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2025 Premium Step Therapy Program effective 7 1 25
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Terms & Conditions
Your Information We do not collect your personal identifying information when you access this website unless: 1. You register to use the services offered on our website; or 2. You provide information to us in an e-mail; or 3. You are offered Enrollment Services You can have Your Say Limit Use…
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522 Provider Data Validation
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Mail Service Provider Fax Form AultCare
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26 Guidelines for UB 04 (CMS 1450) Patient Status Codes for Denial Prevention
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Description of Behavioral Health Services
Inpatient Care (Hospital-Based) This is the highest level of mental health care. It happens in a hospital setting and is for people in serious crisis, such as: At risk of harming themselves or others. Unable to care for basic needs (eating, hygiene). No safe support system at home. What to expect: 24/7 care from psychiatrists, nurses, and…
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Tuscarawas
The convenience of lab and imaging services available to you. Here For You - Lab & Imaging services-Testimonial 1 One-stop, convenient healthcare from primary care and more at a single location. Here For You- one location for all of your healthcare needs - Testimonial 2 Local, personalized care by a facility rooted in your…
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Individual and Family Plans
Annual Open Enrollment is November 1 — January 15. We have health plans for employers, individuals and their families, and those who are Medicare-eligible. AultCare’s attention to our members, and our service focus on you, separates us from other insurance companies. That's one of many reasons why more than 95% of…
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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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AultValue
As a participant in all three programs, you and your employees receive the value of wellness. Don’t underestimate this value. This underlying component promotes and supports healthy lifestyles for your employees, ultimately saving you healthcare dollars. Companies with 4+ years of wellness can see a 5.54% per employee per month (PEPM)…
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