...for Healthcare Improvement (IHI) Model for Improvement Ensuring that CareSource is effectively serving members with culturally and linguistically diverse needs Ensuring that CareSource is effectively serving members with complex health...

...only speak with individuals at a member’s school when members or their caregivers/guardians have agreed to it. It may also be helpful to have your care coordinator go to Individual...

...our Nurse Advice Line. Go to a network urgent care center listed in our Find a Doctor tool. After you go, always call your PCP to schedule follow-up care. Outpatient...

...care treatment plans and notifying CareSource of members who may benefit from care coordination. In addition, CareSource PCPs play an integral part in coordinating health care for our members by...

...service. We can read the information aloud for you, in English or in your primary language. We also can help you if you are visually or hearing impaired. We are...

...your disagreement is limited to the amounts a non-contracted provider could collect if the beneficiary were enrolled in original Medicare pursuant to § 422.214(a)(l), you should use the plan’s internal...

...is important to verify member eligibility before providing services. Patients must be eligible CareSource® members at the time of service in order for services to be covered. CareSource offers several...

...a provider, you are required to identify the need for interpreter services for your CareSource of North Carolina Co. patients and offer assistance to them appropriately. CareSource is committed to...

...To ensure there is no delay in the review process, be sure to include this medical information when you ask for the exception. Policies CareSource pharmacy policies include drug-specific and...

...your premium on time. Bring your CareSource ID card to every visit. This way your insurance information will be up to date and the doctor or pharmacy can bill us...