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Utilization Management
https://www.caresource.com/plans/mississippi-chip/utilization-management/...the next business day. Communications received after midnight on Monday through Friday are answered the same business day. A UM staff member who calls will say their name, title, and...
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TERMS AND CONDITIONS
https://www.caresource.com/about-mstc/legal/terms-and-conditions/...may share statistical data from our visitors with our business partners. For example, we may advise a partner that 20,000 people visited a web page to access particular information. On...
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State Fair Hearings
https://www.caresource.com/members/tools-resources/grievance-appeal/state-fair-hearings/...the Adverse Benefits Determination and Notice of Appeal resolution letters within 2 business days to the DHS Office of Appeals and Hearings. We will send an evidence packet to you...
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Holly Joers, PresidentCareSource Military & Veterans
https://www.caresource.com/about-us/executive-leadership/holly-joers-president-caresource-military-veterans/As market president, Holly Joers oversees all aspects of CareSource Military & Veterans’ business operations, with a focus on delivering high-quality, cost-effective care tailored to the needs of the military...
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HIPAA PRIVACY PRACTICES
https://www.caresource.com/about-mstc/legal/hipaa-privacy-practices/...others get. We may give your health information to outside groups so they can assist us with our business. Such outside groups may be: Lawyers, Accountants, Consultants And others. We...
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Ed Stubbers, Chief Legal Officer
https://www.caresource.com/about-us/executive-leadership/ed-stubbers-chief-legal-officer/...programs and PBM business divisions, as well as the Senior Vice President and business leader overseeing OptumRx/Catamaran’s Government Programs and Formulary Operations. Ed earned his bachelor’s degree from the University...
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Rights and Responsibilities
https://www.caresource.com/plans/caresource-passe/plan-documents/rights-responsibilities/...are approved to go out-of-network, the services are provided at a cost no greater than it would be in-network. Get a written notice within seven business days if there is...
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CareSource Founding CEO & President: Pamela B. Morris
https://www.caresource.com/about-us/executive-leadership/caresource-founder-pamela-b-morris/...Association of Health Plans Pinnacle Award for Life Services Program CareSource nominee Moms2B—a program which addresses maternal and infant health disparities—won ACAP’s 2015 “Supporting the Safety Net” Award 2014 Business...
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Executive Leadership
https://www.caresource.com/about-us/executive-leadership/...serves members and focuses on community and business partnerships including relevant regulatory agencies. Sanjoy Musunuri Executive Vice President, Strategy and Business Development Sanjoy Musunuri joined CareSource in 2020 as Executive...
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Provider Grievances
https://www.caresource.com/providers/provider-portal/provider-grievance/...occurrence of the matter that is the subject of the grievance. Grievances are acknowledged within three business days and resolved within 30 calendar days. Grievances may be filed at any...
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