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Prior Authorization-es
https://www.caresource.com/es/providers/provider-portal/prior-authorization/...Nurse Advice Line. Advanced Imaging Prior Authorization Ordering physicians must obtain prior authorization for the following outpatient, non-emergent diagnostic imaging procedures: MRI/MRAs CT/CTA scans PET scans Ordering providers can obtain...
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Forms
https://www.caresource.com/es/members/tools-resources/forms/...an independent review entity to review the decision. Treating Physician Certification for Experimental/Investigational Adverse Benefit Determinations Form – Use this form to certify that an experimental and/or investigational drug, device,...
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Part D Prescription Plan Rights
https://www.caresource.com/es/members/tools-resources/grievance-appeal/part-d-prescription-plan-rights/...qualify for an exception because of your unique medical needs, you or your physician should contact us and ask for a coverage determination. Please note: If your pharmacy tells you...
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Part C Medical Plan Rights
https://www.caresource.com/es/members/tools-resources/grievance-appeal/part-c-medical-plan-rights/...you, your appointed representative or your physician may request an organization determination. Full details on organization determination requests can be found in the Evidence of Coverage (EOC) (Chapter 9, section...
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About
https://www.caresource.com/es/about-caresource-passe/...Medical Association and in 2002 the AOMA established the James E Zini, D.O. “Young Physician Award” given to young physicians for significant contributions to the osteopathic profession. Throughout his career...
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physician