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Claim Rejection Notifications
https://www.caresource.com/providers/provider-portal/claims/claim-rejection-notifications/...Error Number: 132 Error Description: Missing/Invalid Medicaid ID for Atypical Provider How to Fix: Ensure correct Medicaid ID is provided. Error Number: 187 Error Description: Date of Service (DOS) after...
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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...Program design is to ensure the organization delivers on all aspects of care delivery for CareSource MyCare Ohio members based on their unique needs. We monitor, analyze and identify opportunities...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...or inappropriate response to Formulary drugs. The member or member’s representative can call Member Services to make the request or can complete the online Member Exception Request for Non-Formulary Medication....
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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/...CareSource MyCare Ohio HMO-DSNP ID cards display information for office visits. The member ID number must be included when billing for services to avoid claim rejection. If a member chooses...
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Utilization Management
https://www.caresource.com/providers/education/patient-care/utilization-management/...returning calls regarding UM issues. Staff members are available to accept collect calls regarding UM issues. Staff members are accessible to callers who have questions about the UM process. In...
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Contact Us
https://www.caresource.com/members/contact-us/...members. If you have any problems reading or understanding this information, please call our Member Services team or use our TTY for hearing impaired members at the number below. This...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...issues, the member’s written consent, which must be specific to the service being appealed, is only valid for that appeal and must be signed and dated by the member. Please...
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FAQs
https://www.caresource.com/members/education/faqs/...Get a CareSource member ID Card, Plan Documents or Change Your Doctor How do I get a new CareSource member ID card? You can get a new member ID card...
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Request Patient Services
https://www.caresource.com/providers/tools-resources/request-patient-services/...Member Services Members access Member Services by calling our toll-free number, 1-855-202-0729 (TTY for the hearing impaired: 1-800-255-0056), 7 a.m. – 7 p.m. Eastern Standard Time (EST), and following the...
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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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CALL ABOUT MEMBER ID NUMBER