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Quality Improvement
https://www.caresource.com/providers/education/quality-improvement/...fees charged by health information management companies for medical record retrieval or submission. Your health partner representative may contact you if medical records are not received within the 14-day timeframe...
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Contact Us
https://www.caresource.com/providers/contact-us/...us by contacting one of our Health Partner Network Managers, Monday through Friday from 7 a.m. to 7 p.m. Eastern Time. Key Contact Information Below is a list of the...
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Update Practice Information
https://www.caresource.com/providers/provider-portal/update-practice-information/...and are making a demographic change, adding or terming a provider to/from your existing contract, please submit your information to the Ohio Department of Medicaid PNM Module. Up-to-date contact information...
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Contact Us
https://www.caresource.com/members/contact-us/...such as your member handbook and evidence of coverage online for quick access. Information about our Care Management Program, designed to keep you and your family healthy! How to earn...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/...Drug Formulary page for more information. For ESI network and contracting questions, please contact Express Scripts directly by visiting the ESI Pharmacy Portal or email NetworkCompliance@express-scripts.com. Prior Authorization Some drugs...
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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/...and Human Services VIEW PUBLIC HEALTH EMERENCY INFORMATION Resources Information for Healthcare Professionals Information for Healthcare Professionals Centers for Disease Control and Prevention (CDC) View COVID-19 Information Coronavirus (COVID-19) Partner...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...to evaluate the expedited appeal and will outreach and work with the provider to obtain any needed information for the expedited appeal. Notification of Resolution CareSource will decide whether to...
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FAQs
https://www.caresource.com/members/education/faqs/...also give you some printed items in your preferred language. This is free for you. How can I get information sent to me in paper form? You can request information...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...and out-of-pocket limit. If you think you’ve been wrongly billed, contact the Centers for Medicaid & Medicare Services (CMS). The federal phone number for information and complaints is: 1-800-985-3059. Visit...
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FAQs
https://www.caresource.com/providers/education/faqs/...resubmitting to CareSource. Who do health partners contact with questions? Health partners should contact Health Partner Services at 1-855-202-1058. Provider Portal Is there a difference in the information I receive...
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