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Archived Administrative Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/administrative-policies/archived/...Health Service Record Documentation Standards Buprenorphine Treatment Providers C Claims Editing and Review Claims Editing and Review Claims Editing and Review Community and Employment Support Waiver Services: Unable to Provide...
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ICD-10
https://www.caresource.com/providers/education/icd-10/...other industry ICD-10 websites. New CMS-1500 Claim Form Ohio Department of Medicaid (ODM) Tips & Alerts Claims Compliance Date Span Date Billing ICD-10 and Dental Claims Billing Unspecified Codes Inpatient...
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Tools & Resources
https://www.caresource.com/providers/tools-resources/...to the latest tools and resources regarding COVID-19. Click below to visit our COVID-19 Provider Resource Center. View COVID-19 Information Forms Forms Find forms for contracting, authorization, claim submission and...
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Behavioral Health Carve-In
https://www.caresource.com/providers/education/patient-care/behavioral-health-carve-in/...Provider Portal Submit claims, check claims status, check for known claims processing issues in the Claims Payment Systemic Errors (CPSE) report, review member eligibility, and view payment information. Visit the...
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Dental
https://www.caresource.com/providers/education/patient-care/dental/...for prior authorization requests, claim submissions and more: ADA Dental Claim Form Instructions Follow the instructions to fill out the American Dental Association’s (ADA) dental claim form. CareSource TMD Screening...
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CareSource Mobile App
https://www.caresource.com/members/tools-resources/caresource-mobile-app/...CareSource account. View your digital member ID card. Find a doctor, hospital, clinic, or urgent care near you. Call and speak with Member Services or CareSource24. View your claims, and...
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Next Generation Managed Care
https://www.caresource.com/providers/tools-resources/next-generation-managed-care/...for claims, prior authorizations, and other administrative tasks for providers. Submitting Claims and Authorizations ODM is implementing a One Front Door approach to streamline claim and prior authorization submissions. Providers...
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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/...Don’t give medications as written Send claims for a brand-name medication that costs more but give a cheaper medication that costs less Give less than the prescribed amount and not...
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Make A Payment
https://www.caresource.com/members/tools-resources/make-a-payment/...we will: Hold claims for covered services during the grace period or reserve the right to get back any amounts we may pay during this period, Reject prescription drug claims...
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Provider Grievances
https://www.caresource.com/providers/provider-portal/provider-grievance/...All provider complaints should be clearly documented. Matters involving denials or claims payment should be submitted through the appropriate claim payment dispute or appeals process. Providers have 30 calendar days...
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Claim