Contracting/HPLC
What form would you advise the provider to use if they had a Tax ID change?
What KA would I use for single case agreement information?
KA- 01268
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
May the Fourth be with you is the official tagline of the galaxy-wide holiday celebrated the first week of May in honor of what sci-fi franchise?
STAR WARS
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
HIIII I'm Dr Kracken and I need to update my authorization units! Can you help me?
What KA are you using?
KA- 02177
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 fruit lends its name to all of the following: a record label founded by the Beatles, the daughter of Gwyneth Paltrow and Chris Martin, and the tech company of which Tim Cook is the current CEO?
APPLE
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 would you use for an authorization that is expired but provider wants to extend DOS?
KA 02181
Member ID: 11069378700
Eligible? Effective date?
Marketplace member, transfer. Not active with IN MCD.
BYE FELICIA
CS2532101585
In or out of network? Effective date?
out of network
To better fit in with the city's natural Southwestern colors, what fast-food chain uses turquoise in place of its traditional "golden arches" yellow in Sedona, Arizona?
Mickey D's or McDonalds if you're cool.
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 six-letter hairstyle is popularly associated with the semi-ironic phrase "business in front, party in the back"?
Mullet
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
Hey, my HIP patient was active on DOS 12/5/2025, but CareSource has it in D365 that they are effective starting 1/1/2026- what KA would I use?
KA -01954
Member ID: 11255371700
Eligible? Effective date?
GA Medicaid, needs transferred to GA.
BYE FELICIA!
NPI:1982327029 Tax ID: 883836765
In or out of network? Effective date?
in network as of 12/1/25
In 1933, Queen Elizabeth's family got a dog named Dookie that began her lifelong obsession with what bootylicious Welsh breed that the American Kennel Club describes as "lively little herder who is affectionate and companionable without being needy?"
-Pembroke Welsh Corgi (corgi)