...outreach, they can call 1-844-438-9498. Benefits to Member and Providers The Disease Management program improves the percentage of CareSource members who receive their recommended screenings. It also offers the following...

...to help inform and guide providers about their clinical care of members. The Michigan Quality Improvement Consortium (MQIC) is a collaborative effort to develop and implement standard clinical guidelines and...

...Submit a Grievance or Appeal Let us know if do not agree with a decision made by CareSource or our providers. Get Started Need to find a new doctor or...

...Use this tool to find doctors, hospitals and other network providers. Personal Medication List: Use this list to keep a record of medications. Share it with doctors and other providers....

...the original claim adjudication, providers may appeal. Appeals must be submitted within 60 days of the date of the denial. Process for Claim Payment Disputes: Medicare providers who are in...

...D.C. 20201 Email: OCRComplaint@hhs.gov Online: https://www.hhs.gov/civil-rights/filing-a-complaint/index.html Your Responsibilities Use providers in the TrueCare network. Go to all of your planned visits to your providers. Be on time. Call 24 hours...

...for claims, prior authorizations, and other administrative tasks for providers. Submitting Claims and Authorizations ODM is implementing a One Front Door approach to streamline claim and prior authorization submissions. Providers...

...D.C. 20201 Email: OCRComplaint@hhs.gov Online: https://www.hhs.gov/civil-rights/filing-a-complaint/index.html Your Responsibilities Use providers in the TrueCare network. Go to all of your planned visits to your providers. Be on time. Call 24 hours...

...Google Play® today! You must use the in-network providers except in emergency or urgent care situations. If you obtain routine care from out-of-network-providers, neither Medicare nor CareSource will be responsible...

...providers and member rights and responsibilities. Be treated with respect and dignity by HAP CareSource personnel, network providers and other health care professionals. Privacy and confidentiality for treatments, tests and...