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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/CareSource North Carolina Co., d/b/a/ CareSource Your Responsibilities Be Enrolled and Pay Required Premiums Benefits are available to you only if you are enrolled for coverage under the plan. To...
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Get Credentialed
https://www.caresource.com/providers/education/become-caresource-provider/get-credentialed/...areCareSource Dual Advantage™ (HMO SNP) isCareSource MyCare ohio isCareSource isCareSource Marketplace Indiana isCareSource Marketplace KentuckyCareSource Marketplace West Virginia is listed as an authorized health plan. If not, check the Authorized...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...are provided below. CareSource denies a service. CareSource gives partial approval to cover a service. CareSource denies payment of a service. You receive a surprise bill from your provider. For...
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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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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/...services to get a higher repayment Members who: Share their CareSource member ID card with another person Sell prescribed medications or other medical equipment paid for by CareSource Provide inaccurate...
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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/...you aren’t sure where to go for care or have questions about your health, call our CareSource24® Nurse Advice Line. The number is on the back of your CareSource member...
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Pharmacy Residency Program
https://www.caresource.com/providers/education/patient-care/pharmacy/pharmacy-community-programs/pharmacy-residency-program/CareSource PGY-1 Managed Care Pharmacy Residency Location: Dayton, OH Hybrid role (in-office and work from home) with minimal travel CareSource Residency Program Overview Mission: The mission of the residency program...
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False Claims Act
https://www.caresource.com/providers/education/fraud-waste-abuse/false-claims-act/...23-3-120, et seq. CareSource Policy It is the policy of CareSource to detect and prevent any activity that may violate the federal False Claims Act or the state Medicaid fraud...
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Check Eligibility
https://www.caresource.com/providers/provider-portal/check-eligibility/CareSource MyCare Ohio allows individuals to select Medicaid only coverage from the plan managing their CareSource MyCare Ohio benefits. Individuals may choose to have CareSource MyCare Ohio either: Provide their...
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Contact Us
https://www.caresource.com/providers/contact-us/...Office of the Ombudsman The CareSource Office of the Ombudsman is an independent, neutral department within CareSource that serves the needs of CareSource members, providers and other stakeholders. The Office...
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