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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...a review of any decision that does not involve an adverse benefit determination. These types of decisions may cover: The availability, delivery or quality of health care services Claims, payments,...
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Welcome
https://www.caresource.com/providers/welcome/Welcome to CareSource PASSE Our mission is: Putting Members First, Pursuing Better Health Care. Together we can make a lasting difference in the lives of those we serve by improving...
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Quick Start Guide
https://www.caresource.com/members/tools-resources/quick-start-guide/...and text View your claims View past documents such as EOBs, invoices, and more Use Find My Prescriptions to get an accurate cost for a drug, based on your plan...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...a prior authorization is required for the medication. Pharmacy Claims Submission Please visit the ESI Pharmacy Portal for claims information, including: Payer sheet Compound prescription requirements Prospective DUR response requirements...
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Make a Payment
https://www.caresource.com/members/my-caresource-account/make-payment/Log in to My CareSource, your personal portal account, to view claims and other plan details. If you owe any copayments or coinsurance, please pay these directly to the health...
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Behavioral Health
https://www.caresource.com/providers/education/patient-care/behavioral-health/...The Provider Portal lets you verify member eligibility, submit claims electronically, check claim status and more, all in one convenient location. Explore the resources available to you. Provider Communications CareSource...
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HIPAA Privacy Practices - Georgia Medicaid
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-georgia-medicaid/...you a copy or a summary of your health and claims records. We often do this within 30 days. Ask us to fix health and claims records You can ask...
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HIPAA PRIVACY PRACTICES
https://www.caresource.com/about-mstc/legal/hipaa-privacy-practices/...you a copy or a summary of your health and claims records. We often do this within 30 days. Ask us to fix health and claims records You can ask...
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HIPAA Privacy Practices - West Virginia Marketplace
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-west-virginia-marketplace/...a fair, cost-based fee. Ask us to fix health and claims records You can ask us to fix your health and claims records if you think they are wrong or...
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HIPAA Privacy Practices - Ohio Marketplace
https://www.caresource.com/about-us/legal/hipaa-privacy-practices/hipaa-privacy-practices-ohio-marketplace/...a fair, cost-based fee. Ask us to fix health and claims records You can ask us to fix your health and claims records if you think they are wrong or...
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CLAIMS ADDRESS