claims electronically,...

...Effective October 1, Medicaid providers need a State of Ohio digital identification (OHID) to access the PNM portal and Gainwell Technologies’ single pharmacy benefit manager (SPBM) secure provider portal. Click...

...works, you may file a grievance. For example, you may be unhappy because: You cannot get a timely appointment with a provider. You think the provider’s office staff did not...

...All internal appeal requests must have: The covered person’s name and ID number as shown on the ID card The provider’s name The date of the medical service The reason...

...your digital member ID card Access your secure My CareSource® member portal account. Find a provider, hospital, or clinic near you and get directions. View your claims. Check your copays,...

...monitored, and members are assigned designated providers. GA LIP members must get their medicines filled at one pharmacy and use their primary care provider for medical care. Helpful terms to...

...Update For 2025, CareSource Marketplace Plans feature the following benefits: TruHearing® provider network for hearing services is included with all plans. EyeMed® provider network for vision services on all plans...

...Provider Summary of PDL Changes Effective June 1, 2023 05/01/2023 Provider Summary of PDL Changes Effective April 1, 2023 03/01/2023 Provider Summary of PDL Changes Effective January 1, 2023 12/01/2022...

...the amount you owe. You will get an EOB in the mail from us after you visit a provider or fill a prescription. We negotiate rates with our network providers...