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Non-Participating Provider Appeals & Disputes
https://www.caresource.com/providers/provider-portal/appeals/non-participating-provider-appeals-disputes/...non-contracted providers as Medicare would have paid for the same service. Non-contracted providers have the right to request a reconsideration of the plan’s denial of payment: Non-contracted providers have 60...
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Laboratory
https://www.caresource.com/providers/education/patient-care/laboratory/CareSource® covers laboratory testing services for our members. Laboratory service providers can access the following tools to help them provide efficient and quality care. Policies Providers can view CareSource’s laboratory...
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Your HDHP Preventive Plan
https://www.caresource.com/plans/marketplace/plan-documents/your-hdhp-preventive-silver-plan/...Ask your provider to ‘e-prescribe’ a 3-month supply to Express Scripts. Your provider should already have the website and phone number. Plan Costs Learn more about your plan’s costs by...
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Multi-Factor Authentication
https://www.caresource.com/multi-factor-authentication/...account by creating your username and password. For added security, set up the multifactor authentication. To connect your account, you will need your Provider Name, Tax ID, CareSource Provider ID...
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Provider Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/...provider policies. Some benefit management services are provided on behalf of CareSource. Please reference applicable policies from our delegated service providers. Lab Policies Musculoskeletal and Cardiac Surgical Policies CareSource maintains...
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Provider Responsibilities
https://www.caresource.com/providers/education/health-equity/provider-responsibilities/Providers are expected to deliver services in a culturally competent manner, which includes removing all language barriers, accommodating the unique ethnic, cultural and social needs of the member and understand...
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Provider Onboarding Kit
https://www.caresource.com/providers/education/become-caresource-provider/provider-onboarding-kit/...work with our plan. Provider Orientation View a brief informational presentation to welcome you and help you work with CareSource. 2021 Indiana Health Partner Orientation Provider Orientation Provider Orientation Provider...
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File a Grievance
https://www.caresource.com/members/tools-resources/grievance-appeal/file-grievance/...works, you may file a grievance. For example, you may be unhappy because: You cannot get a timely appointment with a provider. You think the provider’s office staff did not...
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Tobacco Cessation Toolkit for Behavioral Health Providers
https://www.caresource.com/providers/education/patient-care/behavioral-health/tobacco-cessation-toolkit-for-behavioral-health-providers/...Quit Now program has FREE materials for providers to display at their location: Link to enroll as a Preferred Provider: Preferred Provider Enrollment Form Link to order Quitline materials: Education...
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Administrative Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/administrative-policies/...as Paid Providers S Sentinel Events and Provider Preventable Conditions Serum Biomarker Panel Testing T Telemedicine Services Therapeutic Communities The following policies have moved to the Pharmacy Policy page: Medicaid...
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