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Fraud, Waste & Abuse
https://www.caresource.com/providers/education/fraud-waste-abuse/...United States Prescribing high quantities of controlled substances without medical necessity Member Fraud, Waste & Abuse CareSource monitors member activity for fraud, waste and abuse. Some examples are: Inappropriately using...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...with information sufficient to identify the member, shall be deemed notice to us. Submit claims to: CareSource, P.O. Box 8730, Dayton, OH 45401-8730 See your EOC or call Member Services...
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Forms
https://www.caresource.com/providers/tools-resources/forms/...the address on the bottom of the form. Appeals Forms Consent for Provider to File an Appeal on Patient/Member's Behalf Submit this form to request an appeal on behalf of...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...services; or Matters involving the contractual relationship between the member and the plan. Additional Help If you have questions about your rights or need help, please refer to the Evidence...
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Contact Us
https://www.caresource.com/providers/contact-us/...contact for your questions. Department Phone Hours of Operation Additional Information Provider Services 1-833-230-2100 Monday through Friday, 8 a.m. to 5 p.m. Central Time (CT) Member Services 1-833-230-2005 Monday through...
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Substance Use Disorder
https://www.caresource.com/members/education/mental-health/addiction-help/...day, 7 days a week. Your Substance Use Disorder Benefits Include: This is not a full list of benefits. View your member handbook or call Member Services to learn more....
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Additional Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/additional-services/...for eyeglasses/contacts, and discounts on additional vision services. Members also get access to the Active&Fit® fitness program. Fitness Program Choosing a CareSource plan with Adult Vision and Fitness coverage brings...
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Additional Services
https://www.caresource.com/plans/medicaid/benefits-services/additional-services/...these groups at your local club or on their website. You will need your CareSource member ID. You will also need the member’s first and last name and date of...
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Training & Events
https://www.caresource.com/providers/education/training-events/...new account using a unique email address as your username. To use single sign-on in the future, be sure to use the same email address and password when accessing the...
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Past Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/past/...Respironics Voluntary Medical Device Recall - This notification has been revised. See notification dated 12/15/2021 09/13/2021 Additional Policy Updates September 2021 09/02/2021 Save the Date: Upcoming Provider Orientation Webinar 09/02/2021...
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