Humana caresource provider manual

Caresource of georgia provider manual CareSource is new for the open enrollment period. Georgia individuals and families looking for affordable health insurance can now consider CareSource health plans. Learn more about the CareSource health plans then get quotes and apply online. Humana, where the plan was known as Humana - CareSource. It’s important for all contracted healthcare providers and administrators to review the new provider manual, as your participation agreement with the Humana or ChoiceCare network contains a compliance obligation with the provisions of the manual. Overall, the provider manual has been reorganized and streamlined to make it more user friendly. Humana Healthy Horizons in Kentucky identified that the current provider manual does not detail provider retrospective review request submission time frames. Humana Healthy Horizons in Kentucky maintains the same submission time frame outlined in the Humana – CareSource® Kentucky Medicaid plan provider manual, as.

Humana - CareSource contracts with Beacon Behavioral Health to oversee behavioral health-related functions, including: Contracting and credentialing. Claims processing and payment. Referrals and triage. Care management. Contact Beacon at to: Verify available behavioral health and substance abuse benefits. Seek an appointment. Provider Manual SEPTEMBER Inside Supporting Your Practice 5 Key Contacts 6 Online Resources 8 In-Person Support 10 Verifying Eligibility 11 Transportation to Covered Services 13 Translation and Interpretation 14 24/7 Nurse Advice: 15 Participating in Our Network From: Humana - CareSource Subject: Requirements for Corrected Claims Submissions In order to provider faster claims processing and payment times, Humana - CareSource requires the original claim number on all corrected claims. Accepted standards for corrected claim submissions require that the original claim number is.

Purpose of this manual: Humana’s Provider Manual for Physicians, Hospitals and Other Healthcare Providers (manual) is an extension of the agreement between Humana and/or ChoiceCare and all provider types including, but not limited to, physicians, hospitals and ancillary healthcare providers (hereinafter collectively and/or individually. www.doorway.ru Humana – CareSource Provider Manual 3 Humana – CareSource Makes a Difference Humana – CareSource brings a history of innovative programs and collaborations to ensure that our members receive the highest quality of care. With a focus on preventive care and continued. Humana Healthy Horizons in Florida Provider Manual – Effective Apr. 1, , PDF (opens in new window) Humana Healthy Horizons in Kentucky Provider Manual – Effective Jan. 1, , PDF (opens in new window) Humana Healthy Horizons in South Carolina Provider Manual – Effective July 1, , PDF (opens in new window).