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• Fillable Form Spanish Accident Questionnaire

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• Surprise Billing AultCare Model Notice

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• Generic Incentive Program

  This program assists members with transitioning to a generic equivalent for certain medications when clinically appropriate. An incentive may reduce member cost share. This cost-share adjustment is based on brand name manufacturer assistance programs. Please call AultCare Customer Service at 330-363-6360 or 1-800-344-8858 (TTY 711) for any questions regarding this…

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• Provider Resources

  AultCare values the relationships we have with our network providers. As healthcare continues to evolve, we recognize the many challenges providers face and aim to be a resource for your practices. Our provider portal is full of many resources available to AultCare providers. Providers can use the portal to view…

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• Telehealth

  If you need care after hours, contact your physician’s office. If you feel your needs are urgent or your situation is an emergency, proceed to the nearest emergency room, urgent care center, or call 911. If you are out of the area and feel you need medical care, go to the…

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• Pharmacy Services

  If you are in need of immediate medical attention, contact your physician, poison control center, or emergency medical professional. Due to the high number of requests we receive, the replies can take up to 2 business days. The information appearing in this resource is intended to be a general guide to…

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• Step Therapy Commercial Managed Formulary 01 01 2019 AultCare

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• Pcp Communication Form Behavioral Health Provider AultCare

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• Member Forms

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• Large Group Census Form AultCare

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