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Claim Rejection Notifications
https://www.caresource.com/providers/provider-portal/claims/claim-rejection-notifications/...How to Fix: The system will check the member ID, sex, DOB, and first 4 characters of the last name to attempt to identify the correct member. Contact Provider Services...
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Prior Authorization
https://www.caresource.com/providers/provider-portal/prior-authorization/CareSource® evaluates prior authorization requests based on medical necessity, medical appropriateness, and benefit limits. Services That Require Prior Authorization Please refer to the Procedure Code Lookup Tool to check whether...
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Renew Your Benefits
https://www.caresource.com/members/tools-resources/renew-benefits/...It must be handled by your local DFCS office. Member Services: 1-855-202-0729 (TTY: 711), open Monday through Friday 7 a.m. to 7 p.m. Redetermination Redeterminations of eligibility for the P4HB®...
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Make A Payment
https://www.caresource.com/members/tools-resources/make-a-payment/...of the federal poverty guideline.* Check your eligibility at Low Cost Marketplace Health Care, Qualifying Income Levels | HealthCare.gov. Reporting Changes Eligibility for the tax credit can change throughout the...
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Provider Manual
https://www.caresource.com/providers/tools-resources/provider-manual/...notice. CareSource PASSE™ posts updates through network notifications on the Updates & Announcements page. Please bookmark and check this page often to stay current with all updates. Provider Services If...
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Provider Overview
https://www.caresource.com/providers/...Claims File a Dispute or Appeal Prior Authorization Additional Links Check Eligibility Education Education Learn more about our programs and other topics to assist you with caring for your patients....
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...benefits, your enrollment must be in accordance with the plan’s and the Health Insurance Marketplace’s eligibility requirements, as applicable. You must also qualify as a covered person. You must also...
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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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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/...Generation MyCare Ohio Eligibility Confirmation Guidance 12/30/2025 Transition of DentaQuest and SkyGen to Delta Dental – UPDATE 12/29/2025 Urgent Medical Device Correction - FreeStyle Libre 3 and FreeStyle Libre 3...
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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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