Managed Care Organization Resources

Quick Tasks

FAQs

Why my application is denied?
Please review the Application Guide.

How long the Spenddown Information is available?
The spenddown information is available during the adjudication of the claim prior to submission of the claim as an encounter.

How I can verify coverage?
You can search for detailed coverage information by selecting: Member ID or Name and DOB (Date of Birth) or SSN and DOB or Newborn.

See All FAQs

Access Self-Service Features

  • Check Provider Capacity & Restrictions
  • Check Eligibility
  • Search Providers
  • Spenddown Claim Inquiries
  • Update Spenddown

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