Contracting/HPLC
What form would you advise the provider to use if they had a Tax ID change?
Where would I find the email for Verisys to give to a provider?
KA-01787- under drop down for Verisys
Member ID: 120100356199
Eligible and effective date?
Yes, 1/15/2017
CS2518500610
In or out of network? Effective date?
In Network as of 8/1/2025
Who tries to steal the Krabby Patty Recipe?
Plankton
Provider calls in to say their address in the provider portal is incorrect. What would we advise them to do?
Submit Provider maintenance through the portal or through email at providermaintenance@caresource.com
What KA has the graph showing what falls under a New Health Partner Contract Form vs Provider Maintenance? (2 possible answers)
KA-01788- Changes to Provider Information under drop down for what falls under Provider Maintenance.
KA-01937- New Health Partner Contract Form in FYI box under drop down for Maintenance vs Contract
Member ID: 10839409600
Eligible? Effective date?
Yes, 1/1/2026
NPI 1952383887 Tax ID 464248196
In network or out of network? Effective date?
In Network as of 12/1/25
What TV show features a coffee shop called Central Perk?
Friends
A provider calls because she received notification that the panel she asked to join is closed. She asks if she can re-apply at some point. What are you advising her?
Yes ma'am in 12 months you can reapply to see if panel is open!
What KA has the contact directory?
KA-01105
Member ID: 11069378700
Eligible? Effective date?
CS2532101585
In or out of network? Effective date?
out of network
Who is the tallest president in U.S. History?
Even after more than 150 years, it is Abraham Lincoln!
Provider needs a new contract signature email sent to them.
Capture information for provider, email contractadministration@caresource.com, advise provider to allow up to 5 business days to receive email.
What KA would you use if a provider reported incorrect gender?
Provider- Incorrect Gender KA- 01960
Member ID: 10834375200
Eligible? Effective date?
Yes, 4/1/2022
CS2513200152
In or out of network? Effective date?
in network, 5/1/25
What is the only mammal that can fly?
Bat
A provider submitted a provider maintenance request to add a new provider to his group, but the new provider still has not been added.
Check to see if we got provider maintenance, check the status in Onbase, advise of what is needed if we do have contract (more time, more documents) if we did not get it, advise to resubmit
What KA do you use to fax eligibility?
Provider- Requests Eligibility to be Faxed KA- 01777
Member ID: 11255371700
Eligible? Effective date?
GA Medicaid, needs transferred to GA.
NPI:1982327029 Tax ID: 883836765
In or out of network? Effective date?
What was the first toy advertised on TV?
Mr Potato Head.