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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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FAQs
https://www.caresource.com/members/education/faqs/...to the Member Handbook for a list of covered services. You can also ask your care coordinator or call Member Services to have a printed copy of the member handbook...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...get a bill from a provider for more than the amount the EOB shows as your responsibility, or that shows incorrect information, please call Member Services at 1-833-230-2099 (TTY: 711)....
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Where To Get Care
https://www.caresource.com/members/tools-resources/where-to-get-care/...needs care right away, an Urgent Care Clinic may be a good choice. If you need to get urgent care, you can: Call your PCP for advice. Call CareSource24, our...
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Mental Health And Wellness
https://www.caresource.com/plans/marketplace/benefits-services/behavioral-health/mental-health-and-wellness/...Call if you or someone else is: Thinking of suicide or hurting themselves Having a mental health crisis Need to talk to someone now? Call the 24-Hour Nurse Advice Line...
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Contact Us
https://www.caresource.com/members/contact-us/...more information, or call the Fraud Hotline: 1-937-531-2300 and follow the prompts for reporting fraud. You can also call Member Services at 1-833-230-2099 and tell the representative that you want...
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Telehealth
https://www.caresource.com/members/tools-resources/where-to-get-care/telehealth/...help you follow up with your PCP. Important: When you call, have your CareSource member ID number ready. You’ll need to answer a few questions. They’ll call you back, often...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...is called generic substitution. Members and providers can expect the generic to produce the same effect and have the same safety profile as the brand name drug. If a brand...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/...call Member Services if you have any questions. You may also write to us at: CareSource Attention: GA Member Appeals P.O. Box 1947 Dayton, OH 45401 Call us if you...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/...answered by our Utilization Management department. If calling after regular business hours, the call will be answered by CareSource24®, our Nurse Advice Line. Advanced Imaging Prior Authorization Ordering physicians must...
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